| 任杨洋,杨 帆,梅 玲,姚 远,彭瑞琴.腹式呼吸训练联合电刺激和生物反馈应用于产后盆底肌高张治疗的研究[J].中国康复医学杂志,2024,(7):978~983 |
| 腹式呼吸训练联合电刺激和生物反馈应用于产后盆底肌高张治疗的研究 点此下载全文 |
| 任杨洋 杨 帆 梅 玲 姚 远 彭瑞琴 |
| 四川大学华西第二医院/出生缺陷与相关妇儿疾病教育部重点实验室，四川省成都市，610000 |
| 基金项目：国家重点研发计划项目（2021YFC2009100） |
| DOI：10.3969/j.issn.1001-1242.2024.07.010 |
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| 摘要： |
| 摘要
目的：探讨腹式呼吸训练联合盆底电刺激及生物反馈应用于产后盆底肌高张治疗的临床疗效。
方法：选取2022年1月—2022年12月就诊于四川大学华西第二医院成华妇女儿童医院盆底康复门诊，经诊断存在产后盆底肌高张的患者96例，采用随机分组，试验组48例，对照组48例。每次试验组先进行10min的电刺激放松和10min的生物反馈治疗，再进行5—10min的腹式呼吸训练，每周2—3次，共10次，总疗程4—8周。对照组只进行电刺激放松及生物反馈治疗，每周进行2—3次治疗，总共10次，总疗程4—8周。观察盆底肌筋膜触诊压痛视觉模拟评分、手测盆底肌力、盆底肌前后静息电位，慢肌收缩肌电位、快肌收缩肌电位、女性性功能指数量表评分两组治疗前及治疗后的变化。
结果：盆底肌筋膜触诊压痛视觉模拟评分、盆底肌前后静息电位两组治疗后均较治疗前降低（P＜0.05），手测盆底肌力、慢肌收缩肌电位、快肌收缩肌电位、女性性功能指数量表评分均较治疗前提高（P＜0.05）；干预后试验组的盆底肌筋膜触诊压痛视觉模拟评分、盆底肌前后静息电位均低于对照组（P＜0.05），手测盆底肌力、女性性功能指数量表评分均高于对照组（P＜0.05）。
结论：腹式呼吸训练联合盆底肌电刺激及生物反馈，有助于产后盆底肌高张的治疗，比单纯使用电刺激及生物反馈的临床效果更有优势，可改善盆底肌筋膜疼痛和性功能障碍。 |
| 关键词：盆底肌高张 盆腔肌筋膜痛 腹式呼吸 性功能障碍 产后 |
| Abdomen breathing training combined with electrogalvanic stimulation and biological feedback therapy for postpartum pelvic floor hypertonicity Download Fulltext |
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| West China Second University Hospital，Sichuan University， Chengdu，Sichuan，610000 |
| Fund Project: |
| Abstract: |
| Abstract
Objective：To evaluate the effects of abdomen breathing training combined with electrogalvanic stimulation and biological feedback therapy for postpartum pelvic floor hypertonicity.
Method：Ninety-six women with postpartum pelvic floor hypertonicity in Chenghua Women's and Children's Pelvic Floor Rehabilitation Clinic of West China Second Hospital from January to December 2022 were randomly divided into treatment and control groups. The control group （n=48） was treated with electrogalvanic stimulation for 10 minutes and biological feedback for 10 minutes. The treatment group（n=48） received electrogalvanic stimulation for 10 minutes，biological feedback for 10 minutes，and abdomen breathing training for 5—10 minutes. Two teams received treatment 2—3 times per week and 10 times in total. The visual analogue scale（VAS）of pelvic floor myofascial pain，pre-baseline rest and post-baseline rest， pelvic floor muscle strength（according to the 0—5 Oxford scale） ，phasic （flick） contractions， tonic contractions and the female sexual function index（FSFI） scores of the two groups were evaluated before and after treatment.
Result：The VAS score of the pelvic floor myofascial pain，pre-baseline rest， and post-baseline rest were lower than those before the intervention in both groups（P＜0.05）.Pelvic floor muscle strength ，phasic （flick） contractions，tonic contractions， FSFI scores， were higher than those before the intervention（P＜0.05）. After intervention, the VAS score of pelvic floor myofascial palpation tenderness and resting potential of pelvic floor muscles in the treatment group were all lower than those in the control group (P<0.05), the scores of hand-tested pelvic floor muscle strength and female sexual function index scale were higher than those in the control group(P<0.05).
Conclusion：Abdomen breathing training combined with electrogalvanic stimulation and biological feedback significantly improved the postpartum pelvic floor hypertonicity and pelvic floor myofascial pain，boosted sexual function in postpartum, which is more advantageous than using the electrical stimulation and biofeedback alone. |
| Keywords:pelvic floor hypertonicity pelvic floor myofascial pain abdomen breathing sexual dysfunction postpartum |
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