盆底康复在产后阴道前壁膨出中的临床效果

目的探讨盆底康复对阴道前壁膨出的治疗效果。方法选取产后阴道前壁膨出Ⅰ~Ⅱ度病人60例，根据病人是否自愿接受盆底康复治疗，分为观察组和对照组，各30例。观察组将治疗电极放入病人阴道内，作用于盆底肌肉，进行生物反馈、电刺激并采集盆底肌电值，每周2次，每次30 min，12次为一个疗程，同时联合凯格尔训练；对照组进行常规的产后健康宣教。比较2组病人阴道前壁恢复情况和盆底肌电分布情况。结果观察组总有效率为90.00%，优于对照组的60.00%（P < 0.05）。前静息阶段和后静息阶段，2组病人间盆底肌表面电位差异无统计意义（P>0.05）；在Ⅱ类肌纤维、Ⅰ类肌纤维和肌纤维耐力测试阶段，观察组盆底肌表面电位均明显高于对照组（P < 0.01）。结论盆底康复可以提高盆底肌力，在阴道前壁膨出中疗效肯定，值得推广。

Clinical effect of pelvic floor rehabilitation in patients with postpartum vaginal anterior wall protrusion

ObjectiveTo explore the clinical effects of pelvic floor rehabilitation in patients with postpartum vaginal anterior wall protrusion.MethodsA total of 60 postpartum patients with degree Ⅰ to Ⅱ anterior vaginal wall protrusion were divided into the observation group and control group according to their willingness to receive pelvic floor rehabilitation or not(30 cases each group).The observation group was treated with intravaginal electrical stimulation to obtain electromyography biofeedback, twice a week, 30 minutes every time, 12 times as a treatment course, and combined with Kegel training.The control group was given routine postnatal health education.The recovery of anterior vaginal wall and electrical distribution of pelvic floor muscle were compared between two groups.ResultsThe total efficacy rate in observation group(90.00%) was significantly better than that in control group(60.00%)(P < 0.05).The difference of the pelvic floor muscle surface potential between two groups was not statistically significant during pre-resting and post-resting(P>0.05).The pelvic floor muscle surface potential in observation group was significantly higher than that in control group during the testing endurance stage of type Ⅱ and Ⅰmuscle fiber.The pelvic floor muscle surface potential in observation group was significantly higher than that in control group(P < 0.01).ConclusionsThe pelvic floor rehabilitation can improve the pelvic floor muscular strength, the clinical efficacy in patients with anterior vaginal wall protrusion is definite, which is worthy of application.