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| The effect of pelvic exercise combined with pelvic floor electrical stimulation for treating patients with postpartum pelvic floor dysfunction and the analysis the recovery of sexual function of patients |
| Shanghai Changning District Maternal and Child Health Care Hospital, Shanghai, 200051 |
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Abstract Objective: To investigate the effect of pelvic exercise combined with pelvic floor electrical stimulation for treating postpartum pelvic floor dysfunction. Methods: 300 patients with pelvic floor dysfunction admitted to Shanghai Changning district maternal and child health care hospital from September 2016 to February 2018 were randomly divided into two groups. The patients in observation group (150 cases) were treated by pelvic exercise combined with pelvic floor electrical stimulation for 6 weeks, and the patients in control group (150 cases) were treated by pelvic exercise for 6 weeks. The electrophysiological indexes of pelvic floor of patients were measured before and after treatment, and the degree of pelvic organ prolapse and the quality of sexual life were evaluated by POP-Q and PISQ-12. Results: After treatment, the pelvic floor muscle strength, myoelectricity, fatigue, POP-Q index, and sexual life quality were significantly improved. Compared with those of patients in control group, the proportion of patients with pelvic floor 3 to 5 muscle strength in observation group after treatment was significant increased (80.7% VS. 68.0%, P<0.05). The average potential of type I and type II muscle fibers of patients in observation group were significant higher than those of patients in control group (18.02±2.55μv VS. 21.05±6.51μv, 13.25±1.97μv VS. 18.05±2.57μv, P< 0.05). The fatigue degree of type I and type II muscle fibers of patients in observation group were significant lower than those of patients in control group (4.02±0.55%/s VS. 4.26±0.49%/s, 6.33±1.02%/s VS. 6.59±1.02%/s, P<0.05). The proportion of patients with 0 degree of POP-Q indexing of patients in observation group was significant higher than that of patients in control group (86. 0% VS. 64.0%, P<0.05). There was no significant different in the PISQ-12 score between the two groups (31.5±17.7 points VS. 32.8±12.9 points, P>0.05). Conclusion: Pelvic exercise combined with pelvic floor muscle stimulation can significantly improve the pelvic floor muscle strength of patients with pelvic floor dysfunction, can reduce the degree of pelvic organ prolapse, and can improve the quality of sexual life.
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