不同分娩方式结合产后电刺激对盆底功能及盆底肌康复效果的影响

目的:探讨电刺激结合盆底功能训练对不同分娩方式盆底肌康复效果的影响.方法:选取我院妇产科收治的产后盆底功能障碍患者134例,根据分娩方式不同分为自然分娩组71例,剖宫产组63例.2组予产后基础护理,盆底肌训练与电刺激,两组共治疗8周.治疗结束后,比较治疗后两组产妇Ⅰ类肌纤维收缩力,Ⅱ类肌纤维收缩力,盆底肌肉压力及性功能评分水平.结果:治疗前两组产妇Ⅰ类肌纤维持续收缩压、持续时间,Ⅱ类肌纤维收缩个数比较无统计学差异(P>0.05),治疗前与剖宫产组相比,自然分娩组Ⅱ类肌纤维快速收缩压较高(P<0.05),自然分娩组盆底肌肉静息压较低,盆底收缩压较低(P<0.05),治疗前与剖宫产组相比,自然分娩组性功能评分中性欲程度评分、性高潮评分、阴道润滑状况评分及性满意度评分均较低(P<0.05);经治疗8周后,两组产妇持续收缩压、持续时间均升高(P<0.05),Ⅱ类肌纤维快速收缩压,收缩个数均升高(P<0.05),组间比较无差异(P>0.05),两组产妇盆底肌肉静息压与盆底收缩压均升高(P<0.05),与剖宫产组相比,自然分娩组盆底肌肉静息压较低(P<0.05),盆底收缩压无差异(P>0.05).经8周治疗后,两组产妇性功能评分中性欲程度评分、性高潮评分、阴道润滑状况评分及性满意度评分均升高(P<0.05),组间比较无统计学差异(P>0.05).结论:电刺激联合盆底功能训练能够明显改善产后盆底功能障碍,提高性生活水平,相对于剖宫产,自然分娩产妇采用电刺激联合盆底功能训练疗效更好.

Different Selivery Methods Combined with Electrical Stimulation on Pelvic Floor Function and Pelvic Floor Muscle Rehabilitation

Objective:To investigate the effect of electrical stimulation combined with pelvic floor function training on the recovery of pelvic floor muscles in different delivery modes.Methods: 134 cases of postpartum pelvic floor dysfunction were selected in our department of Obstetrics and Gynecology,according to the mode of delivery,and divided into the natural delivery group(n=71)and the cesarean section group(n=63).2 groups were given basic nursing,pelvic floor muscle training and electrical stimulation,and the two groups were treated for 8 weeks.The sata of the first class of muscle fiber contraction,muscle contraction,pelvic floor muscle pressure and sexual function score were compared before and after treatment.Results: There was no significant difference between the two groups in the treatment of the first class of muscle fiber sustained systolic blood pressure,duration and the number of muscle fiber contraction(P>0.05),compared with the cesarean section group,the rapid contraction pressure was higher in the natural delivery group(P<0.05),the resting pressure of pelvic floor muscles was lower in natural delivery group,and the systolic pressure was lower(P<0.05),compared with the cesarean section group,the score of sexual desire,the score of orgasm,the degree of vaginal lubrication and sexual satisfaction scores were lower in the natural delivery group(P<0.05).After 8 weeks of treatment,the maternal systolic blood pressure and duration of both groups increased(P<0.05),systolic blood pressure(SBP)and the number of contractions increased(P<0.05),there was no difference between the two groups(P>0.05),2 groups of maternal pelvic floor muscle resting pressure and systolic pressure increased(P<0.05),compared with the cesarean section group,the pelvic floor muscle resting pressure in the natural delivery group was lower(P<0.05),there was no difference in pelvic floor systolic pressure(P>0.05).After 8 weeks of treatment,the scores of the sexual function score,the score of sexual orgasm,the degree of vaginal lubrication and the degree of sexual satisfaction were higher in both groups(P<0.05),there was no significant difference between the two groups(P>0.05).Conclusion: Electrical stimulation combined with pelvic floor function training can significantly improve the postpartum pelvic floor dysfunction,improve the level of sexual life,compared to cesarean section,natural childbirth parturient with electrical stimulation combined with pelvic floor function training has better effect.