CAJ | 학술논문

目的评价生物反馈电刺激结合阴道哑铃对产后盆底功能康复的效果。方法将2012年6月-9月在我院单胎顺产，42 d复检经盆底肌肌力初筛肌力在0~3级的初产妇122例，随机分为观察组（62例）与对照组（60例）。观察组应用生物反馈电刺激配合阴道哑铃，对照组应用生物反馈电刺激配合缩肛练习。比较2组盆底肌肌力恢复情况。结果2组盆底肌强度都有不同程度的恢复与提高，观察组肌力为0~3级者明显低于对照组，差异有统计学意义（P<0.01）；观察组肌力为4~5级者明显高于对照组，差异有统计学意义（P<0.01）。结论<br>　　生物反馈电刺激联合阴道哑铃在产后盆底康复中的治疗效果优于生物反馈电刺激配合单纯缩肛练习，值得临床推广。
목적평개생물반궤전자격결합음도아령대산후분저공능강복적효과。방법장2012년6월-9월재아원단태순산，42 d복검경분저기기력초사기력재0~3급적초산부122례，수궤분위관찰조（62례）여대조조（60례）。관찰조응용생물반궤전자격배합음도아령，대조조응용생물반궤전자격배합축항연습。비교2조분저기기력회복정황。결과2조분저기강도도유불동정도적회복여제고，관찰조기력위0~3급자명현저우대조조，차이유통계학의의（P<0.01）；관찰조기력위4~5급자명현고우대조조，차이유통계학의의（P<0.01）。결론<br>　　생물반궤전자격연합음도아령재산후분저강복중적치료효과우우생물반궤전자격배합단순축항연습，치득림상추엄。
Objective To assess the effect of biofeedback electrical stimulation combined with Vaginal dumbbell on the recovery of postpartum pelvic muscle function. Methods 122 cases of primiparous women after spontanecus delivery were selected in our hospital from June to September in 2012,who received 42-day recheck by the pelvic floor muscle strength of primary screening at the pelvic of 0 to 3. Then they were randomly divided into investigation group(62 cases) and control group (60 cases).Investigation group applied the low-frequency electrical stimulation combined with biofeedback with vaginal dumbbell. The control group used the low-frequency joint electrical stimulation biofeedback combined with shrinking anal exercises. Pelvic floor muscle strength recovery were compared between 2 groups of Patients after the treatment. Results The pelvic floor muscle strength in two groups of patients recoveried and improved at different level of 0 to 3 was significantly lower than the control group, the difference was statistically significant (P<0.01);Apparently,the myodynamia at the level of 4 to 5 on the observation group was higher than that of control group(P<0.01).Conclusion On the recovery of postpartum pelvic floor rehabilitation treatment,Biofeedback electrical stimulation combined with vaginal dumbbell are superior to that of combining with simple shrinking anal exercises.