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目的探讨盆底肌肉电刺激联合生物反馈,Kegel训练及胸膝卧位治疗子宫脱垂的临床疗效。方法回顾性分析2010年1月至2012年12月因产后子宫脱垂就诊于中山大学孙逸仙纪念医院盆底功能门诊的患者,其中37例患者行盆底肌肉电刺激联合生物反馈,Kegel训练及胸膝卧位治疗为研究组;另选取38例患者行盆底肌肉电刺激联合生物反馈及Kegel训练治疗为对照组;观察两组患者治疗后子宫脱垂程度,并且分为治愈组(治疗后宫颈距处女膜缘的距离>4 cm),有效组(排除治愈及无效组的患者),无效组(治疗前后无变化),及两组治疗前后子宫脱垂疗效程度(本研究以增加腹压状态下治疗前宫颈距处女膜缘的距离与治疗后宫颈距处女膜缘的距离差值的绝对值为观察点)。结果 75例患者,对照组中治愈20例(52.6%),有效15例(39.5%),无效3例(7.9%);研究组中治愈28例(75.7%),有效9例(24.3%),无效0例(0%)。研究组治疗前后子宫脱垂疗效程度的平均值大于对照组,治疗后子宫脱垂程度的平均值小于对照组,其差异均有统计学意义(P<0.05)。结论行盆底肌肉电刺激联合生物反馈,Kegel训练及胸膝卧位治疗产后子宫脱垂具有较好的疗效。
Objective To investigate the clinical efficacy of pelvic floor muscle stimulation combined with biofeedback, Kegel training and chest and knee position treatment of uterine prolapse. Methods A retrospective analysis of patients with pelvic floor functional clinic of Sun Yat-sen Memorial Hospital of Sun Yat-sen University from January 2010 to December 2012 was performed. Among them, 37 patients underwent pelvic floor electrical stimulation combined with biofeedback, Kegel training and chest 38 cases of patients with pelvic floor muscle stimulation combined with biofeedback and Kegel training as the control group; observed the degree of uterine prolapse after treatment in both groups, and divided into cured group (after treatment of cervical The distance from the hymen membrane edge> 4 cm), the effective group (excluding patients cured and ineffective group), the invalid group (no change before and after treatment), and the efficacy of uterine prolapse before and after treatment in both groups The absolute value of the difference between the distance of the cervix from the hymen before treatment and the distance of the cervix from the hymen before treatment is the observation point. Results Among the 75 patients, 20 (52.6%) were cured in the control group, 15 (39.5%) were ineffective and 3 (7.9%) were ineffective in the study group. 28 (75.7%) and 9 (24.3% , Invalid 0 cases (0%). The mean value of efficacy of uterine prolapse before and after treatment in the study group was greater than that in the control group. The mean value of uterine prolapse after treatment was less than that in the control group (P <0.05). Conclusions The pelvic floor muscle stimulation combined with biofeedback, Kegel training and chest and knee position treatment of postpartum uterine prolapse has a good effect.