Effectiveness of Extracorporeal Magnetic Wave Pelvic Floor Therapy Combined with Pelvic Floor Muscle Training on Postpartum Pelvic Floor Dysfunction in Different Modes of Delivery
MA Lili, CHEN Wei, ZHANG Ming, et al
Xuzhou Clinical College,Xuzhou Medical University / Xuzhou Central Hospital, Jiangsu Xuzhou 221009, China
Abstract：Objective: To study the effectiveness of extracorporeal magnetic wave pelvic floor therapy combined with pelvic floor muscle training on postpartum pelvic floor dysfunction in different delivery modes. Methods: A total of 120 patients with pelvic floor dysfunctional disorders who were reviewed at 6-8 weeks postpartum in our hospital from January 2020 to January 2022,including 60 vaginal deliveries and 60 cesarean deliveries,were selected and randomly divided into control group (vaginal delivery control group A and cesarean delivery control group B) and experimental group (vaginal delivery experimental group A and cesarean delivery experimental group B).The control group was given pelvic floor muscle training and the experimental group was given pelvic floor muscle training + extracorporeal magnetic wave pelvic floor therapy.Before and after treatment,each group was compared in terms of the clinical efficacy,pelvic floor electromyography Glazer assessment,Pelvic Floor Dysfunction Questionnaire (PFDI-20),Pelvic Floor Impact Questionnaire (PFIQ-7) and clinical complications. Results: After treatment,there was no significant difference between the clinical efficacy of experimental group A and experimental group B; the total effective rate of both experimental group A and experimental group B was significantly higher than that of control group A and control group B.The difference was significant (χ2=14.471,P<0.05).Before treatment,there was no significant difference in the comparison of the maximum value of fast muscle contraction,the mean value of 10s slow muscle contraction and the mean value of 60s slow muscle contraction between the groups; after treatment,the maximum value of fast muscle contraction,the mean value of 10s slow muscle contraction and the mean value of 60s slow muscle contraction were significantly higher in each group,and the difference was higher in experimental group A and experimental group B than in control group A and control group B.The difference was significant (t=3.629,4.983,4.991,3.774,5.199,4.669,P<0.05),and the increase in the mean 10s slow muscle contraction and the mean 60s slow muscle contraction was higher in the experimental group A than in the experimental group B.Before treatment,the pre and post resting muscle tension was higher in control group B and experimental group B than in control group A and experimental group A.After treatment,the pre and post resting pelvic floor muscle tension was significantly lower in experimental group B,while the remaining groups did not change significantly; before treatment,there was no significant difference in the comparison of PFIQ-7 and PFDI-20 scores between the groups; after treatment,the PFIQ-7 and PFDI-20 scores were significantly lower in all groups,and experimental group A and experimental group B had lower scores than control group A and control group B respectively,with significant differences (P<0.05).Before treatment,there was no significant difference in the total incidence of complications such as stress urinary incontinence between the groups; after treatment,the total incidence of complications such as stress urinary incontinence was significantly lower in both experimental group A and experimental group B than in control group A and control group B.The difference was significant (χ2=9.629,11.193,P<0.05). Conclusion: The combination of extracorporeal magnetic pelvic floor therapy and pelvic floor muscle training achieved significant results in treating pelvic floor dysfunction in women with different modes of delivery,all of which were better than pelvic floor muscle training alone,and the recovery of pelvic floor dysfunction was better in women who delivered vaginally than in those who delivered by caesarean delivery.
[1] 王晓艳,应仙华,吴淑英.生物反馈疗法联合电刺激治疗产妇产后盆底功能障碍性疾病的临床疗效及影响因素分析[J].中国妇幼保健,2020,35(24):4667-4671. [2] 张惠文,付婷婷,赵淑萍,等.电刺激生物反馈及阴道哑铃Kegel锻炼治疗产后盆底功能障碍性疾病的临床效果分析[J].实用妇产科杂志,2020,36(11):864-867. [3] Du J, Ye J, Fei H,et al.Effect of epidural analgesia on pelvic floor dysfunction at 6 months postpartum in primiparous women:a prospective cohort study[J].Sexual Medicine,2021,9(5):100417. [4] 刘莎,赵永民,郭秀秀,等.个体化产后盆底康复疗法对产后盆底功能障碍患者的应用研究[J].河北医药,2021,43(6):918-921. [5] Qu E, Wu J, Zhang M,et al.The ultrasound diagnostic criteria for diastasis recti and its correlation with pelvic floor dysfunction in early postpartum women[J].Quantitative Imaging in Medicine and Surgery,2021,11(2):706-713. [6] 邢甲进,朱永磊,金杰.肾俞会阳电针联合盆底肌训练对中风后尿失禁患者尿流动力学指标及膀胱功能的影响[J].中国中医急症,2019,28(10):1778-1780,1799. [7] 刘玉嵚,李永川,艾小庆,等.生物反馈电刺激联合盆底肌训练治疗全子宫切除术后压力性尿失禁患者的临床研究[J].中国医师杂志,2019,21(1):85-88. [8] Lichtman Y, Weintraub A Y, Rotem R,et al.443 Association between striae gravidarum and pelvic floor dysfunction symptoms during the third trimester of pregnancy[J].American Journal of Obstetrics and Gynecology,2021,224(2):S281. [9] Zhang L,Lv X,Tang J.Efficacy of pelvic floor magnetic stimulation combined with electrical stimulation on postpartum pelvic organ prolapse:a retrospective study[J].Pelviperineology,2020,39(1):18-23. [10] 钱慧,孙红梅,刘凤华,等.电刺激生物反馈法治疗产后盆底功能障碍的临床效果[J].中国医药导报,2021,18(12):123-126.
2022, Vol. 28 
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