核心肌群稳定性训练联合生物反馈在早期宫颈癌根治术后患者盆底康复中的应用

目的探讨核心肌群稳定性训练联合生物反馈在早期宫颈癌根治术后患者盆底康复中的应用效果。方法采用便利抽样法,于2018年8月—2021年7月选取在南京大学医学院附属鼓楼医院接受妇科手术治疗的宫颈癌患者130例为研究对象。按照随机数字表法将患者分为试验组和对照组,各65例。对照组采用常规康复护理措施,试验组采取核心肌群稳定性训练联合生物反馈的康复护理措施,比较两组患者盆底电生理功能、盆底功能障碍患者生活质量量表(PFDI-20)、盆底功能障碍问卷(PFIQ-7)评分。结果干预后试验组患者各项盆底肌电值均高于对照组,Ⅰ、Ⅱ类肌纤维疲劳值均低于对照组,差异有统计学意义(P<0.01)。干预后试验组患者PFDI-20、PFIQ-7评分均低于对照组,差异有统计学意义(P<0.01)。结论采取核心肌群稳定性训练联合生物反馈对早期宫颈癌根治术后盆底康复的疗效较好,值得临床推广使用。

Effect of core muscle stability exercise combined with biofeedback in pelvic floor rehabilitation of patients after radical resection of early cervical cancer

Objective To explore the effect of core muscle stability exercise combined with biofeedback in the pelvic floor rehabilitation of patients after radical resection of early cervical cancer.Methods From August 2018 to July 2021,convenience sampling was used to select 130 patients with cervical cancer who received gynecological surgery in the Nanjing Drum Tower Hospital,the Affiliated Hospital of Nanjing University Medical School as the research object.According to the random number table method,the patients were divided into the experimental group and the control group,65 cases in each group.The control group conducted the conventional rehabilitation nursing,and the experimental group carried out rehabilitation nursing of core muscle stability exercise combined with biofeedback.The pelvic floor electrophysiological function,Pelvic Floor Distress Inventory-20(PFDI-20),and the Pelvic Floor Impact Questionnaire-7(PFIQ-7)scores were compared between the two groups.Results After the intervention,the values of the pelvic floor electromyography of the experimental group were higher than those of the control group,and the fatigue values of typeⅠandⅡmuscle fibers were lower than those of the control group,and the differences were statistically significant(P<0.01).After intervention,the scores of PFDI-20 and PFIQ-7 in the experimental group were lower than those in the control group,and the differences were statistically significant(P<0.01).Conclusions Core muscle stability exercise combined with biofeedback has a good effect on pelvic floor rehabilitation after radical resection of early cervical cancer,and it is worthy of clinical application.