Abstract：Objective: To investigate the effect of electrical stimulation combined with pelvic floor function training on the recovery of pelvic floor muscles in different delivery modes. Methods: 134 cases of postpartum pelvic floor dysfunction were selected in our department of Obstetrics and Gynecology, according to the mode of delivery, and divided into the natural delivery group (n=71) and the cesarean section group (n=63). 2 groups were given basic nursing, pelvic floor muscle training and electrical stimulation, and the two groups were treated for 8 weeks. The sata of the first class of muscle fiber contraction, muscle contraction, pelvic floor muscle pressure and sexual function score were compared before and after treatment. Results: There was no significant difference between the two groups in the treatment of the first class of muscle fiber sustained systolic blood pressure, duration and the number of muscle fiber contraction (P>0.05), compared with the cesarean section group, the rapid contraction pressure was higher in the natural delivery group (P<0.05), the resting pressure of pelvic floor muscles was lower in natural delivery group, and the systolic pressure was lower(P<0.05), compared with the cesarean section group, the score of sexual desire, the score of orgasm, the degree of vaginal lubrication and sexual satisfaction scores were lower in the natural delivery group(P<0.05). After 8 weeks of treatment, the maternal systolic blood pressure and duration of both groups increased (P<0.05), systolic blood pressure (SBP) and the number of contractions increased(P<0.05), there was no difference between the two groups (P>0.05), 2 groups of maternal pelvic floor muscle resting pressure and systolic pressure increased(P<0.05), compared with the cesarean section group, the pelvic floor muscle resting pressure in the natural delivery group was lower(P<0.05), there was no difference in pelvic floor systolic pressure(P>0.05). After 8 weeks of treatment, the scores of the sexual function score, the score of sexual orgasm, the degree of vaginal lubrication and the degree of sexual satisfaction were higher in both groups(P<0.05), there was no significant difference between the two groups(P>0.05). Conclusion: Electrical stimulation combined with pelvic floor function training can significantly improve the postpartum pelvic floor dysfunction, improve the level of sexual life, compared to cesarean section, natural childbirth parturient with electrical stimulation combined with pelvic floor function training has better effect.
[1] Agarwal B B, Sivalingam P. Pelvic floor dysfunction[J].Bjog An International Journal of Obstetrics & Gynaecology, 2016, 25(5):783~793. [2] Bortolami A, Vanti C, Banchelli F, et al. Relationship between female pelvic floor dysfunction and sexual dysfunction: an observational study[J].Journal of Sexual Medicine, 2015, 12(5):1233~1241. [3] Laterza R M, Schrutka L, Umek W, et al. Pelvic floor dysfunction after levator trauma 1-year postpartum: a prospective case-control study[J].International Urogynecology Journal, 2015, 26(1):41~47. [4] 黄小玲, 刘小菊,曾镜祥,等.盆底肌功能锻炼联合穴位敷贴对产妇盆底肌力及尿失禁的影响[J].现代临床护理,2015,14(1):41~44. [5] 黄冬梅,冯虹,毛中英,等.盆底肌功能锻炼在初产妇产后性交痛防治中的应用研究[J].中国妇幼保健,2016,31(21):4353~4355. [6] 高小峰,杨年.全子宫切除术后女性性生活质量及性功能指数的调查分析[J].中国性科学,2016,25(9):32~34. [7] Bondurri A, Maffioli A, Danelli P. Pelvic floor dysfunction in inflammatory bowel disease[J].Minerva Gastroenterologica E Dietologica, 2015, 61(4):27~54. [8] 张瑾,赵霞,刘丽,等.生物反馈电刺激对子宫切除术后盆底功能障碍性疾病的意义[J].中国妇幼保健,2015,30(19):3126~3129. [9] Richter LA, Gutman R E, Tefera E, et al. Knowledge of erectile dysfunction and pelvic floor disorders among young adults: a cross-sectional study[J].Canadian Journal of Urology, 2015, 22(2):7715~7719. [10] Berghmans B, Nieman F, Leue C, et al. Prevalence and triage of first contact pelvic floor dysfunction complaints in male patients referred to a Pelvic Care Centre[J].Neurourology & Urodynamics, 2015, 35(4):487~491. [11] Quinn KP, Lightner AL, Tse CS, et al. 836 Non-relaxing pelvic floor dysfunction and pouchitis in patients with Ileal-pouch anal anastomosis[J].Gastroenterology, 2016, 150(4):S176~S177. [12] 王晓阳,杨丽霞.孕期联合产后盆底锻炼对预防盆底功能障碍性疾病的研究[J].护士进修杂志,2016,31(6):495~498. [13] Mabrouk M, Raimondo D, Zannoni L, et al. Pelvic floor dysfunction at 3- and 4-dimensional transperineal ultrasound in patients with deep infiltrating endometriosis[J].Journal of Minimally Invasive Gynecology, 2016, 23(7):S26~S27. [14] 洪莉.盆底功能障碍性疾病康复治疗的评价[J].中国计划生育和妇产科,2016,8(8):1~2. [15] 姜卫国,洪淑惠.女性盆底功能障碍性疾病的诊治进展[J].山东医药,2015,55(45):26~29. [16] 尹玲,曾碧涛,朱咏梅.不同盆底康复治疗女性产后盆底功能障碍疗效评估[J].中国性科学,2015,24(11):106~108. [17] 江江,彭娟,董旭东.女性盆底功能障碍性疾病高危因素及康复治疗效果研究[J].中国妇幼保健,2016,31(9):1835~1837.
2017, Vol. 23 
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