生物反馈联合电刺激在女性盆底功能障碍性疾病治疗中的临床应用

目的:分析生物反馈联合电刺激对女性盆底功能障碍性疾病(PFD)的治疗效果。方法:选择2011年1月至2016年3月我院收治的1000例PFD患者为研究对象,按随机数字表法分为实验组和对照组,每组各500例。实验组给予生物反馈联合电刺激,对照组给予功能性电刺激治疗。比较两组治疗前后盆底肌肉肌力分级的变化,测定盆底功能相关指标的改善及患者治疗前后排尿情况。结果:治疗后2组盆底肌力分级均呈明显上升趋势(Z=52.587,37.581;P0.001),且观察组改善效果优于对照组(Z=27.588,P0.001);治疗后实验组盆底肌肉肌力正常率高于对照组,差异有统计学意义(x~2=68.323,P0.05);治疗后实验组最大收缩压、持续收缩压提升幅度较大,膀胱颈移动度明显减小,与对照组各项指标对比差异有统计学意义(P0.05),且治疗后两组排尿情况均有所好转,实验组效果优于对照组(P0.05)。结论:生物反馈联合电刺激对女性PFD具有较好的效果,能提高患者盆底最大收缩压、持续收缩压,减小膀胱颈移动度,改善患者排尿功能。

Clinical Application of Biofeedback Combined with Electrical Stimulation inthe Treatment of Female Pelvic Floor Dysfunction

Objective:To analyze the effect of biofeedback combined with electrical stimulation on the treatment of female pelvicfloor dysfunction (PFD).Methods:1000 cases of PFD in our hospital from January 2011 to March 2016 were selected and divided intoexperimental group and control group according to the random number table method,500 cases in each group. The experimental groupwas treated with biofeedback and electrical stimulation, and the control group was treated with functional electrical stimulation. Comparedwith the two groups before and after the treatment of pelvic floor muscle muscle strength classification, the improvement of pelvicfloor function and the improvement of patients before and after treatment.Results:After treatment, two groups of pelvic floor musclestrength grading showed a significant upward trend (Z=52.587, 37.581; P<0.001), and the improvement effect of the observation groupwas better than the control group (Z=27.588, P<0.001); After treatment, the muscle strength of the pelvic floor in the experimental groupwas higher than that in the control group, the difference was statistically significant (x2=68.323, P<0.05); After treatment,the maximumsystolic blood pressure and the increase of the continuous systolic blood pressure in the experimental group were significantly higher thanthat of the bladder neck,compared with the control group,the differences were statistically significant (P<0.05), and after treatment, thetwo groups were improved by urination, the experimental group was better than the control group (P<0.05).Conclusion:Biofeedbackcombined with electrical stimulation on female PFD has good effect, can improve the patient''s pelvic floor maximum systolic pressure,continuous systolic pressure, reduce bladder neck mobility, improve the patient''s urination function.