生物反馈电刺激联合盆底肌康复训练对子宫切除术患者盆底功能的影响

王婷婷; 王加颖; 周晓明; 张州艳

doi:10.16766/j.cnki.issn.1674-4152.002828

生物反馈电刺激联合盆底肌康复训练对子宫切除术患者盆底功能的影响

doi: 10.16766/j.cnki.issn.1674-4152.002828

1.
宁波大学医学院附属医院妇科，浙江宁波 315000
2.
宁波大学医学院附属医院手术室

基金项目:

浙江省医药卫生科技计划项目 2021KY1047

详细信息

通讯作者:
王加颖, E-mail: wangtt12545@163.com

中图分类号: R713.42
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- 文章访问数: 119
- HTML全文浏览量: 31
- PDF下载量: 8
- 被引次数: 0
出版历程
- 收稿日期: 2022-07-28
- 网络出版日期: 2023-04-07

Effects of biofeedback electrical combined with pelvic floor muscle rehabilitation training on pelvic floor function in patients with hysterectomy

1.
Department of Gynecology, Affiliated Hospital of Ningbo University School of Medicine, Ningbo, Zhejiang 315000, China

摘要

摘要: 目的分析生物反馈电刺激联合盆底肌康复训练对腹腔镜筋膜外子宫切除术患者盆底功能的影响，为子宫切除术患者术后康复方案的制定提供理论参考。方法选择2020年5月—2022年5月在宁波大学医学院附属医院行腹腔镜筋膜外子宫切除术患者120例作为研究对象，依据随机数字表法分为对照组和观察组，每组各60例。对照组术后接受常规盆底肌康复训练，观察组术后接受盆底肌康复训练联合生物反馈电刺激，观察2组临床疗效，并比较治疗前和治疗3个月后盆底肌张力、盆底功能、性功能及生活质量评分。结果观察组患者临床治疗总有效率为96.67%(58/60)，高于对照组的81.67%(49/60，χ²=6.988, P=0.008)；观察组患者治疗3个月后盆底肌张力康复情况优于对照组(P < 0.001)；治疗后3个月，2组患者盆底功能影响问卷(PFIQ-7)、盆底功能障碍问卷(PFDI-20)评分均低于治疗前，观察组低于对照组(均P < 0.05)；观察组患者性欲望、性心理、性高潮等性功能评分均明显高于对照组(均P < 0.05)；治疗3个月后，2组患者生活质量综合评定量表(GQOLI-74)评分均明显升高，且观察组高于对照组(均P < 0.05)。结论生物反馈电刺激联合盆底肌康复训练能够改善腹腔镜筋膜外子宫切除术患者的盆底肌张力，促进盆底功能康复进程，提高患者性生活质量，值得临床积极应用推广。
- 生物反馈电 /
- 盆底肌 /
- 康复训练 /
- 子宫切除术 /
- 盆底功能 /
- 生活质量
Abstract: Objective This study aimed to analyse the effect of biofeedback electrical stimulation combined with pelvic floor muscle rehabilitation training on pelvic floor function in patients undergoing laparoscopic extrafascial hysterectomy and provide theoretical reference for the formulation of postoperative rehabilitation programs for patients undergoing hysterectomy. Methods A total of 120 cases of patients who underwent laparoscopic extrafascial hysterectomy in the Affiliated Hospital of Ningbo University School of Medicine from May 2020 to May 2022 were selected as the research subjects. All patients were divided into the control group and observation group by the random number table method, with 60 cases in each group. The patients in the control group received conventional pelvic floor muscle rehabilitation training after operation. The patients in the observation group received pelvic floor muscle rehabilitation training combined with biofeedback electrical stimulation after operation. The clinical efficacy of the two groups was observed, and the scores of pelvic floor muscle tone, pelvic floor function, sexual function and quality of life were compared between the two groups before treatment and after 3 months of treatment. Results The total effective rate of clinical treatment in the observation group was 96.67% (58/60), which was higher than 81.67% (49/60) in the control group (χ²=6.988, P=0.008). The rehabilitation of pelvic floor muscle tension in the observation group was better than that in the control group after three months of treatment(P < 0.001). Compared with the control group, three months after treatment, the PFIQ-7 and PFDI-20 scores of pelvic floor function in the two groups were lower than those before treatment (all P < 0.05), and the observation group was lower than the control group (all P < 0.05). In the observation group, the scores of sexual desire, sexual psychology, orgasm and other sexual functions of the patients were significantly higher than those of the control group (all P < 0.05). After 3 months of treatment, the quality of life GQOLI-74 scores was significantly improved in both groups, and the score in observation group was higher than that in control group (all P < 0.05). Conclusion Biofeedback electrical stimulation combined with pelvic floor muscle rehabilitation training can improve the pelvic floor muscle tension in patients with laparoscopic extrafascial hysterectomy, promote the recovery of pelvic floor function and improve the quality of sexual life of patients, which is worthy of active clinical application and promotion.
- Biofeedback electrical /
- Pelvic floor muscles /
- Rehabilitation training /
- Hysterectomy /
- Pelvic floor function /
- Quality of life

