核心肌群稳定性训练联合电刺激对高龄产妇盆底肌力、尿控及性生活质量的影响

The effect of core stability training combined with electrical stimulation on pelvic floor muscle strength, bladder control, and sexual quality of life in elderly postpartum women

摘要:

目的 探讨核心肌群稳定性训练联合电刺激对高龄产妇盆底肌力、尿控及性生活质量的影响。方法 选取2021年1月—2023年1月在淮安市妇幼保健院分娩的高龄产妇120例，按照随机数字表法分为A、B、C组，各40例。A组产妇产后进行核心肌群稳定性训练干预，B组产妇产后进行电刺激干预，C组产妇产后进行核心肌群稳定性训练联合电刺激干预。比较3组盆底肌力、尿控情况、尿失禁评分、性生活质量评分。结果 C组高龄产妇Ⅰ类肌纤维持续收缩压、Ⅱ类肌纤维收缩个数、Ⅱ类肌纤维快速收缩压、Ⅰ类肌纤维持续时间均高或长于A、B组（P <0.05）。C组尿失禁发生率低于A、B组（P <0.05）。C组治疗前后ICI-Q-SF评分的差值高于A、B组（P <0.05）。C组治疗前后性欲、阴道润滑、性高潮、性满意度评分的差值均高于A、B组（P <0.05）。结论 核心肌群稳定性训练联合电刺激对高龄产妇进行干预具有较好的临床疗效，有利于提高产妇产后盆底肌力，改善尿控情况，提高产后性生活质量。

Abstract:

Objective To explore the effect of core stability training combined with electrical stimulation on pelvic floor muscle strength, bladder control, and sexual quality of life in elderly postpartum women.Methods The 120 elderly postpartum women who delivered in our hospital from January 2021 to January 2023 were selected and randomly divided into groups A, B, and C by the random number table method, with 40 cases in each group. Group A received postpartum core stability training, group B received electrical stimulation, and group C received core stability training combined with electrical stimulation. The pelvic floor muscle strength, bladder control, scores of urinary incontinence, and scores of sexual quality of life were compared among the three groups.Results The group C exhibited higher sustained contraction pressure of type I muscle fiber, number of contractions of type II muscle fiber, and rapid contraction pressure of type II muscle fiber and longer contraction duration of type I muscle fiber compared with those in groups A and B (P < 0.05). The incidence of urinary incontinence in group C was lower than that in groups A and B (P < 0.05). The difference of the ICI-Q-SF score before and after treatment in group C was higher than that in groups A and B (P < 0.05). The differences of the scores of sexual desire, vaginal lubrication, orgasm and sexual satisfaction before and after treatment in group C were higher than those in groups A and B (P < 0.05).Conclusion The core stability training combined with electrical stimulation exhibits great clinical efficacy for improving pelvic floor muscle strength, bladder control, and sexual quality of life in elderly postpartum women.