盆底肌功能训练防治产后盆底功能障碍性疾病疗效  

Curative effect of pelvic floor muscle function training on prevention and treatment of postpartum pelvic floor dysfunction

作　　者：张春梅[1] 杨志英[1] 李磊[2] 

机构地区：[1]山东省临朐县人民医院产科,山东临朐262600 [2]山东省立医院产科,山东济南250021

出　　处：《中国妇幼健康研究》2015年第4期763-765,共3页Chinese Journal of Woman and Child Health Research

摘　　要：目的探究并分析盆底肌功能训练预防和治疗产后盆底功能障碍性疾病(PFD)的临床效果。方法选取2011年3月至2012年3月山东省临朐县人民医院妇产科收治的100例足月经阴道分娩的产妇为研究对象。按随机数字表法将其分为观察组和对照组,每组各50例。观察组产妇产后采用盆底肌功能训练,对照组则进行一般的健康教育。结果观察组产妇产后3个月的盆底肌力分级为Ⅳ、V的人数分别为28例(56%)和12例(24%),明显高于对照组(x^2值分别为31.55、8.31,均P<0.05)。观察组产妇产后6周、3个月的排尿状况评分及盆底肌收缩力评分分别为2.13±0.24、2.03±0.32、3.97±0.52、4.84±0.24,与对照组比较差异均有统计学意义(t值分别为5.367、4.654;4.825、7.467,均P<0.05)。观察组产妇产后6周、3个月SUI的发生率分别为16%、10%,产后3个月腰骶酸痛、阴道松弛、阴道干涩的发生率分别为28%、14%、14%,均明显低于对照组(x^2值分别为8.21、8.39、6.00、9.72、8.57,均P<0.05)。结论盆底肌功能训练能显著改善产后盆底肌力,对预防和治疗产后PFD具有十分重要的意义,值得在临床上推广应用。Objective To explore and analyze the clinical effect of pelvic floor muscle function training （ PFMT ） on prevention and treatment of postpartum pelvic floor dysfunction （ PFD） .Methods From March 2011 to March 2012 100 cases of vaginal delivery admitted to obstetrics and gynecology department of Linqu County People＇s Hospital of Shandong Province were selected in the study, and they were divided into observation group and control group with 50 cases in each group according to random number table method.The observation group accepted postpartum PFMT, while the control group accepted postpartum general health education.Results The number of cases with pelvic floor muscle strength gradedⅣandⅤ3 months after birth was 31 （62%） and 12 （24%） , respectively in the observation group, which was significantly more than the control group （χ^2 value was 31.55 and 8.31, respectively, both P〈0.05）.In the observation group 6 weeks and 3 months after birth, the voiding condition scores and pelvic floor muscle contraction scores were 2.13 ±0.24, 2.03 ±0.32, 3.97 ±0.52 and 4.84 ±0.24, respectively, which were significantly different from those in the control group （t value was 5.367, 4.654, 4.825, and 7.467, respectively, all P〈0.05）.The incidence of SUI in the observation group was 16% and 10%, respectively at 6 weeks and 3 months after birth, and that of lumbosacral pain, vaginal relaxation and vaginal dryness was 28%, 14% and 14%, respectively, which were significantly lower than the control group （χ^2 value was 8.21, 8.39, 6.00, 9.72 and 8.57, respectively, all P〈0.05）.Conclusion PFMT can significantly improve the function of postpartum pelvic floor muscle strength, which is essential to the prevention and treatment of postpartum PFD and worthy of clinical application.

关 键 词：盆底肌功能训练 健康教育 盆底肌功能障碍 疗效 

分 类 号：R714[医药卫生—妇产科学]