CAJ | 학술논문

目的：探讨 Kegel 运动联合生物反馈电刺激对全子宫切除术后盆底功能恢复的效果。方法93例行全子宫切除术的患者按随机数字表法分为对照组（45例）与干预组（48例）。干预组术后进行 Kegel 运动联合生物反馈电刺激治疗，对照组术后按常规处理。对比两组患者术前、术后12个月盆底肌力改善程度及盆腔器官脱垂（POP）、压力性尿失禁（SUI）发生情况。结果术前两组盆底肌力、SUI 分度比较，差异均无统计学意义（P ＞0．05）；术后12个月干预组盆底肌力、SUI 分度均明显优于对照组（P ＜0．05）；术前、术后12个月两组 POP 程度分别比较，差异均无统计学意义（P ＞0．05）。结论Kegel 运动联合生物反馈电刺激能明显改善全子宫切除术后患者盆底肌力，减轻 SUI。
목적：탐토 Kegel 운동연합생물반궤전자격대전자궁절제술후분저공능회복적효과。방법93례행전자궁절제술적환자안수궤수자표법분위대조조（45례）여간예조（48례）。간예조술후진행 Kegel 운동연합생물반궤전자격치료，대조조술후안상규처리。대비량조환자술전、술후12개월분저기력개선정도급분강기관탈수（POP）、압력성뇨실금（SUI）발생정황。결과술전량조분저기력、SUI 분도비교，차이균무통계학의의（P ＞0．05）；술후12개월간예조분저기력、SUI 분도균명현우우대조조（P ＜0．05）；술전、술후12개월량조 POP 정도분별비교，차이균무통계학의의（P ＞0．05）。결론Kegel 운동연합생물반궤전자격능명현개선전자궁절제술후환자분저기력，감경 SUI。
Objective To investigate the effect of Kegel exercise combined with electrical stimulation and biofeedback therapy on pelvic floor function recovery after hysterectomy .Methods Ninety-three hysterectomy patients were randomly divided into control group(n =45) and intervention group(n =48).The intervention group was given Kegel exercise combined with electrical stimulation and biofeedback therapy after surgery ,and the control group was given conventional treatment after surgery .The pelvic floor muscle recovery,pelvic organ prolapse(POP) severity and stress urinary incontinence (SUI) indexing were compared between two groups before and 12 months after surgery. Results There was no significant difference in the pelvic floor muscle strength and SUI indexing between two groups before surgery(P >0.05),the pelvic floor muscle strength and SUI indexing of intervention group were superior to those of control group 12 months after surgery (P <0.05).There was no significant difference in POP severity between two groups before and 12 months after surgery(P >0.05).Conclusion Kegal exercise combined with electrical stimulation and biofeedback therapy can significantly improve the pelvic floor function and decrease the incidence of SUI after hysterectomy.