女性轻度盆底功能障碍的非手术治疗

目的探讨电刺激生物反馈治疗对轻度盆底功能障碍患者肌肉功能恢复情况和临床疗效。方法选取2011年1月至2012年12月在武警湖北省总队医院就诊的120名轻度尿失禁和性功能障碍患者，采用随机数字表法分成对照组和实验组，给予对照组凯格尔运动进行盆底肌肉训练3个月，对实验组进行电刺激生物反馈治疗3个疗程。结果治疗后实验组盆底肌最大收缩电位、Ⅰ类肌平均肌电位和Ⅱ类肌平均肌电位以及盆底肌Ⅰ类肌肌力和Ⅱ类肌肌力高于对照组，差异均有统计学意义（t值分别为4．523、1．321、1．894、3．263、4．236，均P〈0．05）。实验组总有效率（86．67％）高于对照组（61．67％），经比较有显著性差异（x2=9．786，P〈0．05）。结论电刺激生物反馈疗法对轻度盆底功能障碍患者具有明显的疗效，且方便安全，无任何副作用．容易被广大患者接受，值得推广。

Non-surgical treatment on women with mild pelvic floor dysfunction

Objective To investigate the muscle recovery of patients with mild pelvic floor dysfunction （PFD） and the clinical curative effect of electrical stimulation biofeedback therapy on these patients. Methods Totally 120 patients with mild urinary incontinence and sexual dysfunction patients were chosen from January 2011 to December 2012 in Hubei Provincial Corps Hospital, and they were divided into control group and experimental group according to random number. The control group received Kegel＇ s exercise of pelvic floor muscle training for 3 months, and the experimental group was treated with electrical stimulation biofeedback for 3 courses. Results After therapy the pelvic floor muscle contraction potentials, average muscle potential of type Ⅰ muscle, average muscle potential of type Ⅱ muscle, muscle strength of type I pelvic floor muscle and that of type II pelvic floor muscle were significantly higher in the experimental group than the control group （ t value was 4. 523, 1. 321, 1. 894, 3. 263 and 4.236, respectively, all P 〈 0.05 ）. The total efficiency of the experimental group was 86.67% , which was significantly higher than that of the control group （61.67%） , and the difference was significant （X2 = 9. 786, P 〈0.05 ）. Conclusion Electrical stimulation biofeedback therapy has obvious therapeutic effect on patients with mild PFD. It is convenient and safe without any side effects, so it is easy to be accepted by patients and worthy of promotion.