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Pelvic Floor Myofascial Manipulation Combined with Pelvic Floor Muscle Electrical Stimulation in Patients with Postpartum Mild Uterine Prolapse |
WANG Hui, CHEN Suhui, BO Xueping, et al |
The First Affiliated Hospital of University of Science and Technology of China / Anhui Provincial Hospital, Anhui Hefei 230036, China |
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Abstract Objective: To explore the clinical effect of pelvic floor myofascial manipulation combined with pelvic floor muscle electrical stimulation on patients with postpartum mild uterine prolapse. Methods: Totally 102 patients with mild postpartum uterine prolapse seen in our hospital from June 2023 to June 2024 were retrospectively selected and divided into two groups according to the different intervention programmes adopted, 51 cases in the control group received pelvic floor electromyographic stimulation treatment, and 51 cases in the combined group received combined pelvic floor myofascial manipulation treatment. The two groups were compared in terms of the degree of pelvic organ prolapse quantitative staging method (POP-Q), the pelvic floor surface electromyographicGlazer score, clinical efficacy, pain level [Visual Analogue Scoring (VAS)] score, adverse reactions, and long-term efficacy [results of pelvic floor muscle strength grading assessment]. Results: After the treatment, the degree of grade II in the POP-Q of the combined group was lower than that of the control group (P<0.05). The changes of pre-resting score, post-resting score and VAS score before and after treatment in the combined group with (9.40±1.22) points, (7.62±1.52) points and (1.98±0.34) points were higher compared with (4.20±0.76) points, (2.22±0.61) points and (0.67±0.15) points in the control group (P<0.05). After treatment, the total effective rate of the combined group was 92.16% higher than that of the control group at 76.47% (P<0.05). There was no statistically significant difference in the incidence of adverse reactions between the two groups (P>0.05). After a 6-month follow-up, the pelvic floor muscle strength grading assessment grade 5 in the combined group was higher than that in the control group (P<0.05). Conclusion: Combination of pelvic floor myofascial manipulation on the basis of pelvic floor muscle electrical stimulation can enhance the pelvic floor muscle strength of patients with mild uterine prolapse and improve the degree of uterine prolapse. It has a certain effect on relieving pain and has significant efficacy.
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