分娩方式对盆底自主收缩肌肉力量影响与盆底肌力训练作用的探究  

Mode of Delivery Affect Voluntary Contraction of the Pelvic Floor Muscle Strength and Pelvic Floor Muscle Training Role to Explore

作　　者：王炎[1] 董永瑞[1] 于江[1] 于锦玉[1] 吴燕萍[1] 

机构地区：[1]广西桂林中国人民解放军第181医院妇幼中心,广西桂林541001

出　　处：《中国医药指南》2012年第26期46-46,48,共2页Guide of China Medicine

摘　　要：目的探究分娩方式对盆底自主收缩肌肉力量的影响,分析盆底肌力训练的作用。方法选取自然分娩产妇50例为A组;选取剖宫产的产妇50例为B组;抽查未孕妇女50例为C组。对三组妇女的骨盆底肌力评分、15s内肌肉收缩次数、用力收缩持续时间进行对比分析,从而探究分娩方式对盆底自主收缩肌肉力量的影响。之后,从A、B组中各抽取25例组成D组,将A、B组其余妇女组成E组,其中D组妇女进行盆底肌力训练,E组妇女只做常规处理,对D组、E组妇女的骨盆底肌力评分、15s内肌肉收缩次数、用力收缩持续时间进行对比分析,从而分析盆底肌力训练的作用。结果 A组、B组妇女的骨盆底肌力评分、15s肌肉收缩次数、用力收缩持续时间均明显低于C组。B组妇女的骨盆底肌力评分、15s内肌肉收缩次数、用力收缩持续时间均明显低于A组。E组妇女的骨盆底肌力评分、15s内肌肉收缩次数、用力收缩持续时间均明显低于D组。结论剖宫产妇女、自然分娩妇女的骨盆底肌力评分、15s内肌肉收缩次数、用力收缩持续时间低于未孕妇女,剖宫产妇女的骨盆底肌力评分、15s内肌肉收缩次数、用力收缩持续时间低于自然分娩的妇女,盆地肌力训练能够有效地促进盆底自主收缩肌肉力量的恢复。Objective Research of mode of delivery on pelvic floor muscle contraction force of independent effects of pelvic floor muscle training,analysis of the role of.Method Select the natural childbirth50 cases of maternal group A;selection of cesarean section in 50 cases of B group;selective nonpregnant women50 cases for C group.Three groups of women with pelvic floor muscle strength score,15s muscle contraction times,forced contraction duration were analyzed,so as to explore ways of delivery on pelvic autonomic contraction influence on muscle strength.After that,from the A,B in each group consisted of 25 patients from group D,A,B group remaining women composed of E group,D group of women pelvic floor muscle training,group E women only conventional treatment,in group D,group E women with pelvic floor muscle strength score,15s muscle contraction,hard times the contraction duration were analyzed,thus the analysis of pelvic floor muscle training effect.Result In group A,group B women with pelvic floor muscle strength score,15s muscle contraction times,forced contraction duration were significantly lower than C group.B group of women with pelvic floor muscle strength score,15s muscle contraction times,forced contraction duration were significantly lower than A group.E group of women with pelvic floor muscle strength score,15s muscle contraction times,forced contraction duration were significantly lower than D group.Conclusion Cesarean delivery for women,natural childbirth women with pelvic floor muscle strength score,15s muscle contraction times,forced contraction duration less than nonpregnant women,cesarean women with pelvic floor muscle strength score,15s muscle contraction times,forced contraction duration below natural childbirth in women,strength training can effectively promote the pelvic autonomic contraction of muscle strength recovery

关 键 词：分娩方式 盆底自主收缩肌肉力量 盆底肌力训练 

分 类 号：R714.4[医药卫生—妇产科学]