生物反馈电刺激在女性盆底功能障碍性疾病中的应用
Application of Biofeedback Electrical Stimulation in Female Pelvic Floor Dysfunction
摘要: 盆底功能障碍性疾病(PFD)是由于盆底支持结构薄弱、缺损及功能障碍等原因引起的一系列盆底功能性疾病的总称。近年来女性PFD发病率不断上升,给女性的生活质量和身心健康带来巨大影响。PFD可采用手术及非手术治疗,生物反馈电刺激疗法是一种非手术物理治疗方式,是近年来应用在PFD中的新疗法,且逐渐在临床上应用。现对生物反馈电刺激在女性PFD中的临床应用进行综述。
Abstract: Pelvic floor dysfunction (PFD) is a series of pelvic floor functional diseases caused by weak support-ing structure, defect and dysfunction of pelvic floor. In recent years, the incidence of PFD in women has been increasing, which has a great impact on women’s quality of life and physical and mental health. PFD can be treated by operation and non-operation. Biofeedback electrical stimulation is a kind of non-operative physiotherapy, which is a new therapy used in PFD in recent years, and is gradually used in clinic. This article reviews the clinical application of biofeedback electrical stimu-lation in female PFD.
文章引用:谭章来, 华媛媛. 生物反馈电刺激在女性盆底功能障碍性疾病中的应用[J]. 临床医学进展, 2023, 13(4): 6432-6438. https://doi.org/10.12677/ACM.2023.134904

参考文献

[1] Lawson, S. and Sacks, A. (2018) Pelvic Floor Physical Therapy and Women’s Health Promotion. Journal of Midwifery & Women’s Health, 63, 410-417. [Google Scholar] [CrossRef] [PubMed]
[2] Huber, M., Malers, E. and Tunón, K. (2021) Pelvic Floor Dysfunction One Year after First Childbirth in Relation to Perineal Tear Severity. Scientific Reports, 11, Article No. 12560. [Google Scholar] [CrossRef] [PubMed]
[3] Blomquist, J.L., Carroll, M., Muñoz, A. and Handa, V.L. (2020) Pelvic Floor Muscle Strength and the Incidence of Pelvic Floor Disorders after Vaginal and Ce-sarean Delivery. American Journal of Obstetrics & Gynecology, 222, 62, E1-E62, E8. [Google Scholar] [CrossRef] [PubMed]
[4] 胡静, 袁钰林, 熊莉, 等. 生物反馈电刺激联合盆底肌功能锻炼对顺产初产妇盆底功能的影响[J]. 中国妇幼保健, 2022, 37(23): 4344-4347.
[5] Tyagi, T., Alarab, M., Leong, Y., Lye, S. and Shynlova, O. (2019) Local Oestrogen Therapy Modulates Extracellular Matrix and Immune Response in the Vaginal Tissue of Post-Menopausal Women with Severe Pelvic Organ Prolapse. Journal of Cellular and Molecular Medicine, 23, 2907-2919. [Google Scholar] [CrossRef] [PubMed]
[6] Lee, U.J., Kerkhof, M.H., Van Leijsen, S.A., et al. (2017) Obesity and Pelvic Organ Prolapse. Current Opinion in Urology, 27, 428-434. [Google Scholar] [CrossRef
[7] Dumoulin, C., Pazzoto Cacciari, L. and Mercier, J. (2019) Keeping the Pelvic Floor Healthy. Climacteric, 22, 257-262. [Google Scholar] [CrossRef] [PubMed]
[8] 高连第, 胡李芳. 生物反馈联合盆底肌锻炼治疗压力性尿失禁的疗效观察[J]. 中国妇幼保健, 2020, 35(3): 424-427.
[9] Zhong, F., Miao, W., Yu, Z., Hong, L. and Deng, N. (2021) Clinical Effect of Electrical Stimulation Biofeedback Therapy Combined with Pelvic Floor Functional Exercise on Postpartum Pelvic Organ Prolapse. American Journal of Translational Research, 13, 6629-6637.
[10] 郎景和. 妇女健康概论[J]. 中国实用妇科与产科杂志, 2022, 38(4): 385-388.
[11] 林静, 郭玲, 陈彩蓉, 等. 电生理在妇科领域的临床应用现状[J]. 中国实用妇科与产科杂志, 2022, 38(4): 470-475.
[12] 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.
[13] 王慧兰, 朱倩, 王美燕, 等. 盆底肌肉锻炼联合电刺激生物反馈疗法治疗盆底功能障碍性疾病临床效果研究[J]. 中国实用妇科与产科杂志, 2023, 39(1): 115-118.
[14] 周艳娜, 甘桂萍, 张伟华. 电刺激联合生物反馈盆底肌训练治疗产后盆底功能障碍性疾病的临床疗效观察[J]. 中国医师进修杂志, 2020, 43(5): 393-397.
[15] 中华医学会妇产科学分会妇科盆底学组. 女性压力性尿失禁诊断和治疗指南(2017) [J]. 中华妇产科杂志, 2017, 52(5): 289-293.
[16] Wen, L., Shek, K.L., Subramaniam, N., Friedman, T. and Dietz, H.P. (2018) Correlations between Sonographic and Urody-namic Findings after Mid Urethral Sling Surgery. The Journal of Urology, 199, 1571-1576. [Google Scholar] [CrossRef] [PubMed]
[17] Elmelund, M., Biering-Sørensen, F., Due, U. and Klarskov, N. (2018) The Effect of Pelvic Floor Muscle Training and Intravaginal Electrical Stimulation on Urinary Incontinence in Women with Incomplete Spinal Cord Injury: An Investigator-Blinded Parallel Randomized Clinical Trial. International Urogynecology Journal, 29, 1597-1606. [Google Scholar] [CrossRef] [PubMed]
[18] Ma, X.X. and Liu, A. (2019) Effectiveness of Electrical Stimula-tion Combined with Pelvic Floor Muscle Training on Postpartum Urinary Incontinence. Medicine, 98, e14762. [Google Scholar] [CrossRef
[19] 刘青, 牛茹, 王金凤. 生物反馈电刺激对老年女性压力性尿失禁的疗效[J]. 国际老年医学杂志, 2020, 41(2): 105-107, 124.
