作　　者： (魏东艳）; (万立新）; (滕利）; (刘馨）; (朱明霞）;

机构地区： 吉林省妇幼保健院妇女保健中心盆底科,吉林长春130000

出　　处： 《中国继续医学教育》 2017年第19期124-127,共4页

摘　　要： 目的探讨电刺激治疗盆腔脏器脱垂脉宽的最佳设定。方法选取2015年1月—2017年3月入我院的POP患者200例作为研究对象。将其随机分为对照组与观察组。对照组采取常规电刺激脉宽,观察组则增加电刺激脉宽进行治疗。以POP-Q分度评定治疗有效率。降低1个级别为治疗有效,无变化为治疗无效。以盆底肌力牛津分级法将阴道肌张力分成0~5级进行评定。结果对照组中,IIa与IIb治疗有效率分别为70.37%与44.44%,两组对比,差异具有统计学意义(P<0.05)。观察组中,IIa与IIb的有效率分别为93.10%与86.21%,两组对比,差异不具有统计学意义(P>0.05)。观察组与对照组各组别有效率对比,差异具有统计学意义(P<0.05)。检查初,两组患者盆底肌力分级对比,差异不具有统计学意义(P>0.05);治疗后,观察组患者盆底肌力Ⅲ级、Ⅳ级比率分别为47%、39%,对照组分别为29%、12%,两组对比,差异具有统计学意义(P<0.01)。结论脉宽值为1 000μs时,是POP治疗的最佳值。更改电刺激参数,增大电刺激脉宽,可缩短疗程,降低治疗成本,提升盆底脏器脱垂疗效。 Objective To explore the optimal setting of electrical stimulation for the treatment of pelvic organ prolapse pulse width. Methods 200 cases of POP patients from January 2015 to March 2017 admitted in our hospital were selected as the research objects. They were randomly divided into the control group and the observation group. The control group received conventional electrical stimulation pulse width, the observation group increased the electrical stimulation pulse width for treatment. The effective rate of treatment was evaluated by POP-Q index. To reduce 1 level for treatment, no change for treatment invalid. The vaginal muscle tension was divided into 0 - 5 grades by the pelvic floor muscle strength Oxford classification method. Results In the control group, the effective rate of Ila and IIb treatment was 70.37% and 44.44%, respectively, and the difference between the two groups was statistically significant （P〈0.05）. In the observation group, the effective rates of IIa and IIb were 93.10% and 86.21%, respectively. The difference between the two groups was not statistically significant （P〉0.05）. The effective rate of each group in the observation group and the control group was statistically significant （P〈0.05）. At the beginning of the examination, there was no significant difference in pelvic floor muscle strength between the two groups （P〉0.05）. After treatment, the level of pelvic floor muscle strength III and IV was 47% and 39% in the observation group, 29% and 12% in the control group, respectively, and the difference between the two groups was statistically significant （P〈0.01）. Conclusion When the pulse width is 1 000μs, it is the best value for POP treatment. Changing the parameters of electric stimulation and increasing the pulse width of electric stimulation can shorten the course of treatment, reduce the cost of treatment and improve the curative effect of pelvic organ prolapse.

关 键 词： 生物反馈 电刺激 盆底脏器脱垂 盆底肌肉锻炼