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结合电动肌肉刺激和骨盆底功能障碍的自感训练:一个回顾性队列研究

Juan Li¹, Huihua Chen¹, Chen Gao¹

¹Department of Obstetrics and Gynaecology, Ningde Municipal Hospital of Ningde Normal University, Ningde, China.

Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology

|December 24, 2025

概括

结合盆地电动肌肉刺激 (EMS) 和亲感训练 (PT),可显著改善盆地功能和结构,在患有盆地功能障碍 (PFD) 的女性中. 这种联合治疗提供了一个非侵入性,有效的治疗选择,用于PFD恢复.

科学领域:

泌尿和妇科泌尿和妇科
物理疗法物理治疗
康复医学康复医学康复医学

背景情况:

盆地功能障碍 (PFD) 在产后妇女中很常见.
对于PFD的外科干预具有侵入性和复发的风险.
需要非侵入性治疗选择来恢复盆地功能和完整性.

研究的目的:

研究盆地电动肌肉刺激 (EMS) 结合自身感知训练 (PT) 对患有PFD的女性盆地功能和结构完整性的影响.
为了比较EMS和PT联合疗法与个人疗法和常规训练的疗效.

主要方法:

一项回顾性研究,涉及320名患有PFD的女性.
患者被分为四组:对照组,仅EMS组,仅PT组和EMS+PT组合组.
测量结果包括电肌图 (EMG) 值,肌纤维强度,PFDI-20分数,以及治疗前后的骨盆地超声参数.

主要成果:

与基线相比,所有治疗组都显示出明显的改善 (p < 0.001).
综合EMS+PT组在所有测量参数 (p < 0.0001) 上显示出优异的结果.
组合组表现出更高的EMG值和更好的结构修复,包括增加左肌 (LAM) 厚度和减少间隙面积.

结论:

盆地EMS与PT相结合是改善盆地功能和结构完整性的有效疗法.
这种综合方法在单个疗法上显示出显著的优势,并保证了临床应用.
这些发现支持传播这种用于PFD管理的联合疗法.

关键词:

这是PFDI-20的.骨盆地功能障碍骨盆地功能障碍电动肌肉刺激电动肌肉刺激亲感培训是指亲感培训.

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