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低频脉冲穴位电刺激在预防初产妇盆底功能障碍性疾病中的应用效果
作者:王志静  张丽萍  邓建会  施雪华  张爱玲 
单位:唐山市丰南区中医医院 普外科, 河北 唐山 063000
关键词:初产妇 盆底功能障碍 低频脉冲 预防性干预 
分类号:R473.71
出版年·卷·期(页码):2023·51·第七期(1001-1005)
摘要:

目的: 分析预防性低频脉冲穴位电刺激对初产妇盆底功能的影响。方法: 选择2019年1月1日-2022年12月31日在某医院完成分娩的707例初产妇为研究对象,干预组347人,对照组360人,对照组给予常规排尿训练及护理,干预组在此基础上给予低频脉冲穴位电刺激进行预防性干预。采用卡方和t检验分析比较两组产妇产后盆底功能障碍性疾病的发生及盆底肌力情况。结果: 两组产妇以及新生儿的一般临床情况对比中,各项数据差异均无统计学意义(P<0.05)。干预组产妇产后的压力性尿失禁、排尿困难、子宫脱垂、膀胱膨出、直肠膨出、尿道漏斗形成的发生率均低于对照组(P<0.05);两组产妇产后粪失禁的发生率差异无统计学意义(P=0.12);干预组产妇膀胱颈与耻骨联合的距离、膀胱颈移动度、尿道膀胱后角均低于对照组(P<0.001);干预组产妇尿道旋转角大于对照组(P<0.001);干预组产妇干预后肛提肌裂孔面积差异无统计学意义(P=0.132)。两组产妇出院时前静息阶段、后静息阶段和快肌阶段肌电值差异有统计学意义(P<0.001);两组产妇慢肌阶段肌电值平均值之间比较差异无统计学意义(P=0.080)。结论: 低频脉冲穴位电刺激可有效预防初产妇盆底功能障碍性疾病的发生。

Objective: To analyze the impact of preventive low-frequency pulsed acupoint electrical stimulation on pelvic floor function in primiparous women. Methods: A total of 707 primiparous women who gave birth in a certain hospital from January 1, 2019, to December 31, 2022, were selected as study subjects, among whom 347 women were allocated into intervention group, while 360 women into control group. The control group received routine urination training and care, while the intervention group received preventive intervention with low-frequency pulsed acupoint electrical stimulation on top of the routine care. Chi-square test and t-test were used to compare the incidence of pelvic floor dysfunction and pelvic muscle strength between the two groups postoperatively. Results: In the comparison of general clinical conditions between the two groups of women and newborns, there were no statistically significant differences in the data(P>0.05). The incidence rates of stress urinary incontinence, urinary difficulty, uterine prolapse, bladder prolapse, rectal prolapse, and urethral funnel formation in the intervention group were lower than those in the control group (P<0.05). There was no statistical difference in the incidence rate of fecal incontinence between the two groups(P=0.12). The distance between the bladder neck and pubic symphysis, bladder neck mobility, and bladder posterior angle in the intervention group were lower than those in the control group (P<0.001). The urethral rotation angle in the intervention group was greater than that in the control group (P<0.001). There was no difference in the anal sphincter fissure area between the two groups of women after intervention (P=0.132). There were statistically significant differences in the electromyographic values during the pre-resting stage, post-resting stage, and fast muscle stage at discharge between the two groups of women (P<0.001). There was no statistically significant difference in the average electromyographic values during the slow muscle stage between the two groups(P=0.080). Conclusion: Low-frequency pulsed acupoint electrical stimulation can effectively prevent the occurrence of pelvic floor dysfunction in primiparous women.

参考文献:

[1] LOUIS-CHARLES K,BIGGIE K,WOLFINBARGER A,et al.Pelvic floor dysfunction in the female athlete[J].Curr Sports Med Rep,2019,18(2):49-52.
[2] 陈聪,鲁意,彭继文,等.温州女性盆底功能障碍性疾病流行病学研究[J].温州医科大学学报,2016,46(3):194-198.
[3] ROMEIKIENō K E,BARTKEVIC∨IENE·D.Pelvic-floor dysfunction prevention in prepartum and postpartum periods[J].Medicina(Kaunas),2021,57(4):387.
[4] 杜亚飞,房桂英,陈然,等.石家庄地区女性盆底功能障碍性疾病患病情况调查[J].检验医学与临床,2016,13(22):3141-3142,3145.
[5] 朱丽娟,江华,朱开欣.南京市产妇盆底功能障碍性疾病的流行病学研究[J].中国妇幼保健,2020,35(19):3544-3546.
[6] 牛雅芳,段晓晓.盆底超声在不同分娩方式产妇盆底功能障碍诊断及盆底康复治疗效果评估中的作用[J].临床医学研究与实践,2022,7(7):133-136.
[7] 黄杰. 初产妇产后盆底功能障碍性疾病早期康复治疗最佳时期选择[D].郑州:郑州大学, 2017.
[8] 史斌,沈平绒,叶小芳,等.会阴侧切对初产妇产后早期盆底康复及盆底功能障碍发生率的影响研究[J].中国现代医生,2022,60(2):72-75.
[9] 赵娜,蒋小芒.会阴侧切以及自然裂伤对初产妇第二产程、产后性功能、盆底肌力和肌电位的影响[J].中国妇产科临床杂志,2018,19(5):457-458.
[10] 张亚亚,侯佳文,毕晓玄,等.女性盆底功能障碍病人述情障碍现状及影响因素[J].护理研究,2023,37(3):554-559.
[11] 李苹.产后盆底功能障碍影响因素的调查研究[J].中国医院统计,2019,26(5):367-369.
[12] 张娜,李红,门月玲,等.1 162例孕妇产后盆底功能障碍的发生率、影响因素及康复训练效果分析[J]. 中国妇幼保健,2018,33(7):1469-1472.
[13] 蔡丽萍,张巧玲.盆底肌肉训练联合电刺激对产后盆底功能障碍患者盆底肌力变化及盆腔器官脱垂改善效果的影响[J].中国妇幼保健,2023,38(4):613-616.
[14] 任玮琦.盆底肌电刺激生物反馈疗法对产后盆底功能障碍患者肌力及结构参数的影响[J].中国妇幼保健,2022,37(19):3549-3552.
[15] 张瑞颖.不同产科因素对产后盆底肌力的影响及生物反馈电刺激在盆底功能障碍中的应用[D].南昌:南昌大学,2022.
[16] 张丽萍,刘凯悦,温婉萍,等.低频脉冲电干预对改善产后尿潴留的效果观察[J].现代医学,2020,48(7):901-903.
[17] 丘怡萱,杨佳,许叶涛,等.低频脉冲电刺激在妇科领域的临床应用[J].江苏医药,2022,48(12):1283-1286.

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