体外磁波盆底治疗联合盆底肌训练对不同分娩方式产后盆底功能障碍效果分析

doi:10.3969/j.issn.1006-6233.2022.07.020

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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.

Key words： Extracorporeal magnetic wave pelvic floor therapy Pelvic floor muscle training Different delivery modes Postpartum Pelvic floor dysfunction

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2022.07.020 OR http://www.hbyxzzs.cn/EN/Y2022/V28/I7/1152

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