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生物反馈对Ⅰ期和Ⅱ期盆腔器官脱垂患者生活质量的疗效:一项初步研究。

Efficacy of biofeedback on quality of life in stages I and II pelvic organ prolapse: A Pilot study.

作者信息

Ahadi Tannaz, Taghvadoost Neda, Aminimoghaddam Soheila, Forogh Bijan, Bazazbehbahani Roxana, Raissi Gholam Reza

机构信息

Physical Medicine & Rehabilitation, Iran University of Medical Sciences, Firoozgar Hospital, Neuromuscular Research Center, Tehran, Iran.

Physical Medicine & Rehabilitation, Iran University of Medical Sciences, Firoozgar Hospital, Tehran, Iran.

出版信息

Eur J Obstet Gynecol Reprod Biol. 2017 Aug;215:241-246. doi: 10.1016/j.ejogrb.2017.06.023. Epub 2017 Jun 16.

Abstract

OBJECTIVES

Pelvic organ prolapse (POP) is a prevalent disorder which seriously affects the sufferer's quality of life. The main goal of this study was to evaluate biofeedback impact on quality of life in women with mild to moderate POP.

STUDY DESIGN

40 females in stages I and II POP were allocated into 2 groups. One group received pelvic floor muscle exercise and lifestyle advice in addition to biofeedback twice a week for 4 weeks, while the other received a lifestyle advice sheet and pelvic floor muscle exercise without biofeedback. A valid Persian version of P-QOL questionnaire was applied to assess the patients̕ quality of life at baseline, 4 weeks and 12 weeks follow up. Pressure biofeedback and Physical examination were also performed in order to determine pelvic floor muscle strength and staging of the prolapse, respectively. Collected data were analyzed by mixed ANOVA test using SPSS 22.

RESULTS

Biofeedback improved the quality of life in seven of nine P-QOL domains. However, it had no significant impact either on pelvic floor muscle strength or on the stage of the prolapse.

CONCLUSION

Biofeedback could be considered as a non-invasive treatment leading to quality of life promotion in women with stages I and II POP.

摘要

目的

盆腔器官脱垂(POP)是一种常见疾病,严重影响患者的生活质量。本研究的主要目的是评估生物反馈对轻至中度POP女性生活质量的影响。

研究设计

将40例处于I期和II期POP的女性分为两组。一组除了每周接受两次生物反馈治疗,持续4周外,还接受盆底肌肉锻炼和生活方式建议,而另一组只接受生活方式建议表和盆底肌肉锻炼,不接受生物反馈治疗。使用有效的波斯语版本的P-QOL问卷在基线、4周和12周随访时评估患者的生活质量。还分别进行压力生物反馈和体格检查,以确定盆底肌肉力量和脱垂分期。使用SPSS 22通过混合方差分析对收集的数据进行分析。

结果

生物反馈改善了九个P-QOL领域中的七个领域的生活质量。然而,它对盆底肌肉力量或脱垂分期均无显著影响。

结论

生物反馈可被视为一种非侵入性治疗方法,可提高I期和II期POP女性的生活质量。

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