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目的探讨电刺激与生物反馈联合治疗产后早期盆底肌松弛的疗效及影响因素。方法选取2011年2月至2012年2月福建省妇幼保健院产后42d就诊的产妇,将盆底肌力差(3级以下)者随机抽取100例,给予电刺激联合生物反馈综合治疗1疗程。观察治疗有效和无效组产妇的肌力、年龄、孕产次、分娩方式、新生儿体重及产妇体重等指数等。结果治疗有效者73例,治疗有效率73.0%。无效组27例其经产妇构成、年龄、体质指数、新生儿体重均比有效组高,差异有统计学意义。结论电刺激联合生物反馈治疗能改善产妇产后盆底肌力。经产妇、年龄较大、肥胖及新生儿较大者疗效欠佳,建议做2～3疗程治疗以改善状况。
Objective To investigate the efficacy and influencing factors of electrical stimulation combined with biofeedback in the treatment of postpartum pelvic floor muscle relaxation. Methods From February 2011 to February 2012, 42 cases of postpartum maternal mothers in Fujian Provincial Maternal and Child Health Hospital were enrolled. 100 cases of poor pelvic floor muscle strength (less than grade 3) were randomly selected and given a combination of electrical stimulation and biofeedback therapy. Observe the treatment of effective and ineffective group maternal muscle strength, age, parity, mode of delivery, birth weight and maternal body weight index. The results of the treatment of 73 cases, the effective rate of 73.0%. The invalid group of 27 cases of maternal composition, age, body mass index, newborn weight were higher than the effective group, the difference was statistically significant. Conclusion Electrical stimulation and biofeedback therapy can improve postpartum pelvic floor muscle strength. The maternal, older, obese and neonates greater efficacy of poor, it is recommended to do 2 to 3 courses of treatment to improve the condition.