Physical therapeutic factors in stage medical rehabilitation of puerperas with perineal wounds after fetal vacuum extraction
Keywords:
low-intensity magnetic laser radiation, extracorporeal magnetic stimulation, postpartum women, perineal wounds, fetal vacuum extractionAbstract
Objective: to assess the role of physical therapeutic factors in the staged medical rehabilitation of puerperas with perineal wounds after fetal vacuum extraction. Materials and Methods. A comparative analysis of the postpartum period was carried out in 154 puerperas with perineal injuries after fetal vacuum extraction. Three groups were formed by simple randomization: patients in the control group (54 women) received standard treatment only; the experimental group (51 women) received standard treatment and low-intensity magnetic laser therapy (LLLT); the main group (49 women) underwent additional extracorporeal magnetic stimulation. Results. Staged physiotherapy provided an increase in the strength of the pelvic floor muscles in patients of the main group by 47.9% (p<0.01), experimental group - by 36.2% (p<0.01), and control - by 24.4% (p <0.05); a decrease in the number of postoperative complications was by 6.5, 4.6, and 2.63 times, respectively. Summary. The use of staged physiotherapy in puerperas with perineal wounds after delivery operations provides a statistically significant improvement in clinical and functional parameters in comparison with the use of only standard treatment and its combination with NMLT.
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