Fulian Zhong1, Wenbin Miao1, Zhixia Yu1, Lu Hong1, Ni'na Deng1. 1. The First Department of Gynecology, Shenzhen Hospital, University of Chinese Academy of Sciences (Guangming) Shenzhen, Guangdong Province, China.
Abstract
OBJECTIVE: To investigate the clinical effect of electrical stimulation biofeedback therapy combined with pelvic floor functional exercise on postpartum pelvic organ prolapse. METHODS:One hundred and four patients with postpartum pelvic organ prolapse were randomly divided into two groups. There were 52 patients in the control group who were given pelvic floor function exercise. Another 52 patients in the study group were given electrical stimulation biofeedback therapy combined with pelvic floor functional exercises. The clinical efficacy, pelvic floor pressure (contraction pressure, resting pressure, contraction duration), improvement of pelvic floor prolapse, pelvic floor surface muscle potential, quality of sex life and quality of life (PFIQ-7 score and PFDI-20 score) were compared between the two groups. RESULTS: After the therapy, the total effective rate of the study group was higher than that of the control group (P<0.05). The contraction pressure, resting pressure and vaginal contraction duration of the two groups all increased, and the indexes of the study group were higher than those of the control group (P<0.05). The pelvic floor prolapse degree of the two groups tended to be 0 degrees and I light, and the improvement of the study group was better than that of the control group (P<0.05). The average and maximum average values of the resting stage, endurance test stage and re-resting stage of the two groups all increased, and the fast muscle contraction time, fast muscle relaxation time and variability value all decreased, and the improvement of the study group was better than that of the control group (P<0.05). The scores of sexual satisfaction, sexual anxiety, sexual communication, sexual reaction, sexual attitude and sexual body image of the two groups all increased, and the scores of the study group were higher than those of the control group (P<0.05). The scores of PFIQ-7 and PFDI-20 in the two groups all decreased, and the scores of the study group were lower than those of the control group (P<0.05). CONCLUSION:Electrical stimulation biofeedback therapy combined with pelvic floor functional exercise has a noticeable curative effect and can significantly alleviate pelvic floor prolapse and improve the sex life and quality of life of patients. AJTR
RCT Entities:
OBJECTIVE: To investigate the clinical effect of electrical stimulation biofeedback therapy combined with pelvic floor functional exercise on postpartum pelvic organ prolapse. METHODS: One hundred and four patients with postpartum pelvic organ prolapse were randomly divided into two groups. There were 52 patients in the control group who were given pelvic floor function exercise. Another 52 patients in the study group were given electrical stimulation biofeedback therapy combined with pelvic floor functional exercises. The clinical efficacy, pelvic floor pressure (contraction pressure, resting pressure, contraction duration), improvement of pelvic floor prolapse, pelvic floor surface muscle potential, quality of sex life and quality of life (PFIQ-7 score and PFDI-20 score) were compared between the two groups. RESULTS: After the therapy, the total effective rate of the study group was higher than that of the control group (P<0.05). The contraction pressure, resting pressure and vaginal contraction duration of the two groups all increased, and the indexes of the study group were higher than those of the control group (P<0.05). The pelvic floor prolapse degree of the two groups tended to be 0 degrees and I light, and the improvement of the study group was better than that of the control group (P<0.05). The average and maximum average values of the resting stage, endurance test stage and re-resting stage of the two groups all increased, and the fast muscle contraction time, fast muscle relaxation time and variability value all decreased, and the improvement of the study group was better than that of the control group (P<0.05). The scores of sexual satisfaction, sexual anxiety, sexual communication, sexual reaction, sexual attitude and sexual body image of the two groups all increased, and the scores of the study group were higher than those of the control group (P<0.05). The scores of PFIQ-7 and PFDI-20 in the two groups all decreased, and the scores of the study group were lower than those of the control group (P<0.05). CONCLUSION: Electrical stimulation biofeedback therapy combined with pelvic floor functional exercise has a noticeable curative effect and can significantly alleviate pelvic floor prolapse and improve the sex life and quality of life of patients. AJTR
Keywords:
Postpartum pelvic organ prolapse; electrical stimulation biofeedback; pelvic floor functional exercise; pelvic floor pressure; quality of life; quality of sex life
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