电刺激生物反馈治疗联合自主巩固训练在产后盆底康复治疗中的应用[摘要]目的探?电刺激生物反馈治疗联合自主巩固训练在产后盆底康复治疗中的应用效果。方法选择2015年9月～2016年9月在广东省阳江市妇幼保健院自愿进行盆底检测及盆底康复治疗的初产后妇女120例作为研究对象，按照是否在盆底肌肉刺激治疗仪治疗期间进行自主盆底肌肉训炼分为对照组（60例）与观察组（60例），观察组又分为观察一组（30例）和观察二组（30例），观察一组：电刺激+生物反馈+盆底肌肉锻炼（Kegel运动），观察二组：电刺激+生物反馈+阴道哑铃训炼，对照组单纯使用盆底肌肉刺激治疗仪进行电刺激+生物反馈盆底康复治疗。治疗前后对各组患者进行盆底电诊断，检测盆底Ⅰ、Ⅱ类肌肌力、疲劳度及盆底肌最大肌电压。结果治疗后观察组和对照组患者盆底Ⅰ、Ⅱ类肌肌力和盆底肌电位活动均值均有提高，疲劳度值均降低，组内治疗前后比较差异有统计学意义（P<0.05）；观察组效果优于对照组，观察二组效果优于观察一组，差异有统计学意义（P<0.05）。结论使用盆底肌肉刺激治疗仪治疗期间同时进行自主巩固训练可提高盆底康复疗效；与盆底肌肉锻炼比较，使用阴道哑铃训练对有效恢复盆底功能有更显著的协同作用。[关键词]产后盆底康复；电刺激生物反馈治疗；自主巩固训练[]R694.54[文献标识码]A[]1674-4721（2017）05（b）-0071-05EffectobservationofelectricalstimulationbiofeedbacktherapycombinedwithselfconsolidatingtrainingontherehabilitationofpelvicfloormusclefunctioninpostpartumwomenZHOUZu-meiXUQing-yunMO激e-zhenDepartmentofWomenHealthCare，Yang激angWomenandChildrenHospitalofGuangdongProvince，Yang激ang529500，China[Abstract]ObjectiveToobservetheeffectofelectricalstimulationbiofeedbacktherapycombinedwithselfconsolidatingtrainingontherehabilitationofpelvicfloormusclefunctioninpostpartumwomen.Methods120casesofprimiparaswereselected，whowerehospitalizedinYang激angMaternalandChildHealthCareHospitalofGuangdongProvincefromSeptember2015toSeptember2016，volunteeredforthedetectionofpelvicfloorandpelvicfloorrehabilitationtherapy，theprimiparasweredividedintoobservationgroup（60cases）andcontrolgroup（60cases）accordingtowhetherusetheselfconsolidatingtrainingduringthetreatmentofelectricalstimulationbiofeedbacktherapy.Theobservationgroupwasdividedintoobservationgroup1（30cases）andobservationgroup2（30cases）；theobservationgroup1wastreatedbyelectricalstimulationbiofeedbacktherapycombinedwithpelvicfloormuscleexercise，theobservationgroup2wastreatedbyelectricalstimulationbiofeedbacktherapycombinedwithvaginaldumbbelltraining；whilethecontrolgroupwasonlyacceptedelectricalstimulationandbiofeedbacktherapy.Thepelvicelectricaldiagnosiswasusedineachgroupsbeforeandaftertreatment，thepelvicfloormusclefiber，themaximummusclevoltageofⅠ，Ⅱpelvicfloormuscleandfatiguestatewerecomparedandanalyzed.ResultsAfterrehabilitationtreatment，musclestrengthandthemaximummusclevoltageofⅠ，Ⅱpelvicfloormusclesoftheobservationgroupandcontrolgroupwerehigher，andthemeanvalueoffatiguewerelower；thedifferencesbeforeandaftertreatmentintra-grouphadstatisticalsignificance（P<0.05）.Curativeeffectintheobservationgroupwasbetterthanthatinthecontrolgroup，thedifferencehadstatisticalsignificance（P<0.05）；curativeeffectintheobservationgroup2wasbetterthanthatintheobservationgroup1，thedifferencehadstatisticalsignificance（P<0.05）.ConclusionElectricalstimulationbiofeedbacktherapycombinedwithselfconsolidatingtrainingcanimprovethecurativeeffectofrehabilitationofpelvicfloormusclefunctioninprimiparas；comparedwithpelvicfloormuscleexercise，thevaginaldumbbelltrainin...