[20] 吴金梅, 邢忠兴, 郭丽芳, 等. 生物反馈电刺激联合盆底肌功能锻炼对产后压力性尿失禁患者盆底肌肌力及尿流动力学的影响[J]. 解放军医药杂志, 2022, 34(5): 100-103.
[21] 翁佳丽, 王慧丽, 李小红, 等. 生物反馈电刺激对围绝经期女性压力性尿失禁患者的有效性及并发症发生的影响[J]. 中国妇幼保健, 2021, 36(2): 429-431.
[22] 单东超, 杨志强. 盆底生物反馈电刺激治疗轻中度女性压力性尿失禁的临床效果及对患者满意度的影响[J]. 中国全科医学, 2020, 23(S2): 164-166.
[23] 余珊珊, 周茹, 王华, 等. 经会阴盆底三维超声联合生活质量问卷评分评估生物反馈电刺激治疗女性压力性尿失禁的临床疗效[J]. 现代泌尿外科杂志, 2020, 25(9): 798-802.
[24] 全晓洁, 常小霞, 沈玮, 等. 电刺激联合生物反馈疗法对女性压力性尿失禁生活质量影响研究[J]. 中国实用妇科与产科杂志, 2021, 37(10): 1066-1069.
[25] 中华医学会妇产科学分会妇科盆底学组. 盆腔器官脱垂的中国诊治指南(2020年版) [J]. 中华妇产科杂志, 2020, 55(5): 300-306.
[26] 陆燕运, 黄婉珊. 生物反馈电刺激联合盆底肌锻炼治疗产后盆底功能障碍及对盆底器官脱垂分度影响[J]. 中外医学研究, 2020, 18(12): 125-127.
[27] 赖雪梅, 邓雨峰, 张海燕, 等. 生物反馈电刺激对产后盆底脏器脱垂的效果研究[J]. 西南大学学报(自然科学版), 2021, 43(3): 24-29.
[28] 张琳, 俞晓杰, 王凤爽, 等. 生物反馈电刺激及盆底肌锻炼对产后不同时期女性盆腔器官脱垂恢复的影响[J]. 中国康复, 2023, 38(1): 30-33.
[29] (2020) Acog Practice Bulletin: Clinical Management Guidelines for Obstetrician—Gynecologists. The American College of Obstetricians and Gynecologists, 135, 98-109.
[30] Ball, E. and Khan, K.S. (2020) Recent Ad-vances in Understanding and Managing Chronic Pelvic Pain in Women with Special Consideration to Endometriosis. F1000Research, 9, 83-90. [Google Scholar] [CrossRef] [PubMed]
[31] Gyang, A., Hartman, M. and Lamvu, G. (2013) Musculoskeletal Causes of Chronic Pelvic Pain: What a Gynecologist Should Know. Obstetrics & Gynecology, 121, 645-650. [Google Scholar] [CrossRef
[32] 黎莹, 杨炳. 经皮电刺激疗法结合生物反馈治疗对盆底肌筋膜疼痛综合征的疗效评价[J]. 遵义医科大学学报, 2020, 43(3): 363-367,372.
[33] 艾小庆. 经皮电刺激结合生物反馈治疗盆底肌筋膜疼痛综合征效果观察[J]. 实用中医药杂志, 2021, 37(10): 1765-1767.
[34] Pellino, G., Ramage, L., Simillis, C., Warren, O., Kontovounisios, C., Tan, E. and Tekkis, P. (2017) Evaluation of Sexual Dysfunction in Female Patients Presenting with Faecal Incontinence or Defecation Disorder. Inter-national Journal of Colorectal Disease, 32, 667-674. [Google Scholar] [CrossRef] [PubMed]
[35] 薛玉欣, 周玉红, 金文艳, 等. 非手术治疗女性性功能障碍研究进展[J]. 中国中医药现代远程教育, 2021, 19(20): 201-205.
[36] 朱玲, 范伟荣, 苏爱芳. 生物反馈电刺激联合盆底肌锻炼对产妇盆底功能康复的效果评价[J]. 浙江医学, 2020, 42(1): 59-61.
[37] 潘玲佩, 倪旭红, 朱敏. 盆底生物反馈电刺激和盆底肌肉锻炼治疗产后女性性功能障碍的疗效[J]. 中国妇幼保健, 2021, 36(9): 2022-2025.
[38] 朱可天, 徐蔚, 吴秀英, 等. 电刺激生物反馈对盆底功能障碍患者盆底肌力电生理指标及性生活质量的影响[J]. 中国妇幼保健, 2023, 38(1): 12-15.
[39] 鲍友娥. 盆底肌肉电刺激对产后女性性功能障碍的影响[J]. 中国继续医学教育, 2020, 12(36): 101-104.
[40] 李振宇, 刘建乔, 芦煜, 等. 生物反馈联合电刺激治疗大便失禁患者的临床效果[J]. 临床和实验医学杂志, 2020, 19(17): 1872-1876.
[41] 高苗苗, 潘晓飞, 张晓红, 等. 生物反馈联合电刺激对直肠癌保肛术后失禁患者肛门功能的影响[J]. 中华保健医学杂志, 2022, 24(3): 218-221.