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生物反馈和电刺激联合Kegel锻炼应用于盆底肌肉肌力低于Ⅲ级产妇的临床效果

Clinical effect of biofeedback and electrical stimulation combined with Kegel exercises on parturients with pelvic floor muscle strength lower than gradeⅢ

  • 摘要: 目的 探讨生物反馈和电刺激联合凯格尔(Kegel)锻炼应用于盆底肌肉肌力低于Ⅲ级产妇的临床效果。方法 选取广东省信宜市妇幼保健院2020年1月-2021年3月收治的300例盆底肌肉肌力低于Ⅲ级的产妇,按照随机数字表法分为对照组和干预组各150例,对照组予以Kegel锻炼,干预组在对照组的基础上联合生物反馈和电刺激。干预2个月后比较两组患者干预有效率、盆底功能水平及自我训练频次的情况。结果 干预组干预有效率为97.33%(146/150),高于对照组86.67%(130/150),差异有统计学意义(P<0.05);干预后,两组患者的盆底功能水平(盆底静息压、盆底收缩压)均有所提高,同时患者每周的自我训练频次数目增加,且干预组高于对照组,差异有统计学意义(P<0.05)。结论 盆底肌肉肌力低于Ⅲ级的产妇通过应用生物反馈、电刺激联合Kegel锻炼可改善盆底功能,提高自我训练频度及干预效果。

     

    Abstract: ObjectiveTo explore the effect of biofeedback and electrical stimulation combined with Kegel exercises on parturients with pelvic floor muscles lower than grade Ⅲ.MethodsTotally 300 parturients with pelvic floor muscle strength lower than grade Ⅲ treated in our hospital from January 2020 to March 2021 were recruited and divided into 2 groups with random number table method.The control group(n 150) received Kegel exercises and the intervention group(n 150) received biofeedback and electrical stimulation combined with Kegel exercises. The intervention effect, pelvic floor function and self-training frequency were compared between the two groups 2 month post-intervention.ResultsThe effective rate of the intervention group was 97. 33%(146/150),which was higher than that of the control group 86. 67%(130/150)(P< 0. 05). After intervention, pelvic floor function(resting pelvic floor pressure, pelvic floor systolic pressure), and weekly self-training frequency of the two groups all increased. Weekly selftraining frequency of the intervention group was higher than the control group(P< 0. 05).ConclusionThe application of biofeedback and electrical stimulation combined with Kegel exercises can improve pelvic floor function, increase weekly self-training frequency and intervention effect among parturients with pelvic floor muscle strength lower than grade Ⅲ.

     

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