临床研究

磁电刺激、智慧化运动处方联合新型矩阵射频治疗盆腔器官脱垂的疗效

  • 刘雪梅 ,
  • 邓凯贤 ,
  • 梁建好 ,
  • 梁燕秋 ,
  • 何春英 ,
  • 陈翠玲 ,
  • 曾庆 ,
  • 黄国志
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  • 1.南方医科大学珠江医院,康复医学中心,(广东 广州 510280 )
    2.南方医科大学珠江医院,运动与康复研究所,(广东 广州 510280 )
    2.南方医科大学康复医学院 (广东 广州 510280 )
    3.南方医科大学第八附属医院(佛山市顺德区第一人民医院)妇科盆底康复中心 (广东 佛山 528308 )
    5.广东省脑功能检测与神经调控康复工程技术研究中心 (广东 广州 510280 )

收稿日期: 2025-07-24

  网络出版日期: 2025-11-05

基金资助

广东省自然科学基金面上项目(2025A1515012782);广东省卫生健康适宜技术推广项目(202206262115105727);佛山市科技计划项目(2220001004855)

Efficacy of combined magnetic‑electrical stimulation, intelligent exercise prescription, and novel matrix radiofrequency therapy in the treatment of pelvic organ prolapse

  • Xuemei LIU ,
  • Kaixian DENG ,
  • Jianhao LIANG ,
  • Yanqiu LIANG ,
  • Chunying HE ,
  • Cuiling CHEN ,
  • Qing ZENG ,
  • Guozhi. HUANG
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  • *.Department of Rehabilitation Medicine,Zhujiang Hospital,Southern Medical University,Guangzhou 510280,Guangdong,China
    *.School of Rehabilitation Sciences,Southern Medical University,Guangzhou 510280,Guangdong,China
    *.Center of Pelvic Floor Rehabilitation of Gynecological,the Eighth Affiliated Hospital of Southern Medical University,the First People′s Hospital of Shunde,Foshan 528308,Guangdong,ChinaCorrespounding auther: HUANG Guozhi E?mail: drhuang66@163. com

Received date: 2025-07-24

  Online published: 2025-11-05

摘要

目的 研究磁电刺激联合“智慧化运动处方”及新型矩阵射频疗法在盆腔器官脱垂(pelvic organ prolapse, POP)患者中的治疗效果。 方法 回顾性收集2022年10月至2025年7月期间在南方医科大学第八附属医院妇科盆底康复中心接受治疗的POP患者158例,根据治疗方案分为观察组(n = 64)与对照组(n = 94)。对照组接受磁电刺激及“智慧化运动处方”治疗,电刺激治疗10次,磁刺激治疗5次,“智慧化运动处方”居家运动训练每天15 ~ 20 min;观察组在此基础上联合应用新型矩阵射频治疗4次。比较两组患者在接受治疗前后盆底肌(Ⅰ类、Ⅱ类肌纤维)的肌力分级及Glazer表面肌电位值,并结合POP定量分期(POP-Q)分度进行分析。 结果 治疗后,无论Ⅰ类还是Ⅱ类肌纤维,两组患者的肌力分级均较各自治疗前显著提高(均P < 0.05),且观察组的Ⅰ类肌纤维肌力分级高于对照组(P < 0.05)。观察组在快速收缩、紧张收缩和耐力收缩阶段的肌电位值较治疗前降低显著升高,前静息阶段肌电位值较治疗前降低显著降低(P < 0.05),观察组患者阴道前壁、子宫和阴道后壁POP-Q分度均较治疗前降低(P < 0.05),但观察组和对照组两组患者组间比较差异无统计学意义(P > 0.05)。观察组和对照组依从性均较高(均≥ 75.0%),但两组的差异无统计学意义(P > 0.05)。观察组的治疗费用较对照组显著增高(P < 0.05)。 结论 磁电刺激、“智慧化运动处方”联合新型矩阵射频治疗较治疗前能在短期内提高盆底肌肌力和肌电位值,改善阴道前壁、子宫和阴道后壁膨出情况。磁电刺激、“智慧化运动处方”联合新型矩阵射频治疗比磁电刺激联合“智慧化运动处方”治疗更能提高盆底Ⅰ类肌纤维肌力,但伴随较高经济负担,临床应用仍需结合患者功能需求与经济条件综合权衡。

本文引用格式

刘雪梅 , 邓凯贤 , 梁建好 , 梁燕秋 , 何春英 , 陈翠玲 , 曾庆 , 黄国志 . 磁电刺激、智慧化运动处方联合新型矩阵射频治疗盆腔器官脱垂的疗效[J]. 实用医学杂志, 2025 , 41(20) : 3198 -3205 . DOI: 10.3969/j.issn.1006-5725.2025.20.008

Abstract

Objective To investigate the therapeutic effects of combined magnetic and electrical stimulation with an "intelligent exercise prescription" and novel matrix radiofrequency therapy in patients with pelvic organ prolapse (POP). Methods A total of 158 patients with POP who received treatment at the Gynecological Pelvic Floor Rehabilitation Center of the Eighth Affiliated Hospital of Southern Medical University between October 2022 and July 2025 were retrospectively enrolled and divided into an observation group (n = 64) and a control group (n = 94) based on their treatment plans. The control group underwent magnetic and electrical stimulation combined with an "intelligent exercise prescription" regimen. Specifically, patients received 10 sessions of electrical stimulation, 5 sessions of magnetic stimulation, and performed 15 ~ 20 minutes of daily home exercise training guided by the "intelligent exercise prescription." The observation group received, in addition to the aforementioned treatments, four sessions of novel matrix radiofrequency therapy. Changes in the muscle strength grades of type Ⅰ and type Ⅱ pelvic floor muscles, Glazer surface electromyography (EMG) values, and POP-Q staging were compared between the two groups before and after treatment. Results After treatment, both groups demonstrated significant improvements in type Ⅰ and type Ⅱ muscle fiber strength compared to baseline (all P < 0.05), with the observation group showing greater improvement in type Ⅰ muscle fiber strength than the control group (P < 0.05). The muscle potential values of the observation group during rapid contraction, tense contraction, and endurance contraction stages were markedly increased compared to pre-treatment levels. Moreover, the muscle potential values during the pre-resting stage were significantly reduced after treatment (P < 0.05). In the observation group, POP-Q grades of the anterior vaginal wall, uterus, and posterior vaginal wall were all significantly lower post-treatment than pre-treatment (all P < 0.05). However, no statistically significant differences were observed between the observation group and the control group in these parameters (P > 0.05). Both groups exhibited relatively high compliance rates (both ≥75.0%), with no significant difference between them (P > 0.05). The treatment cost for the observation group was significantly higher than that for the control group (P < 0.05). Conclusions The combination of magneto-electrical stimulation, an "intelligent exercise prescription," and novel matrix radiofrequency therapy can significantly improve pelvic floor muscle strength and muscle potential values in the short term, compared to pre-treatment levels. This integrated approach also effectively alleviates the prolapse of the anterior vaginal wall, uterus, and posterior vaginal wall. Furthermore, the combination of magnetic and electrical stimulation, "intelligent exercise prescription," and matrix radiofrequency therapy demonstrates superior efficacy in enhancing type Ⅰ pelvic floor muscle fiber strength when compared to the combination of magnetic and electrical stimulation with "intelligent exercise prescription" alone. However, this treatment protocol entails a relatively high economic burden, and its clinical application should be carefully evaluated in consideration of patients’ functional needs and financial conditions.

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