摘要
Abstract
Objective:To explore the rehabilitation effect and sexual function influence of vaginal dumbbells combined with pelvic floor muscle rehabilitation training on primiparas with pelvic floor dysfunction(PFD).Method:A total of 120 primiparas with PFD admitted to Wuyishan Municipal Hospital from March 2022 to December 2024 were selected and randomly divided into observation group and control group,with 60 cases in each group.The control group adopted conventional pelvic floor muscle training+pelvic floor muscle biofeedback training,while the observation group added vaginal dumbbell training on the basis of the control group.Both groups were intervened for 3 months.The pelvic floor muscle strength classification,pelvic floor muscle fatigue and electromyography values,sexual function index,urination function,bladder function and nocturia frequency of the two groups were compared 1 and 3 months after the intervention.Result:After 3 months of intervention,the muscle strength of type Ⅰ and type Ⅱ muscle fibers of pelvic floor muscle in the observation group were better than those in the control group(P<0.05).After 1 and 3 months of intervention,the fatigue degree of type Ⅰ and type Ⅱ muscle fibers of pelvic floor muscle fibers and the electromyography values in the observation group improved more significantly than those in the control group(P<0.05).After 1 and 3 months of intervention,the scores of the female sexual function index(FSFI)in the observation group were all higher than those in the control group(P<0.05).After 3 months of intervention,the incidences of pelvic organ prolapse(POP)and stress urinary incontinence(SUI)and the frequency of nocturia per night in both groups were significantly reduced compared with those after 1 month of intervention,and the reduction in the observation group were more obvious than those in the control group(P<0.05).There was no statistically significant difference in the incidence of adverse events between the two groups(P>0.05).Conclusion:Vaginal dumbbell combined with pelvic floor muscle biofeedback training can effectively enhance pelvic floor muscle strength,improve sexual function,and reduce the incidence of SUI and POP as well as the frequency of nocturia,with good safety.关键词
盆底肌功能障碍/阴道哑铃/生物反馈/初产妇/康复训练/性功能指数Key words
Pelvic floor dysfunction/Vaginal dumbbell/Biofeedback/Primipara/Rehabilitation training/Sexual function index
