天津医药

天津医药 ›› 2025, Vol. 53 ›› Issue (6): 644-648.doi: 10.11958/20250386

• 临床研究 • 上一篇    下一篇

核心肌群稳定性训练联合生物反馈电刺激对选择性会阴侧切术产妇产后盆底功能的影响

王洁1(), 肖茂翠1, 王爱文2, 崔海平2, 王瑞萍1,△()   

  1. 1 河北省第一荣军优抚医院妇产科（邮编054000）
    2 河北省第一荣军优抚医院妇女保健科（邮编054000）
  • 收稿日期:2025-02-07 修回日期:2025-04-18 出版日期:2025-06-15 发布日期:2025-06-20
  • 通讯作者: △E-mail：yjmf20230224@163.com
  • 作者简介:王洁（1990），女，主治医师，主要从事妇产科方面研究。E-mail：cask20230509@163.com

The effect of core muscle group stability training combined with biofeedback electrical stimulation on postpartum pelvic floor function in women underwent selective episiotomy

WANG Jie1(), XIAO Maocui1, WANG Aiwen2, CUI Haiping2, WANG Ruiping1,△()   

  1. 1 Department of Obstetrics and Gynecology, Hebei Province First Rongjun Youfu Hospital, Xingtai 054000, China
    2 Department of Women's Health Care, Hebei Province First Rongjun Youfu Hospital, Xingtai 054000, China
  • Received:2025-02-07 Revised:2025-04-18 Published:2025-06-15 Online:2025-06-20
  • Contact: △E-mail: yjmf20230224@163.com

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摘要：

目的 探讨核心肌群稳定性训练联合生物反馈电刺激对选择性会阴侧切术产妇产后盆底肌功能的影响。方法 回顾性分析自然分娩并行选择性会阴侧切术的98例产妇的临床资料。根据干预方法不同将纳入产妇分为对照组和联合组各49例，对照组仅采用生物反馈电刺激治疗仪治疗，联合组采用核心肌群稳定性训练联合生物反馈电刺激治疗。比较2组产妇一般资料及干预前后的盆底肌力、盆底肌电值、盆底功能障碍问卷（PFDI-20）评分及女性性功能评分量表（FSFI）评分。结果 2组的年龄、孕周、体质量指数、盆底肌力分级比较差异均无统计学意义（P>0.05）。与干预前比较，2组干预后的盆底肌力、盆底肌电值、FSFI各项评分均升高，PFDI-20评分降低（均P<0.05）；干预后，与对照组比较，联合组盆底肌力改善更明显，Ⅰ类纤维肌电值、Ⅱ类纤维肌电值升高，PFDI-20评分降低，FSFI各项评分升高（均P<0.05）；2组盆底功能障碍性疾病发生率差异有统计学意义（22.45% vs. 6.12%，P<0.05）。结论 核心肌群稳定性训练联合生物反馈电刺激可有效促进选择性会阴侧切术产妇产后盆底肌功能的恢复，改善性功能。

关键词: 骨盆底, 会阴切开术, 电刺激, 核心肌群稳定性训练, 盆底肌功能

Abstract:

Objective To explore the effect of core muscle stability training combined with biofeedback electrical stimulation on pelvic floor muscle function in postpartum women underwent episiotomy. Methods Clinical data of 98 parturients who underwent selective episiotomy during natural childbirth were retrospectively analyzed. According to different intervention methods, the included parturients were divided into the control group and the combination group, with 49 cases in each group. The control group was treated only with biofeedback electrical stimulation therapy, while the combination group was treated with core muscle stability training combined with biofeedback electrical stimulation therapy. The general information and pelvic floor muscle strength, pelvic floor electromyography values, pelvic floor dysfunction questionnaire (PFDI-20) scores and female sexual function score scale (FSFI) scores were compared between the two groups of parturients before and after intervention. Results There were no significant differences in age, gestational age, body mass index and pelvic floor muscle strength grading between the two groups (P>0.05). Compared with before intervention, pelvic floor muscle strength, pelvic floor electromyography values and FSFI scores increased in both groups after intervention, while PFDI-20 scores decreased (all P<0.05). After intervention, compared with the control group, the combination group showed more significant improvement in pelvic floor muscle strength, with an increase in class Ⅰ and class Ⅱ fiber electromyography values, a decrease in PFDI-20 score, and an increase in FSFI scores (all P<0.05). The incidence of pelvic floor dysfunction in the two groups was statistically significant (22.45% vs.6.12%, P<0.05). Conclusion Core muscle stability training combined with biofeedback electrical stimulation can effectively promote the recovery of pelvic floor muscle function and improve sexual function in postpartum women underwent episiotomy.

Key words: pelvic floor, episiotomy, electric stimulation, core muscle group stability training, pelvic floor muscle function

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