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表 1 2组子宫切除患者临床治疗总有效率的比较[例(%)]

Table 1. Comparison of the total effective rate of clinical treatment in two groups of patients with hysterectomy[cases (%)]

组别	例数	显效	好转	无效	总有效
对照组	60	21(35.00)	28(46.67)	11(18.33)	49(81.67)
观察组	60	26(43.33)	32(53.33)	2(3.33)	58(96.67)
注：2组总有效率比较，χ²=6.988，P=0.008。

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表 2 2组子宫切除患者治疗3个月后盆底肌张力的比较[例(%)]

Table 2. Comparison of pelvic floor muscle tension in the two groups of patients with hysterectomy after 3 months of treatment[cases (%)]

组别	例数	Ⅰ级	Ⅱ级	Ⅲ级	Ⅳ级	Ⅴ级
对照组	60	4(6.67)	19(31.67)	23(38.33)	14(23.33)	0
观察组	60	0	5(8.33)	13(21.67)	25(41.67)	17(28.33)
注：2组治疗3个月后盆底肌张力比较，Z=12.482，P < 0.001。

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表 3 2组子宫切除患者治疗前和治疗后3个月PFIQ-7、PFDI-20评分的比较(x ±s，分)

Table 3. Comparison of PFIQ-7 and PFDI-20 scores before treatment and 3 months after treatment in two groups of patients with hysterectomy (x ±s, points)

组别	例数	PFIQ-7				PFDI-20
组别	例数	治疗前	治疗3个月后	t值	P值	治疗前	治疗3个月后	t值	P值
对照组	60	189.48±46.73	103.27±23.46	28.697	< 0.001	223.73±50.14	120.49±24.35	31.008	0 < 0.001
观察组	60	188.86±45.29	67.09±12.18	21.906	< 0.001	225.55±51.19	84.38±14.08	23.488	< 0.001
t值		0.074	10.602			0.197	9.944
P值		0.941	< 0.001			0.844	< 0.001

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表 4 2组子宫切除患者治疗3个月后性功能评分的比较(x ±s，分)

Table 4. Comparison of sexual function scores between two groups of hysterectomy patients after 3 months of treatment (x ±s, points)

组别	例数	性欲望	性唤起	润滑性	性高潮	性满足	性交痛
对照组	60	3.09±0.34	4.11±0.53	2.86±0.45	3.06±0.39	3.74±0.69	3.22±0.47
观察组	60	5.26±0.61	5.43±0.45	5.09±0.52	5.18±0.71	5.05±0.75	4.96±0.89
t值		24.069	14.706	25.119	29.272	9.957	13.391
P值		< 0.001	< 0.001	< 0.001	< 0.001	< 0.001	< 0.001

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表 5 2组子宫切除患者治疗3个月后生活质量GQOLI-74评分的比较(x ±s，分)

Table 5. Comparison of GQOLI-74 scores of quality of life in the two groups of patients with hysterectomy after 3 months of treatment (x ±s, points)

组别	例数	治疗前	治疗3个月后	t值	P值
对照组	60	49.23±8.32	68.47±9.38	4.597	< 0.001
观察组	60	49.03±9.55	84.58±10.34	9.569	< 0.001
t值		0.122	8.939
P值		0.903	< 0.001

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