生物反馈电刺激对围绝经期子宫全切妇女的影响

Effect of biofeedback electrical stimulation on perimenopausal women undergoing total hysterectomy

摘要:

目的 探究生物反馈电刺激对围绝经子宫全切妇女的影响。方法 选取2013 年6 月-2016 年6 月 该院收治的98 例围绝经期子宫全切治疗后盆底功能障碍患者作为研究对象，采用随机数字表法将其分为对照 组和观察组，每组各49 例。对照组采用盆底肌训练联合雌三醇阴道给药治疗，观察组在对照组的治疗基础上 辅以生物反馈电刺激治疗。比较两组治疗前、后的盆底肌张力情况、盆腔脏器脱垂情况及压力性尿失禁（SUI） 分度。结果 治疗前观察组与对照组阴道收缩压（VSP）、阴道静息压（VRP）及阴道收缩持续时间（PT）比 较，差异无统计学意义（P >0.05）；治疗6 个月后两组VSP、VRP 及PT 较治疗前均改善，且治疗后观察组与 对照组VSP、VRP 及PT 比较，差异有统计学意义（P <0.05），观察组VSP、VRP 及PT 高于对照组。治疗后 3 及6 个月观察组与对照组盆腔脏器脱垂情况比较，差异有统计学意义（P <0.05），观察组阴道、膀胱及直肠 脱垂发生率低于对照组。治疗后3 和6 个月观察组与对照组SUI 分度比较，差异有统计学意义（P <0.05），观 察组SUI 分度优于对照组。结论 给予围绝经期子宫全切治疗后盆底功能障碍患者综合康复疗法较盆底肌训 练联合雌三醇阴道治疗能改善患者的盆底肌张力和尿失禁情况，降低盆腔脏器脱垂发生率，可在临床进一步推 广和使用。

Abstract:

Objective To explore the effect of biofeedback electrical stimulation on perimenopausal women undergoing total hysterectomy. Methods From June 2013 to June 2016, 98 patients with pelvic floor dysfunction after peri-menopausal hysterectomy were enrolled in this study. The patients were divided into control group (n = 49) and observation group (n = 49) at random. The patients in control group were treated with pelvic floor muscle training and estriol vaginal administration. The patients in observation group were treated with biofeedback electrical stimulation on the basis of the control group. Pelvic floor muscle tension, pelvic organ prolapse, the uterus index of stress urinary incontinence (SUI) before and after treatment of the two groups were compared. Results The duration of vaginal systolic pressure (VSP), vaginal resting pressure (VRP) and persistent time (PT) before treatment were not significantly different (P > 0.05), but were significantly different after treatment between the two groups (P < 0.05). Levels of VSP, VRP and PT in observation group were higher than control group after treatment. Incidence of pelvic organ prolapse in observation group was lower than control group 3 months and 6 months after treatment (P < 0.05). SUI score in observation group were higher than control group 3 months and 6 months after treatment (P < 0.05). Conclusions The comprehensive rehabilitation therapy of pelvic floor dysfunction in patients with pelvic floor dysfunction after perimenopausal total hysterectomy can significantly improve the pelvic floor muscle tension and urinary incontinence and reduce the occurrence of pelvic organ prolapse rate, which can be further promoted and used in clinical practice.