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魏梦琰,刘冬霞,董延华,高桂香,于航,王鲁文▲.磁刺激联合电刺激生物反馈对盆底功能障碍的疗效及预后因素分析[J].中国医药科学,2023,(1):119-122        基金项目:
磁刺激联合电刺激生物反馈对盆底功能障碍的疗效及预后因素分析
Analysis on the efficacy of magnetic stimulation plus electrical stimulation biofeedback on pelvic floor dysfunction and the prognosis-associated factors
  
DOI:
中文关键词:  盆底功能障碍;磁电联合;康复治疗;预后分析
英文关键词:Pelvic floor dysfunction; Combined magnetic and electrical rehabilitation therapy; Rehabilitation therapy; Prognosis analysis
作者单位
魏梦琰,刘冬霞,董延华,高桂香,于航,王鲁文▲ 郑州大学第三附属医院妇产科,河南郑州 450052 
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中文摘要:
      [摘要] 目的 探究磁刺激联合电刺激生物反馈对盆底功能障碍(PFD)的疗效及影响康复预后的危险因素分析。 方法 选取郑州大学第三附属医院2019年6月至2021年12月PFD患者260例,均接受磁电联合康复治疗,观察治疗后盆底肌力、盆腔器官脱垂和尿失禁的改善情况。根据康复情况分为康复良好组和康复不佳组,对康复影响因素进行logistic回归分析。 结果 治疗后盆底肌力(≥Ⅲ级)由治疗前的7例(2.69%)增加至218例(83.85%),0度脱垂由治疗前的55例(21.15%)增加至151例(58.08%),压力性尿失禁患者由治疗前的167例(64.23%)减低至79例(30.38%),治疗后国际尿失禁咨询委员会生活质量问卷(I-QOL)评分较治疗前增高,差异均有统计学意义(P < 0.05)。单因素分析结果显示,年龄、体重指数(BMI)、家庭年收入、学历、是否合并糖尿病、盆底肌肉锻炼(PFMT)为影响康复治疗效果的主要因素,差异有统计学意义(P < 0.05),病程、家庭支持、便秘与康复治疗PFD的预后无关,差异无统计学意义(P > 0.05);多因素logistic回归分析结果显示,年龄、BMI、家庭年收入和PFMT锻炼频率均为影响PFD预后的独立危险因素(P < 0.05)。 结论 磁刺激联合电刺激生物反馈治疗PFD有显著效果,其治疗的预后受年龄、BMI、家庭年收入及PFMT锻炼影响。提示医生在临床上要根据患者情况及时宣教及进行个体化治疗,改善患者的治疗结局维持长期疗效。
英文摘要:
      [Abstract] Objective To investigate the efficacy of magnetic stimulation plus electrical stimulation biofeedback on pelvic floor dysfunction (PFD), and to analyze the risk factors affecting the prognosis. Methods A total of 260 patients with PFD treated with combined magnetic and electrical rehabilitation therapy at the Third Affiliated Hospital of Zhengzhou University from June 2019 to December 2021 were selected as the study subjects. The improvements in pelvic muscle strength, pelvic organ prolapse and urinary incontinence after treatment were observed. These patients were divided into a group with good rehabilitation and a group with poor rehabilitation according to the rehabilitation status, and the factors affecting the rehabilitation were analyzed by logistic regression analysis. Results After treatment, the number of patients with pelvic muscle strength≥ gradeⅢ increased from 7 (2.69%) to 218 (83.85%), and 0 degree prolapse increased from 55 cases (21.15%) to 151 cases (58.08%). Meanwhile, after treatment, the number of patients with stress urinary incontinence decreased from 167 (64.23%) to 79 (30.38%), and the scores of the Incontinence quality of life (I-QOL) questionnaire were higher than those before treatment, all with statistically significant differences (P < 0.05). Univariate analysis showed that age, body mass index (BMI), annual household income, education level, the presence or absence of concurrent diabetes, as well as pelvic floor muscle training (PFMT) were the main factors affecting the rehabilitation of PFD, with statistically significant differences (P < 0.05). While disease course, support from families, constipation, were not related to the prognosis of rehabilitation treatment for PFD, with no statistically significant differences (P > 0.05). Multivariate logistic regression analysis showed that age, BMI, annual household income and frequency of PFMT exercise were all independent risk factors affecting the prognosis of PFD (P < 0.05). Conclusion Magnetic stimulation plus electrical stimulation biofeedback is significantly effective in the treatment of PFD, and the prognosis is affected by age, BMI, annual household income and PFMT exercise. Physicians are recommended to promptly educate patients and provide individualized treatment according to patients’ conditions in clinical practice, so as to improve the treatment outcome and maintain long-term efficacy.
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