何曦 杨方 姚剑 李琼 高琳君

[摘要] 目的 探討采用阴道哑铃联合电刺激及生物反馈治疗对产后盆底肌力和疲劳度的影响。 方法 选择我院2019年1—9月收治的产后盆底功能障碍性疾病（PFD）产妇56例，根据盲抽法将其分为两组，每组各28例。对照组采用阴道哑铃训练，在此基础上，观察组加用电刺激联合生物反馈治疗，治疗2个月后，比较两组盆底肌力、盆底肌纤维疲劳度、盆底肌肉张力状况及压力性尿失禁发生情况。 结果 治疗2个月后，两组盆底肌力评分均较治疗前升高，且观察组高于对照组，差异有统计学意义（P<0.05）;两组治疗2个月后盆底肌纤维疲劳度均较治疗前升高，且观察组高于对照组，差异有统计学意义（P<0.05）;治疗2个月后，两组阴道收缩持续时间较治疗前延长，阴道收缩压、阴道静息压均较治疗前升高，且观察组阴道收缩持续时间长于对照组，阴道收缩压、阴道静息压均高于对照组，差异有统计学意义（P<0.05）;治疗2个月后，观察组压力性尿失禁发生率低于对照组，差异有统计学意义（P<0.05）。 结论 采用阴道哑铃联合电刺激及生物反馈治疗产后PFD效果确切，可显著提升盆底肌力，减缓其疲劳度，降低压力性尿失禁发生率。

[关键词] 盆底功能障碍性疾病;电刺激;生物反馈;阴道哑铃;盆底肌力

[中图分类号] R714          [文献标识码] B          [文章编号] 1673-9701（2021）31-0063-04

[Abstract] Objective To explore the effects of electrical stimulation， biofeedback and combined therapy with vaginal dumbbells on postpartum pelvic floor muscle strength and fatigue. Methods A total of 56 parturients with postpartum pelvic floor dysfunction （PFD） who were admitted to our hospital from January to September 2019 were selected and divided into two groups according to the blind sampling method， with 28 cases in each group. The control group was treated with vaginal dumbbell training， on the basis of which， the observation group was added with electrical stimulation combined with biofeedback treatment. After 2 months of treatment， the pelvic floor muscle strength， pelvic floor muscle fiber fatigue， pelvic floor muscle tension and stress urinary incontinence were compared between the two groups. Results After 2 months of treatment， the scores of pelvic floor muscle strength in both groups were higher than those before treatment， and the observation group was higher than the control group ，the difference was statistically significant（P<0.05）. After 2 months of treatment， the degrees of pelvic floor muscle fiber fatigue in both groups were higher than those before treatment， and the observation group was higher than the control group ，the difference was statistically significant（P<0.05）. After 2 months of treatment， The duration of vaginal contraction in the observation group was longer than that in the control group， and the vaginal systolic blood pressure and vaginal resting pressure were higher than those in the control group， with statistical significance（P<0.05）. After 2 months of treatment， the incidence of stress urinary incontinence in the observation group was lower than that in the control group， with statistical significance （P<0.05）. Conclusion Treatment of postpartum PFD with vaginal dumbbells combined with electrical stimulation and biofeedback has a definite effect， which can significantly improve pelvic floor muscle strength， slow down the degree of fatigue， and reduce the incidence of stress urinary incontinence.

[Key words] Pelvic floor dysfunctional; Electrical stimulation; Biofeedback; Vaginal dumbbells; Pelvic floor muscle strength

女性盆底功能障碍性疾病（Pelvic floor dysfunction，PFD）是影响身心健康的疾病，包括尿失禁、盆腔器官脱垂等，其发生与妊娠、分娩有关，会损伤盆底肌肉，影响盆底组织的支撑作用，进而影响患者日常生活，降低生活質量[1]。……