生殖医学杂志2024，Vol.33Issue(4)：452-457,6.DOI:10.3969/j.issn.1004-3845.2024.04.006
电刺激生物反馈在产后盆底功能康复中的临床效果评价
Evaluation of clinical effect of electrical stimulation and biofeedback treatment in rehabilitation of postpartum pelvic floor function
摘要
Abstract
Objective:To explore effects of electrical stimulation and biofeedback treatment on postpartum pelvic floor function. Methods:A retrospective study was conducted on 3 572 postpartum women with pelvic floor dysfunction from October 2020 to August 2023.All patients accepted electrical stimulation and biofeedback treatment,and Glazer pelvic floor muscle surface electromyographic protocol was conducted before and after treatment,then the effects of the treatment were evaluated. Results:The quality of life scores(I-QoL)of the patients after treatment were significantly higher than those before treatment[(67.34±7.18) vs.(56.82±6.27),P＜0.05].Compared to those before treatment,the overall score of Glazer pelvic floor muscle surface electromyographic protocol[(69.50±15.40) vs.(64.90±16.30)],fast twitch muscle contraction time[(0.39±0.20)s vs.(0.42±0.30)s],the relaxation time[(0.50±0.40)s vs.(0.58±0.60)s],and the coefficient of variation of slow twitch muscle fibre[(0.22±0.23)vs.(0.34±0.54)]were all significantly improved after the treatment(P＜0.05).After treatment,older patients(≥35 years)had a 4.0％reduction in fast twitch muscle contraction time compared to younger patients(＜35 years),while younger patients had a 1.5％ decrease in fast twitch muscle relax time compared to older patients.The patients in the western region exhibited a 0.7％reduction in the contraction time of fast twitch muscle,and the relaxation time decreased by 5.2％ compared to the patients in the eastern region,but the differences were not statistically significant(P＞0.05). Conclusions:After electrical stimulation and biofeedback treatment,I-QoL,total score of pelvic floor surface electromyographic protocol,fast muscle contraction time,fast muscle relaxation time,and slow muscle stability of postpartum patients with pelvic floor dysfunction were showed significant differences compared with those before treatment,and electrical stimulation and biofeedback treatment could improve some of the indicators of Glazer pelvic floor muscle surface electromyographic protocol,promote the rehabilitation of the pelvic floor function to improve the I-QoL during the postpartum period.关键词
电刺激/生物反馈/产后盆底功能康复/临床效果Key words
Electrical stimulation/Biofeedback/Rehabilitation of postpartum pelvic floor function/Clinical effect分类
医药卫生引用本文复制引用
刘盼,李海燕,张庆..电刺激生物反馈在产后盆底功能康复中的临床效果评价[J].生殖医学杂志,2024,33(4):452-457,6.基金项目
河南省医学科技攻关计划联合共建项目(LHGJ20210380) （LHGJ20210380）
