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| The effect of pelvic floor rehabilitation training combined with bioelectrical stimulation for treating parturients with pelvic floor dysfunction after different delivery modes |
| The First Hospital of Wuhan City, Hubei Province, 430022 |
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Abstract To observe the effect of pelvic floor rehabilitation training combined with bioelectrical stimulation for treating parturients with pelvic floor dysfunction after different delivery modes. Methods: From September 2016 to May 2018, 206 parturients with pelvic floor dysfunction were divided into group A1 (n=54, underwent vaginal delivery and pelvic floor rehabilitation training), group A2 (n=50,underwent vaginal delivery and pelvic floor rehabilitation training combined with bioelectrical stimulation), group B1 (n=50, underwent cesarean section and pelvic floor rehabilitation training), and group B2 (n=52, underwent cesarean section and pelvic floor rehabilitation training combined with bioelectrical stimulation) according to different delivery modes and treatment method. The clinical efficacy of parturients was compared among the four groups. Results: After treatment, the total effective rate of parturients in group A2 and group B2 was significant higher than that of parturients in group A1 and group B1 (P<0.05). The total electromyographic value, class I and class II muscle fiber electromyographic values, and class II muscle fiber fatigue degrees of all parturients were significant better than those of parturients before treatment (P<0.05), and those of parturients in group A2 were the best (P<0.05), but there was no significant difference in class II muscle fiber fatigue degrees of parturients between before and after treatment (P>0.05). The vaginal rest pressure and systolic blood pressure of parturients in group A1 and group A2 were significant lower than those of parturients in group B1 and group B2 (P<0.05),and and those of parturients in group A2 were the lowest (P<0.05). Conclusion: The pelvic floor dysfunction degree of parturients underwent vaginal delivery is worse than that of parturients underwent cesarean section women. The pelvic floor rehabilitation training combined with bioelectrical stimulation for the treating parturients with pelvic floor dysfunction after different delivery modes is better than that of parturients treated by pelvic floor rehabilitation training alone. Moreover, after treatment, the situation of parturients underwent vaginal delivery is better than that of parturients underwent cesarean section.
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