髋部肌锻炼联合盆底电刺激生物反馈对盆底功能障碍性疾病患者盆底功能及应激反应的影响

摘要 目的：探讨髋部肌锻炼联合盆底电刺激生物反馈对盆底功能障碍性疾病（PFD）患者盆底功能及应激反应的影响。方法：选取2021年1月-2022年12月在我院接受治疗的120例PFD患者作为研究对象，按随机数字表法分为对照组和观察组，每组各60例。对照组患者进行髋部肌锻炼，观察组患者在对照组的基础上联合盆底电刺激生物反馈治疗，观察分析两组患者盆底功能以及应激反应的变化。结果：两组治疗后观察组临床总有效率显著高于对照组（P＜0.05）；两组患者治疗后PFDI-20、PISQ-12及PFIQ-7评分显著优于治疗前，且观察组上述指标明显优于对照组（P＜0.05）；治疗后两组患者前盆底肌电位、动态肌张力、静态肌张力及收缩力较治疗前显著改善，且观察组相较于对照组上述指标显著提升（P＜0.05）；治疗后两组患者去甲肾上腺素（NE）、前列腺素（PGE₂）、皮质醇（COR）水平明显提高，且观察组明显优于对照组（P＜0.05）。结论：髋部肌锻炼联合盆底电刺激生物反馈使肌肉功能得到锻炼，提高了盆底肌张力水平，促进盆底功能的恢复和应激反应的提高，明显提高患者的生活质量。

Effects of Hip Muscle Exercise Combined with Pelvic Floor Electrical Stimulation Biofeedback on Pelvic Floor Function and Stress Response in Patients with Pelvic Floor Dysfunction

ABSTRACT Objective: To explore the effect of hip muscle exercise combined with pelvic floor electrical stimulation biofeedback on pelvic floor function and stress response in patients with pelvic floor dysfunction disease(PFD). Methods: 120 patients with PFD who were treated in our hospital from January 2021 to December 2022 were selected as the study subjects. They were divided into control group and observation group according to random number table method, with 60 patients in each group. The patients in the control group received hip muscle exercise, and the patients in the observation group received pelvic floor electrical stimulation biofeedback therapy on the basis of the control group. The changes of pelvic floor function and stress response in the two groups were observed and analyzed. Results: The total clinical effective rates of the observation group after treatment were significantly higher than those in the control group (P<0.05), the PFDI-20, PISQ-12 and PFIQ-7 scores in the two groups were significantly better than those before treatment, and the above indexes in the observation group were significantly better than those in the control group (P<0.05), and the anterior pelvic floor muscle potential, dynamic muscle tone, static muscle tone and contractility of the two groups after treatment were significantly improved compared with those before treatment. Compared with the control group, the above indexes in the observation group were significantly improved (P<0.05), and the levels of norepinephrine (NE), prostaglandins (PGE₂) and cortisol (COR) in the two groups were significantly increased after treatment, and the observation group was significantly better than that in the control group (P<0.05). Conclusion: Hip muscle exercise combined with pelvic floor electrical stimulation biofeedback can exercise muscle function, improve the level of pelvic floor muscle tension, promote the recovery of pelvic floor function and improve stress response, and significantly improve the quality of life of patients.