Observe the efficacy of pelvic floor muscle exercises combine with electrical stimulation biofeedback method in the treatment of pelvic floor dysfunction in women
盆底肌肉锻炼结合电刺激生物反馈法治疗女性盆底功能障碍的疗效观察

摘要

目的：探讨盆底肌肉锻炼结合电刺激生物反馈法治疗女性盆底功能障碍的临床疗效。方法：将216例盆底功能障碍患者随机分为两组（各108例），对照组进行盆底肌肉锻炼，观察组在对照组基础上加用电刺激生物反馈法，对比两组的治疗效果。结果：治疗后，观察组盆底肌力0~Ⅲ级者所占比例均显著低于对照组，Ⅳ~Ⅴ级者所占比例显著高于对照组（P<0.05）。观察组治疗后的尿失禁0度占比显著高于对照组，Ⅱ~Ⅲ度占比显著低于对照组（P<0.05）。观察组的子宫脱垂治疗有效率为91.7%，对照组为77.8%，组间比较有显著性差异（P<0.05）。观察组治疗后的性生活满意度评分、性感程度自我评分、性感程度他人评分均显著高于对照组，性生活质量高水平占比显著高于对照组，性交痛发生率显著低于对照组（P<0.05）。结论：盆底肌肉锻炼结合电刺激生物反馈法治疗女性盆底功能障碍能够有效增强盆底肌收缩能力，改善临床症状，提高患者的性生活质量。

Abstract

[Abstract] Objective: To investigate the clinical effect of pelvic floor muscle exercises combine with electrical stimulation biofeedback method in the treatment of pelvic floor dysfunction in women.
Methods: 216 patients with pelvic floor dysfunction were randomly divided into two groups (n=108). The control group received pelvic floor muscle exercise. The observation group received the electrical stimulation biofeedback method on the basis of the control group. Then compared the treatment effect of two groups.
Results: The proportion of grade 0~Ⅲ pelvic muscles in observation group after treatment were significantly lower than that of control group, and the proportion of grade Ⅳ~V grade was significantly higher than that of control group (P<0.05). The proportion of urinary incontinence 0 degree in the observation group was significantly higher than control group, and the proportion of Ⅱ~Ⅲ degree was significantly lower than control group (P<0.05). The observation group's uterine prolapse treatment efficiency was 91.7%, and in the control group was 77.8%, there was a significant difference between groups (P<0.05). The scores of sexual life satisfaction, self-assessment of sexuality and others of sexy degree in the observation group were significantly higher than control group, the proportion of high quality sexual life was significantly higher than control group, and the incidence of sexual pain was significantly lower than control group (P <0.05).
Conclusion  : The pelvic floor muscle exercises combine with electrical stimulation biofeedback method in the treatment of pelvic floor dysfunction in women can effectively enhance pelvic floor muscle contractility, improve clinical symptoms and improve the quality of life of patients.