孙玉婷 熊素平 张诗文 文贵娟 曾贵红

【摘要】 目的：探究盆底康复仪联合盆底肌训练治疗盆底功能障碍的临床效果。方法：选取2017年9月-2018年9月在笔者所在医院接受治疗的盆底功能障碍患者90例，按照数字随机法分为治疗组45例与对照组45例。对照组实施盆底康复仪治疗，试验组在上述基础上实施盆底肌训练治疗。对比分析治疗前后患者盆底功能障碍评分与临床疗效。结果：治疗前两组患者盆底功能障碍评分比较，差异无统计学意义（P>0.05）;治疗后两组患者均有所改善，治疗组更显著，差异有统计学意义（P<0.05）;治疗组治疗总有效率为95.56%，对照组为73.33%，治疗组高于对照组，差异有统计学意义（P<0.05）。结论：盆底功能障碍患者实施盆底康复仪与盆底肌训练联合治疗，可改善盆底功能障碍症状，疗效显著。

【关键词】 盆底功能障碍 盆底肌训练 盆底康复仪 盆底肌力

doi：10.14033/j.cnki.cfmr.2020.13.011 文献标识码 B 文章编号 1674-6805（2020）13-00-03

Curative Effect of Pelvic Floor Rehabilitation Instrument Combined with Pelvic Floor Muscle Training in the Treatment of Pelvic Floor Dysfunction/SUN Yuting， XIONG Suping， ZHANG Shiwen， WEN Guijuan， ZENG Guihong. //Chinese and Foreign Medical Research， 2020， 18（13）： -31

[Abstract] Objective： To explore the clinical effect of pelvic floor rehabilitation instrument combined with pelvic floor muscle training in the treatment of pelvic floor dysfunction. Method： From September 2017 to September 2018， 90 patients with pelvic floor dysfunction were randomly divided into treatment group （n=45） and control group （n=45）. The control group was treated with pelvic floor rehabilitation instrument， and the experimental group was treated with pelvic floor muscle training on the basis of the above. The score and clinical effect of pelvic floor dysfunction before and after treatment were compared and analyzed. Result： There was no significant difference in the score of pelvic floor dysfunction between the two groups before treatment （P>0.05）. The scores of pelvic floor dysfunction in the two groups were improved after treatment， the treatment group improved significant， the differences were statistically significant （P<0.05）. The total effective rate was 95.56% in the treatment group and 73.33% in the control group， the total effective rate in the treatment group was significantly higher than that in the control group， the difference was statistically significant （P<0.05）. Conclusion： The combined treatment of pelvic floor rehabilitation instrument and pelvic floor muscle training can improve the symptoms of pelvic floor dysfunction， and the curative effect is remarkable.

[Key words] Pelvic floor dysfunction Pelvic floor muscle training Pelvic floor rehabilitation instrument Pelvic floor muscle strength

First-authors address： Baoan District Fuyong Peoples Hospital in Shenzhen， Shenzhen 518103， China

盆底功能障礙是临床妇科常见的一种疾病，经阴道分娩与妊娠是引发疾病的主要因素，发病率为20%～40%，临床以性功能障碍、盆腔脏器脱垂、阴道前后壁膨出及尿失禁为主要表现[1]。临床治疗以局部修补术、全盆底重建与阴道重叠修补术为主。盆底康复仪是依据女性盆底肌肉与阴道设计，可加快盆底神经与肌肉组织循环，纠正盆底功能障碍[2]。盆底肌训练是通过刺激盆底肌自主收缩，促进盆底肌收缩张力提升，加快生殖器官与盆底肌机能恢复[3]。本研究选取于笔者所在医院接受治疗的90例盆底功能障碍患者，分别实施盆底康复仪与盆底肌训练联合治疗，探究其治疗效果，现具体报道如下。

1 资料与方法

1.1 一般资料

选取2017年9月-2018年9月于笔者所在医院接受治疗的盆底功能障碍患者90例，纳入标准：单胎妊娠;经阴道分娩;排除标准：盆底肌力低于3级;精神疾病;产科合并症;认知功能障碍。患者……