本文選題：盆腔器官脫垂　切入點(diǎn)：盆底肌康復(fù)　出處：《中國(guó)實(shí)用婦科與產(chǎn)科雜志》2017年05期 　論文類型：期刊論文

【摘要】：目的探討仿生物電刺激技術(shù)、生物反饋及Kegel鍛煉等康復(fù)技術(shù)對(duì)盆底肌肉功能恢復(fù)及改善盆腔營(yíng)養(yǎng)的作用及其對(duì)復(fù)雜性外陰陰道假絲酵母菌病(RVVC)和復(fù)發(fā)性細(xì)菌性陰道病(RBV)的治療效果。方法選擇2014年1月至2015年7月淮安市婦幼保健院121例RVVC和RBV病例,隨機(jī)分為對(duì)照組和觀察組。對(duì)照組,RVVC:咪康唑栓劑陰道給藥,1粒/晚,共7~14 d,首次口服氟康唑150 mg,72 h加服1次;維持治療藥物:克霉唑栓劑或氟康唑1次/周,連用6個(gè)月或者伊曲康唑400 mg,1次/月或100 mg,1次/周,共6個(gè)月;根據(jù)檢查結(jié)果選擇其中1種。RBV:甲硝唑、替硝唑或克林霉素口服,甲硝唑栓陰道用藥,每晚1次,或2%克林霉素軟膏涂擦,共7 d。觀察組在陰道炎癥非急性期給予盆底仿生物電刺激、生物反饋和Kegel鍛煉。觀察經(jīng)盆底康復(fù)治療1年內(nèi)陰道炎復(fù)發(fā)的情況。結(jié)果盆底肌功能治療前Ⅰ類肌肌力4、5級(jí)者4例,Ⅱ類肌肌力4、5級(jí)者8例;治療后Ⅰ類肌肌力達(dá)4、5級(jí)者59例,Ⅱ類肌肌力達(dá)4、5級(jí)者60例(P0.001);治療前陰道前壁脫垂53例,治療后陰道前壁脫垂49例(P=0.328),治療前陰道后壁脫垂25例,治療后陰道前壁脫垂11例(P=0.005),治療前子宮脫垂14例,治療后子宮脫垂2例(P=0.002);與單純藥物治療相比較盆底康復(fù)治療后隨訪1年陰道炎復(fù)發(fā)率顯著降低,61例陰道炎患者,治療后只有2例復(fù)發(fā)(P0.05)。結(jié)論盆底康復(fù)治療明顯提高盆底功能,顯著恢復(fù)妊娠和分娩對(duì)陰道結(jié)構(gòu)造成的松弛和脫垂。與單純藥物治療相比,盆底康復(fù)治療明顯降低RVVC和RBV復(fù)發(fā)率。
[Abstract]:Objective to explore the technique of bioelectric stimulation, Effects of biofeedback and Kegel exercise on the recovery of pelvic floor muscle function and improvement of pelvic nutrition and its therapeutic effect on complex vulvovaginal candidiasis and recurrent bacterial vaginosis. From January 2014 to July 2015, there were 121 cases of RVVC and RBV in Huaian Maternal and Child Health Hospital. The control group was randomly divided into control group and observation group. The control group RVVC: miconazole suppository vaginal administration 1 capsule per night, a total of 7 days, the first oral fluconazole 150 mg / 72 h plus once a week, maintain the treatment drug: clotrimazole suppository or fluconazole once a week, the first time oral fluconazole 150 mg / 72 h, maintenance drug: clotrimazole suppository or fluconazole once a week, One type of RBV was selected according to the examination results: metronidazole, tinidazole or clindamycin, metronidazole, tinidazole or clindamycin, metronidazole suppository vaginal medication once a night, Or 2% clindamycin ointment for 7 days. Biofeedback and Kegel exercise. The recurrence of vaginitis within one year after pelvic floor rehabilitation was observed. Results before pelvic floor function therapy, there were 4 cases of class 鈪，

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