Department of Gynecology and Obstetrics, Shaanxi Provincial People's Hospital, Xian, China.
Medicine (Baltimore). 2024 Aug 23;103(34):e39321. doi: 10.1097/MD.0000000000039321.
To investigate the effects of health education combined with biofeedback electrical stimulation on maternal postpartum pelvic floor function and psychology. The clinical data of 80 patients with postpartum pelvic floor dysfunction (PFD) from May 2020 to May 2022 were selected as retrospective study subjects, and 40 cases were divided into the comparison group and the observation group according to the different intervention methods. Among them, the comparison group implemented biofeedback electrical stimulation and guidance, and the observation group implemented Greene health education and Kegel pelvic floor rehabilitation training intervention based on the comparison group. The differences in pelvic floor muscle strength, sexual quality of life, anxiety, and depression in the 2 groups with postpartum PFD were compared. Comparison of pelvic floor muscle strength: before the intervention (P > .05) and after the intervention, the anterior resting mean electromyography (EMG), slow muscle mean EMG, fast muscle maximum EMG, and mixed muscle mean EMG values of patients in the observation group were higher than those in the comparison group, and the posterior resting mean EMG values were lower than those in the comparison group (P < .05). There was no statistically significant difference in the Hospital Anxiety and Depression Scale (HADS) scores and anxiety and depression subscale scores between the 2 groups of patients before intervention (P > .05). After the intervention, the HADS scores and anxiety and depression subscale scores were lower than those before the intervention in both groups, and the differences were statistically significant in the intervention group than in the comparison group (P < .05). There was no statistically significant difference between The Chinese Female Sexual Life Quality Questionnaire scores of both groups before the intervention (P > .05). Sexual desire, vaginal lubrication, sexual arousal, sexual satisfaction, orgasm, and painful intercourse improved in both groups after the intervention, and the scores in the intervention group were higher than those in the comparison group (P < .05). Health education combined with biofeedback electrical stimulation can effectively improve the quality of patients' sexual life, improve the pelvic floor muscle strength of patients with postpartum PFD, enhance patients' confidence, reduce patients' anxiety and depression, and effectively improve patients' psychological status.
探讨健康教育联合生物反馈电刺激对产后盆底功能及心理的影响。选取 2020 年 5 月至 2022 年 5 月收治的 80 例产后盆底功能障碍（PFD）患者的临床资料进行回顾性研究，根据不同的干预方法分为对照组和观察组各 40 例。其中对照组实施生物反馈电刺激及指导，观察组在对照组基础上实施 Greene 健康教育及 Kegel 盆底康复训练干预。比较 2 组产后 PFD 患者的盆底肌肌力、生活质量、焦虑、抑郁的差异。盆底肌肌力比较：干预前（P>.05）及干预后，观察组患者前静息平均肌电（EMG）、慢肌平均 EMG、快肌最大 EMG、混合肌平均 EMG 均高于对照组，后静息平均 EMG 低于对照组（P<.05）。2 组患者干预前汉密尔顿焦虑量表（HADS）评分及焦虑、抑郁亚量表评分比较，差异无统计学意义（P>.05）。干预后 2 组 HADS 评分及焦虑、抑郁亚量表评分均低于干预前，且观察组均低于对照组（P<.05）。2 组患者干预前中国女性性功能量表（CFSFQ）评分比较，差异无统计学意义（P>.05）。干预后 2 组性欲、阴道润滑、性唤起、性高潮、性交痛均较干预前改善，且观察组评分均高于对照组（P<.05）。健康教育联合生物反馈电刺激能有效提高患者性生活质量，改善产后 PFD 患者盆底肌肌力，增强患者信心，减轻患者焦虑、抑郁，有效改善患者心理状态。
