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目的:评价电刺激联合Kegel运动治疗顺产后盆底功能障碍性疾病的临床疗效。方法:选取2012年12月~2013年12月于石河子大学医学院第一附属医院妇产科顺产的120例初产妇为研究对象,将其随机分为实验组(57例)及对照组(63例),实验组给予电刺激联合Kegel运动治疗,对照组仅进行一般健康宣教。比较两组治疗前后盆底肌力的改变。结果:实验组治疗前盆底Ⅰ类肌和Ⅱ类肌肌力与对照组相比,差异均无统计学意义(P>0.05);对照组盆底Ⅰ类肌和Ⅱ类肌肌力治疗前后相比,差异均无统计学意义(P>0.05);实验组治疗后盆底Ⅰ类肌和Ⅱ类肌肌力明显改善,与对照组相比差异有统计学意义(P<0.05)。结论:电刺激联合Kegel运动可改善顺产后盆底肌功能状态,可用于产后盆底功能障碍性疾病的康复治疗。
OBJECTIVE: To evaluate the clinical efficacy of electrical stimulation combined with Kegel therapy for postoperative pelvic floor dysfunction. Methods: A total of 120 primipara from January 2012 to December 2013 in the First Affiliated Hospital of Shihezi University School of Medicine were randomly divided into experimental group (57 cases) and control group (63 cases) In the experimental group, electrical stimulation combined with Kegel exercise was used, while in the control group, only general health education was conducted. The changes of pelvic floor muscle strength before and after treatment were compared between the two groups. Results: Compared with the control group, there was no significant difference between the experimental group and the control group before the treatment (P> 0.05). In the control group, the muscle strength of type I and type 2 muscles in pelvic floor before and after treatment (P> 0.05). Compared with the control group, the muscular strength of group Ⅰ and group Ⅱ in pelvic floor in experimental group was significantly improved (P <0.05). Conclusion: Electrical stimulation combined with Kegel exercise can improve pelvic floor muscle function after cesarean section and can be used for the rehabilitation of postpartum pelvic floor dysfunction.