CAJ | 학술논문

目的采用经会阴超声评价肌电刺激盆底治疗的疗效，为产后盆底康复提供指导。资料与方法选择进行产后盆底康复的31例产妇作为研究组，同时选择30例非妊娠年轻女性作为对照组，研究组进行盆底肌电治疗，并于治疗前、治疗5次后及治疗10次后，采用经会阴超声于安静状态及压力状态下（Valsalva动作时）分别测量患者的膀胱颈至耻骨联合下缘的距离（Dr、Ds）、膀胱颈角度（θr、θs）、膀胱颈旋转角度（θ），并进行组间比较。结果①研究组Dr及Ds均小于对照组（P<0.05），θr、θs及θ均大于对照组（P<0.05）；②在肌电治疗前、治疗5次后及治疗10次后Dr、Ds依次增大（P<0.05），θr依次减小（P<0.05）。结论自然分娩会对盆底功能造成损伤，肌电刺激盆底治疗对产后盆底康复有较好的疗效，经会阴超声检查能够客观地评估肌电刺激盆底治疗的疗效。
목적채용경회음초성평개기전자격분저치료적료효，위산후분저강복제공지도。자료여방법선택진행산후분저강복적31례산부작위연구조，동시선택30례비임신년경녀성작위대조조，연구조진행분저기전치료，병우치료전、치료5차후급치료10차후，채용경회음초성우안정상태급압력상태하（Valsalva동작시）분별측량환자적방광경지치골연합하연적거리（Dr、Ds）、방광경각도（θr、θs）、방광경선전각도（θ），병진행조간비교。결과①연구조Dr급Ds균소우대조조（P<0.05），θr、θs급θ균대우대조조（P<0.05）；②재기전치료전、치료5차후급치료10차후Dr、Ds의차증대（P<0.05），θr의차감소（P<0.05）。결론자연분면회대분저공능조성손상，기전자격분저치료대산후분저강복유교호적료효，경회음초성검사능구객관지평고기전자격분저치료적료효。
Purpose To assess the effect of pelvicfloor electrical stimulation treatment by transperineal sonography, so as to provide guidance for postpartum pelvic floor rehabilitation.Materials and Methods Thirty-one delivery women who received postpartum pelvicfloor rehabilitation were selected as research group and 30 non-pregnant young women as control group in the study. Pelvicfloor electromyography treatment was taken in research group, and transperineal sonography was undergone in quiet state and pressure state (Valsalva operation) before treatment, after the fifth treatment and after the tenth treatment respectively to measure the bladder neck to the public symphysis edge distance (Dr, Ds), bladder neck angle (θr,θs) and bladder rotation angle (θ). A comparison was made between the research group and control group.Results①Dr and Ds in research group were both lower than those in control group (P<0.05), butθr,θs andθ were all higher than those in control group (P<0.05).②Dr and Ds showed a gradual increase (P<0.05) whilstθr presented a gradual decrease before the treatment, after the fifth treatment and after the tenth treatment (P<0.05).Conclusion Natural childbirth may damage the function of pelvicfloor; electrical stimulation of pelvic therapy is effective on postpartum pelvicfloor rehabilitation; and transperineal sonography can objectively assess the effect of this therapy.