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目的:分析生物反馈联合电刺激对女性盆底功能障碍性疾病(PFD)的治疗效果。方法:选择2011年1月至2016年3月我院收治的1000例PFD患者为研究对象,按随机数字表法分为实验组和对照组,每组各500例。实验组给予生物反馈联合电刺激,对照组给予功能性电刺激治疗。比较两组治疗前后盆底肌肉肌力分级的变化,测定盆底功能相关指标的改善及患者治疗前后排尿情况。结果:治疗后2组盆底肌力分级均呈明显上升趋势(Z=52.587,37.581;P<0.001),且观察组改善效果优于对照组(Z=27.588,P<0.001);治疗后实验组盆底肌肉肌力正常率高于对照组,差异有统计学意义(x~2=68.323,P<0.05);治疗后实验组最大收缩压、持续收缩压提升幅度较大,膀胱颈移动度明显减小,与对照组各项指标对比差异有统计学意义(P<0.05),且治疗后两组排尿情况均有所好转,实验组效果优于对照组(P<0.05)。结论:生物反馈联合电刺激对女性PFD具有较好的效果,能提高患者盆底最大收缩压、持续收缩压,减小膀胱颈移动度,改善患者排尿功能。
Objective: To analyze the therapeutic effect of biofeedback combined with electrical stimulation on female pelvic floor dysfunction disease (PFD). Methods: A total of 1000 PFD patients admitted to our hospital from January 2011 to March 2016 were selected as experimental subjects and divided into experimental group and control group according to the random number table method, with 500 cases in each group. The experimental group was given biofeedback combined with electrical stimulation, while the control group was given functional electrical stimulation. The changes of muscular strength of pelvic floor muscles before and after treatment were compared between the two groups to measure the improvement of pelvic floor function related indicators and urination of patients before and after treatment. Results: After the treatment, pelvic floor muscle grading showed a clear upward trend (Z = 52.587,37.581; P <0.001), and the observation group improved better than the control group (Z = 27.588, P <0.001) The pelvic floor muscular strength of normal group was higher than that of the control group, the difference was statistically significant (x ~ 2 = 68.323, P <0.05). After treatment, the maximal systolic pressure and continuous systolic pressure in the experimental group increased significantly, (P <0.05). After treatment, the micturition of both groups improved, and the effect of the experimental group was better than that of the control group (P <0.05). Conclusion: The biofeedback combined with electrical stimulation has a good effect on female PFD, which can increase the maximal systolic pressure in the pelvic floor, maintain the systolic pressure, reduce the mobility of the bladder neck and improve the urinary function.