摘要
目的探究低频电刺激与盆底肌康复训练结合对产后尿失禁患者的干预效果。方法选取2019年10月—2022年9月于中国航天科工集团七三一医院就诊的104例产后尿失禁患者作为研究对象,按随机数字表法分为两组,各52例。两组患者均接受盆底肌检测,对照组采用盆底肌康复训练,观察组在此基础上联合应用低频电刺激,两组均干预3个月。对比两组的盆底肌力、盆底肌疲劳度及生活质量尿失禁生活质量问卷。结果观察组盆底肌力优于对照组;观察组Ⅰ类肌纤维疲劳度(3.32±0.95)%、Ⅱ类肌纤维疲劳度(3.25±0.78)%均低于对照组;观察组影响社会心理评分(78.67±6.32)分、形成社会尴尬评分(77.65±7.82)分、限制性行为评分(77.27±7.66)分均高于对照组,组间差异有统计学意义(P<0.05)。结论产后尿失禁患者采用低频电刺激与盆底肌康复训练结合干预,可提高康复效果,改善生活质量,值得推广。
Objective To observe and discuss the effect of low frequency electrical stimulation combined with pelvic floor muscle rehabilitation training on postpartum patients with urinary incontinence.Methods 104 postpartum urinary incontinence patients who admitted to 731 Hospital of China Aerospace Science and Industry Group from October 2019 to September 2022 were selected as the study subjects and were randomly divided into two groups,52 cases each group.Both groups received pelvic floor muscle detection,the control group received pelvic floor muscle rehabilitation training,and the observation group was combined with low-frequency electrical stimulation on this basis,and both groups were intervened for 3 months.Compare the pelvic floor muscle strength,pelvic floor muscle fatigue,and quality of life between the two groups.Urinary incontinence quality of life questionnaire.Results The observation group’s grading of pelvic floor strength was better than control group’s;the observation group's class Ⅰ muscle fiber fatigue(3.32±0.95)%and class Ⅱ fiber fatigue(3.25±0.78)%were lower than control group’s;the observation group’s social psychological score(78.67±6.32)points,social embarrassment score(77.65±7.82)points and restrictive behavior score(77.27±7.66)points were higher than those of the control group,the differences between groups were statistically significant(P<0.05).Conclusion Using low-frequency electrical stimulation combined with pelvic floor muscle rehabilitation training to intervene postpartum urinary incontinence patients can improve the rehabilitation effect and improve the quality of life of urinary incontinence.It is worth promoting.
作者
罗滢
刘凤平
涂文
LUO Ying;LIU Fengping;TU Wen(Department of Gynecology and Obstetrics,China Aerospace Science and Industry Group 731 Hospital,Beijing,100074,China)
出处
《反射疗法与康复医学》
2023年第12期41-43,66,共4页
Reflexology And Rehabilitation Medicine
关键词
产后尿失禁
低频电刺激
盆底肌康复训练
盆底肌疲劳度
康复效果
生活质量
Postpartum urinary incontinence
Low frequency electrical stimulation
Pelvic floor muscle rehabilitation training
Pelvic floor muscle fatigue
Rehabilitation effect
Quality of Life
作者简介
罗滢(1972-),女,辽宁抚顺人,本科,副主任医师,研究方向:妇科肿瘤和盆底康复。