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为了探讨电刺激、生物反馈、盆底肌肉锻炼三项联合的综合临床治疗方案,对盆底功能障碍性疾病(PFD)患者盆底功能恢复的效果,本研究采用电刺激+生物反馈+盆底肌肉锻炼临床治疗方案,进行女性盆底功能康复护理,并对其进行回顾性分析,以期为女性盆底功能障碍性疾病的治疗和康复提供理论依据。研究选取148例临床病例,根据患者产后至康复护理时间分为早期组(产后6~9周)78例、晚期组(分娩10周以后)70例,对两组患者进行连续康复护理8周,分析和比较两组的康复效果差异。研究表明:治疗前,早期组和晚期组患者的产妇盆底Ⅰ类肌纤维、盆底ⅡA类肌纤维、盆底ⅡB类肌纤维的持续收缩压、持续收缩时间、收缩个数,差异无统计学意义(p>0.05);治疗后,早期组患者的产妇盆底Ⅰ类肌纤维、盆底ⅡA类肌纤维、盆底ⅡB类肌纤维的持续收缩压、持续收缩时间、收缩个数均高于晚期组,差异具有统计学意义(p<0.05);治疗前,早期组和晚期组患者的盆底肌力分级,差异无统计学意义(p>0.05);治疗后,早期组患者的盆底肌力分级优于晚期组,差异具有统计学意义(p<0.05)。研究表明,电刺激+生物反馈+盆底肌肉锻炼是一组有效的PFD康复护理方案,在产后6~9周介入对PFD患者盆底肌肉功能恢复具有一定的优势,恢复效果优于晚期组。
In order to explore the combined effects of electrical stimulation, biofeedback and pelvic floor muscle exercise on pelvic floor functional recovery in patients with pelvic floor dysfunction disease (PFD), this study used electrical stimulation + biofeedback + pelvic floor Muscle exercise clinical treatment programs, female pelvic floor functional rehabilitation nursing, and its retrospective analysis, in order to provide a theoretical basis for the treatment and rehabilitation of female pelvic floor dysfunction disease. A total of 148 cases were enrolled in this study. According to the duration of postpartum and rehabilitation nursing, 78 cases were divided into early group (6-9 weeks postpartum) and 70 cases of late group (10 weeks after delivery) Analysis and comparison of the difference in rehabilitation effect between the two groups. The results showed that there was no significant difference in the continuous systolic pressure, continuous systolic time, and contracted number of type Ⅰ myogenic fibers, pelvic type ⅡA myogenic fibers and pelvic type ⅡB myopathy in the early and advanced groups before treatment p> 0.05). After treatment, the continuous systolic pressure, the duration of contraction and the number of contractions in the pelvic floor muscle fibers of the pelvic floor, the muscle fibers of the pelvic floor of the class IIA fibers and the muscle fibers of the pelvic floor of the pelvic floor in the early group were higher than those in the advanced group (P <0.05). Before treatment, pelvic floor muscle grading was not significant in the early and late groups (p> 0.05). After the treatment, pelvic floor muscle grading of the early group was better than that of the control group The late group, the difference was statistically significant (p <0.05). Studies have shown that electrical stimulation + pelvic floor muscle exercise is an effective PFD rehabilitation program, and intervention at 6 to 9 weeks postpartum has some advantages over the recovery of pelvic floor muscle function in PFD patients, and the recovery is better than the late group.