中华临床医师杂志（电子版）
中華臨床醫師雜誌（電子版）
중화림상의사잡지（전자판）
CHINESE JOURNAL OF CLINICIANS(ELECTRONIC VERSION)
2015年
8期
1348-1351
,共4页
电刺激联合生物反馈%盆底功能%评估体系
電刺激聯閤生物反饋%盆底功能%評估體繫
전자격연합생물반궤%분저공능%평고체계
Electrical stimulation combined biofeedback%Pelvic floor function%Evaluation system
目的：研究电刺激联合生物反馈治疗对产后盆底功能的恢复作用，拟建立一个客观评估体系明确刺激联合生物反馈治疗的目标。方法回顾性分析2013年7月至2014年6月在湖北省监利县人民医院行电刺激生物反馈治疗的患者，根据治疗效果问卷分为治疗满意组、一般组、不满意组，比较治疗前后及组间肌力、盆底肌张力及肌电位值，用SPSS 19.0分析。结果符合要求的患者共计181例，其中治疗满意组92例，一般组50例，不满意组39例。经过电刺激联合生物反馈治疗后，三组患者肌力等级、阴道动态压、肌电位值均有不同程度的升高，其中治疗效果满意组升高最快，一般组次之，治疗效果满意组与其他两组比较差异有显著性。结论电刺激联合生物反馈治疗用于产后恢复盆底功能是有效的，为提高治疗效果建议给患者拟定一个合适的治疗目标，建议训练Ⅰ类、Ⅱ类肌纤维肌力，阴道动态压力提升约30 cmH2O，Ⅰ类肌纤维的肌电值增加为治疗前的3倍，Ⅱ类肌纤维的肌电值增加为治疗前的2.5倍。
目的：研究電刺激聯閤生物反饋治療對產後盆底功能的恢複作用，擬建立一箇客觀評估體繫明確刺激聯閤生物反饋治療的目標。方法迴顧性分析2013年7月至2014年6月在湖北省鑑利縣人民醫院行電刺激生物反饋治療的患者，根據治療效果問捲分為治療滿意組、一般組、不滿意組，比較治療前後及組間肌力、盆底肌張力及肌電位值，用SPSS 19.0分析。結果符閤要求的患者共計181例，其中治療滿意組92例，一般組50例，不滿意組39例。經過電刺激聯閤生物反饋治療後，三組患者肌力等級、陰道動態壓、肌電位值均有不同程度的升高，其中治療效果滿意組升高最快，一般組次之，治療效果滿意組與其他兩組比較差異有顯著性。結論電刺激聯閤生物反饋治療用于產後恢複盆底功能是有效的，為提高治療效果建議給患者擬定一箇閤適的治療目標，建議訓練Ⅰ類、Ⅱ類肌纖維肌力，陰道動態壓力提升約30 cmH2O，Ⅰ類肌纖維的肌電值增加為治療前的3倍，Ⅱ類肌纖維的肌電值增加為治療前的2.5倍。
목적：연구전자격연합생물반궤치료대산후분저공능적회복작용，의건립일개객관평고체계명학자격연합생물반궤치료적목표。방법회고성분석2013년7월지2014년6월재호북성감리현인민의원행전자격생물반궤치료적환자，근거치료효과문권분위치료만의조、일반조、불만의조，비교치료전후급조간기력、분저기장력급기전위치，용SPSS 19.0분석。결과부합요구적환자공계181례，기중치료만의조92례，일반조50례，불만의조39례。경과전자격연합생물반궤치료후，삼조환자기력등급、음도동태압、기전위치균유불동정도적승고，기중치료효과만의조승고최쾌，일반조차지，치료효과만의조여기타량조비교차이유현저성。결론전자격연합생물반궤치료용우산후회복분저공능시유효적，위제고치료효과건의급환자의정일개합괄적치료목표，건의훈련Ⅰ류、Ⅱ류기섬유기력，음도동태압력제승약30 cmH2O，Ⅰ류기섬유적기전치증가위치료전적3배，Ⅱ류기섬유적기전치증가위치료전적2.5배。
Objective To establish a evaluation system which was used to evaluate the effect of electrical stimulation combined biological feedback for pelvic floor function after postpartum, and improve the effect of treatment. Methods Retrospectively analyzed patients who accepted electrical stimulation combined biological feedback treatment in Jianli Renmin Hospital of Hubei province from July 2013 to June 2014. The patients were divided into three group according to whether they were satisfied with the treatment effect. We compared the basic imformation/muscle strength grade, vaginal pressure level/the voltage of muscle fiber, SPSS 19.0 was used for statistics. Results There were 181 patients who met our requirements in which 92 in satisfactory therapeutic effect group, while 50 in normal group, 39 in unsatisfactory therapeutic effect group. After one course electrical stimulation combined biological feedback therapy, the indicators including muscle strength grade, vaginal pressure level/the voltage of muscle fiber were improved especially in satisfactory therapeutic effect group, the second was normal group. Conclusions Electrical stimulation combined biological feedback for pelvic floor function after postpartum is effective, in order to improve the treatment effect, training pelvic floor muscle strength is suggested, we should increase vaginal dynamic pressure about 30 cmH2O, the voltage of muscle fiberⅠ is 3 times as many as that of before treatment, and the voltage of muscle fiber Ⅱ promotes to 2.5 times that of before treatment. Patients in satisfactory therapeutic effect group had obvious advantage compared with the other two.
