CAJ | 학술논문

目的：探讨盆底肌训练联合生物反馈电刺激对产后盆底康复的疗效。方法选取165例初产妇（分成观察组和对照组）和59例经产妇（经产妇组），将初产妇随机分成观察组（85例）和对照组（80例）。观察组及经产妇组予以产后盆底肌训练联合功能性电刺激，对照组予以一般的产后健康宣教。产妇分别于产后3月随访，进行一般情况问卷调查及盆底肌肉功能评估、阴道张力测定，评价盆底肌肉训练的结果。结果观察组在盆底综合肌力、盆底脏器脱垂及尿失禁方面均较对照组及经产妇组有明显改善（P＜0.05）。结论电刺激联合盆底肌训练对产后盆底康复是一个可行、安全、有效的方案，且对初产妇效果更明显。
목적：탐토분저기훈련연합생물반궤전자격대산후분저강복적료효。방법선취165례초산부（분성관찰조화대조조）화59례경산부（경산부조），장초산부수궤분성관찰조（85례）화대조조（80례）。관찰조급경산부조여이산후분저기훈련연합공능성전자격，대조조여이일반적산후건강선교。산부분별우산후3월수방，진행일반정황문권조사급분저기육공능평고、음도장력측정，평개분저기육훈련적결과。결과관찰조재분저종합기력、분저장기탈수급뇨실금방면균교대조조급경산부조유명현개선（P＜0.05）。결론전자격연합분저기훈련대산후분저강복시일개가행、안전、유효적방안，차대초산부효과경명현。
Objective To investigate the effect of biofeedback electrical stimulation combined with pelvic floor muscle exercises on the recovery of pelvic floor rehabilitation. Methods 165 cases of primiparas and 59 cases of multiparas were se-lected, the primiparas were randomly divided into observation group (85 cases) and control group (80 cases). The observation group and the multipara group were treated by individual guidance for biofeedback electrical stimulation combined with pelvic floor muscle exercise,while the control group only accepted general health education of postpartum. Postpartum follow-up was 3 months. Results Comprehensive strength, pelvic organ prolapse and incontinence of the observation group were improved sig-nificantly than the control group and the multipara group (P<0.05). Conclusion The biological electrical stimulation com-bined with pelvic floor muscle training is a feasible, safe and effective scheme of postpartum pelvic floor rehabilitation, and the effect is more obvious for primipara.