低频电刺激联合生物反馈治疗PFD疗效研究

Study on the Efficacy of Low-Frequency Elec-trical Stimulation Combined with Biofeedback in the Treatment of PFD

摘要: 目的：对盆底功能障碍性疾病(PFD)的患者行非手术治疗临床效果。电刺激联合生物反馈治疗在盆底功能障碍性疾病中治疗前后的临床价值及疗效。方法：选取2020-10~2021-10期间，我院治疗的100例盆底功能障碍性疾病(子宫脱垂、阴道前后壁膨出、压力性尿失禁)的非手术治疗患者为主要研究对象。本文研究的非手术治疗主要指低频脉冲电刺激联合生物反馈治疗，对100例患者治疗及效果进行临床回顾性分析。分析治疗前及治疗后，比较治疗前后盆底肌纤维电压、耐力收缩值和临床症状。结果：治疗后盆底肌肉I类肌、II类肌肌力，肌电位、临床症状均优于治疗前(P < 0.05)。结论：盆底功能障碍性疾病(PFD)患者通过低频脉冲电刺激联合生物反馈治疗，子宫脱垂、阴道前后壁膨出、压力性尿失禁患者症状明显改善、肌力提高、肌电位增高，对于轻中度盆底功能障碍性疾病的治疗有效。

Abstract: Objective: To determine the clinical effect of non-surgical treatment on patients with pelvic floor dysfunction; the clinical value and efficacy of electrical stimulation combined with biofeedback in pelvic floor dysfunction before and after treatment. Methods: 100 patients with pelvic floor dys-function diseases (uterine prolapse, anterior and posterior vaginal wall prolapse, stress urinary in-continence) treated in our hospital during 2020-10~2021-10 were selected as the main research object. In this study, the non-surgical treatment mainly refers to low-frequency pulsed electrical stimulation combined with biofeedback therapy. Clinical retrospective analysis was conducted on the treatment and efficacy of 100 patients. The pelvic floor muscle fiber voltage, endurance contrac-tion value and clinical symptoms were compared before and after treatment. Results: After treat-ment, the muscle strength, muscle potential and clinical symptoms of pelvic floor muscle class I and II were better than those before treatment (P < 0.05). Conclusion: Patients with pelvic floor dys-function disease (PFD) can improve symptoms, muscle strength and muscle potential of patients with uterine prolapse, anterior and posterior vaginal wall prolapse and stress urinary incontinence by low-frequency pulse electrical stimulation combined with biofeedback therapy, which is effective in the treatment of mild and moderate pelvic floor dysfunction disease.