Curative effect of hydrogen peroxide combined with silver ion disinfection on pelvic floor dysfunction

Abstract

BACKGROUND

Pelvic floor dysfunction (PFD) is related to muscle fiber tearing during childbirth, negatively impacting postpartum quality of life of parturient. Appropriate and effective intervention is necessary to promote PFD recovery.

AIM

To analyze the use of hydrogen peroxide and silver ion disinfection for vaginal electrodes in conjunction with comprehensive rehabilitation therapy for postpartum women with PFD.

METHODS

A total of 59 women with PFD who were admitted to the hospital from May 2019 to July 2022 were divided into two groups: Control group (n = 27) received comprehensive rehabilitation therapy and observation group (n = 32) received intervention with pelvic floor biostimulation feedback instrument in addition to comprehensive rehabilitation therapy. The vaginal electrodes were disinfected with hydrogen peroxide and silver ion before treatment. Intervention for both groups was started 6 weeks postpartum, and rehabilitation lasted for 3 months. Pelvic floor muscle voltage, pelvic floor muscle strength, vaginal muscle voltage, vaginal muscle tone, pelvic floor function, quality of life, and incidence of postpartum PFD were compared between the two groups.

RESULTS

Before comprehensive rehabilitation treatment, basic data and pelvic floor function were not significantly different between the two groups. After treatment, the observation group showed significant improvements in the maximum voltage and average voltage of pelvic floor muscles, contraction time of type I and type II fibers, pelvic floor muscle strength, vaginal muscle tone, vaginal muscle voltage, and quality of life (GQOLI-74 reports), compared with the control group. The observation group had lower scores on the pelvic floor distress inventory (PFDI-20) and a lower incidence of postpartum PFD, indicating the effectiveness of the pelvic floor biostimulation feedback instrument in promoting the recovery of maternal pelvic floor function.

CONCLUSION

The combination of the pelvic floor biostimulation feedback instrument and comprehensive rehabilitation nursing can improve pelvic floor muscle strength, promote the recovery of vaginal muscle tone, and improve pelvic floor function and quality of life. The use of hydrogen peroxide and silver ion disinfectant demonstrated favorable antibacterial efficacy and is worthy of clinical application.

Keywords: Pelvic floor biostimulation feedback instrument; Comprehensive rehabilitation therapy; Postpartum pelvic floor dysfunction; Vaginal electrode; Disinfection with hydrogen peroxide and silver ion; Nanocolloidal silver

Core Tip: Pelvic floor dysfunction (PFD), a common disease in obstetrics and gynecology, is closely related to pregnancy and childbirth. PFD can significantly affect postpartum quality of life. This study compared the clinical effect of pelvic floor biostimulation feedback instrument intervention in patients with PFD based on comprehensive rehabilitation therapy and simple comprehensive rehabilitation treatment. The findings revealed the clinical advantages of pelvic floor biostimulation feedback instrument intervention from the perspectives of pelvic floor muscle voltage and strength, vaginal muscle voltage and tone, pelvic floor function, quality of life, and postpartum PFD incidence. Intervention with the pelvic floor biostimulation feedback instrument is a better choice for improving pelvic floor function and quality of life in patients with PFD.