生物反馈电刺激联合阴道哑铃凯格尔训练在产后盆底肌功能障碍患者盆底肌力康复中的应用-《中国医学物理学杂志》

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Title:: Application of biofeedback electrical stimulation combined with Kegel exercises using vaginal dumbbell in pelvic floor muscle strength rehabilitation of patients with postpartum pelvic floor dysfunction

文章编号:: 1005-202X（2025）02-0256-05

作者:: 陶敏; 韩琳; 黄俊杰; 陈礼娜; 罗园园; 玉林市第一人民医院康复医学科，广西玉林 537000

Author(s):: TAO Min; HAN Lin; HUANG Junjie; CHEN Lina; LUO Yuanyuan; Department of Rehabilitation Medicine, Yulin First Peoples Hospital, Yulin 537000, China

关键词:: 产后盆底肌功能障碍; 生物反馈电刺激; 阴道哑铃; 凯格尔训练; 盆底肌力

Keywords:: Keywords: postpartum pelvic floor dysfunction biofeedback electrical stimulation vaginal dumbbell Kegel exercise pelvic floor muscle strength

分类号:: R493

DOI:: DOI:10.3969/j.issn.1005-202X.2025.02.018

文献标志码:: A

摘要:: 目的：探讨生物反馈电刺激联合阴道哑铃凯格尔训练在产后盆底肌功能障碍（PFD）患者盆底肌力康复中的应用效果。方法：选取70例PFD患者进行前瞻性研究，通过Excel生成随机数字将其分为对照组（n=34）和联合组（n=36）。对照组接受阴道哑铃凯格尔训练，联合组在对照组基础上增加生物反馈电刺激治疗，均持续治疗3个月。采用会阴肌力测试法（GRRUG）检测两组患者治疗后的盆底肌力，采用低频神经肌肉刺激治疗仪检测并对比两组患者盆底肌纤维肌电位均值及疲劳值的改善情况，采用女性性功能量表（FSFI）评定两组患者的性生活质量，同时记录并比较两组盆底功能受损情况。结果：治疗后，联合组患者Ⅰ类、Ⅱ类肌纤维Ⅲ级以上肌力占比均高于对照组（P<0.05）；联合组Ⅰ类、Ⅱ类肌纤维盆底肌电均值高于对照组（P<0.05），盆底肌疲劳值低于对照组（P<0.05）；联合组FSFI评分中性欲望、性唤起、阴道润滑度、性高潮、满意度、性交痛及总分高于对照组（P<0.05）；联合组尿频尿急、腰骶酸痛、阴道松弛发生率低于对照组（P<0.05）。结论：生物反馈电刺激联合阴道哑铃凯格尔训练治疗产后PFD能显著提高盆底肌纤维肌力，改善尿频尿急、腰骶酸痛、阴道松弛等症状，提高患者性生活质量。

Abstract:: Abstract: Objective To investigate the application effect of biofeedback electrical stimulation combined with Kegel exercises using vaginal dumbbell in pelvic floor muscle strength rehabilitation of patients with postpartum pelvic floor dysfunction (PFD). Methods A prospective study was conducted on 70 PFD patients who were divided into control group (n=34) and combined group (n=36) according to random numbers generated by Excel. Control group received Kegel exercises using vaginal dumbbell, while combined group was given biofeedback electrical stimulation on this basis. Both groups underwent 3 months of continuous treatment. GRRUG method was adopted to assess pelvic floor muscle strength after treatment a low-frequency neuromuscular stimulation therapy device was used to detect the pelvic floor muscle fiber electromyography value and fatigue value and female sexual function index (FSFI) was utilized to evaluate the quality of sexual life. The pelvic floor function impairments in two groups were also recorded and compared. Results After treatment, compared with control group, combined group had greater proportions of above grade III muscle strength of class I and class II muscle fibers (P<0.05), higher mean pelvic floor electromyography values of class I and class II muscle fibers (P<0.05), and lower fatigue value of pelvic floor muscle (P<0.05). In addition, combined group had higher FSFI scores for sexual desire, sexual arousal, vaginal lubrication, orgasm, satisfaction and dyspareunia, and the total score than control group (P<0.05), and the incidence rates of frequent and urgent urination, lumbosacral pain, and vaginal relaxation were lower in combined group as compared with control group (P<0.05). Conclusion The combination of biofeedback electrical stimulation and Kegel exercises using vaginal dumbbell in the treatment of patients with postpartum PFD can significantly improve pelvic floor muscle strength, alleviate symptoms such as frequent and urgent urination, lumbosacral pain and vaginal relaxation, and improve the quality of sexual life.

《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]

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