产后早期盆底肌康复治疗近期疗效研究  

Study on short-term therapeutic effects of early rehabilitation therapy of pelvic muscles after delivery

作　　者：薛竹[1] 郑颖[1] 

机构地区：[1]重庆市第九人民医院妇产科,400700

出　　处：《中国误诊学杂志》2011年第32期7823-7825,共3页Chinese Journal of Misdiagnostics

摘　　要：目的评价盆底肌康复治疗对预防和治疗女性产后盆底损伤相关疾病的近期效果。方法在产后6～8周的产妇中随机选取阴道分娩和剖宫产产妇于产后7～10周开始行Kegel训练+生物反馈+电刺激为治疗组,以未治疗者为对照组,评价盆底肌肉康复治疗的近期疗效;同时行盆底结构功能障碍性疾病(pelvic floor dysfunction,PFD)临床问卷调查。结果行盆底肌康复治疗的产妇,治疗后的盆底综合肌力明显强于治疗前,也明显强于未治疗者;治疗后产妇压力性尿失禁(stress urinary incontinence,SUI)症状的发生率明显降低。结论盆底肌康复治疗能增强盆底肌肉的收缩能力,改善盆底功能受损症状,对预防和治疗产后早期轻、中度SUI疗效确切。Objectives To evaluate the short-term effect of early rehabilitation therapy of postpartum pelvic floor muscle.Methods To stochastically select the puerperas of spontaneous labor and uterine-incision delivery for the treatment of biofeedback electrical stimulation and kegel training with pelvic muscle exercises;control group was the puerperas who were not treated.Result The pelvic floor muscle strength of therapy group was significantly sronger than that in the not therapy group,and significantly sronger compared to before treatment.The women who had carried through postpartum pelvic floor muscle rehabilitation therapy,the incidence of SUI symptom was significantly descended.Conclusion Pelvic floor muscle rehabilitation therapy can increase the contractibility of pelvic floor muscle,improve the impaired symptom of pelvic floor function,efficaciously prevent and treat light degree and midrange SUI.

关 键 词：肌/生理学 骨盆/损伤 

分 类 号：R681.6[医药卫生—骨科学]