盆底肌训练联合生物反馈电刺激对产后盆底功能恢复及性生活质量的影响

目的：探讨三维超声评估盆底肌训练联合生物反馈电刺激疗法对产后盆底功能恢复及性生活质量的影响。方法：将90例产后盆底功能障碍产妇随机分为2组各45例，对照组给予常规盆底肌训练干预，观察组在对照组的基础上联合生物反馈电刺激疗法干预，干预前后行三维超声检查，评估产后盆底功能恢复情况，并比较2组产妇性生活质量。结果：治疗8周后，2组产妇张力状态下（Valsalva动作下）膀胱颈移动度、肛提肌裂孔的面积、尿道旋转度均较干预前减小（P＜0.05），且观察组小于对照组（P＜0.05）；盆底肌异常率及盆腔脏器脱垂、尿失禁发生率均较干预前降低（P＜0.05），且观察组低于对照组（P＜0.05）；女性性功能指数量表（FSFI）中性欲、性高潮、阴道润滑度、性交疼痛、性满意度、性唤起评分均较干预前升高（P＜0.05），且观察组高于对照组（P＜0.05）。结论；通过盆底三维超声检查发现，盆底肌训练联合生物反馈电刺激疗法在产后盆底功能患者的治疗中提供了客观的疗效评定指标，两种方法联合能够有效促进患者盆底功能恢复，缓解临床症状，改善性生活质量。

Effects of pelvic floor muscle training combined with biofeedback electrical stimulation therapy on postpartum pelvic floor function recovery and sexual quality using three-dimensional ultrasound

Objective: To evaluate the impacts of pelvic floor muscle training combined with biofeedback electrical stimulation therapy on postpartum pelvic floor function recovery and sexual quality using three-dimensional ultrasound. Methods: A total of 90 postpartum women with pelvic floor dysfunction were randomly separated into two groups (n=45 each). The control group received routine pelvic floor muscle training intervention, and the observation group was intervened with biofeedback electrical stimulation therapy on the basis of the control group. All patients underwent three-dimensional ultrasound examination before and after the intervention. The recuperation of postpartum pelvic floor function was evaluated, and the sexual quality of postpartum women was compared. Results: After 8 weeks of treatment, the degree of bladder neck movement, the area of anal levator hiatus and the degree of urethra rotation decreased in both groups, and those in the observation group were significantly reduced as compared with the control group (P<0.05). The abnormal rate of pelvic floor muscle and occurrence of pelvic organ prolapse and urinary incontinence in the observation group were significantly lower than those in the control group (P<0.05). The scores of sexual desire, orgasm, vaginal lubrication, pain during intercourse, sexual satisfaction and arousal in Female Sexual Function Index (FSFI) were all increased, and those in the observation group were higher than those in the control group (P<0.05). Conclusion: Through three-dimensional ultrasound examination of the pelvic floor, it was found that the combination of pelvic floor muscle training and biofeedback electrical stimulation therapy provides objective efficacy evaluation indicators for postpartum pelvic floor function patients. The combination can effectively promote pelvic floor function recuperation, alleviate clinical symptoms, and improve sexual quality of life in patients.