盆底肌肉训练联合治疗对促进盆底功能障碍患者康复的效果观察  

Effect of pelvic floor muscle training combined therapy on rehabilitation of patients with pelvic floor dysfunction

作　　者：蒋维[1] 陈宝丽[1] 韩炜[1] 刘维红[1] 刘迎军[1] 张桂欣[1] 

机构地区：[1]唐山市妇幼保健院,河北唐山063000

出　　处：《中国妇幼健康研究》2017年第1期92-94,共3页Chinese Journal of Woman and Child Health Research

摘　　要：目的探讨盆底肌肉训练联合治疗对促进盆底功能障碍患者康复的效果。方法以2014年3月-2015年10月在唐山市妇幼保健院接受治疗的盆底功能障碍患者为观察对象,并根据患者意愿将其分为对照组和观察组,其中对照组给予健康知识教育,观察组在健康知识教育的基础上给予盆底肌肉训练,以8周为一个疗程。比较两组患者治疗前后阴道动态压力、盆底肌张力、尿失禁评分和性功能的差异。结果观察组和对照组治疗前阴道动态压力比较无明显差别,治疗后,两组患者的阴道动态压力均较治疗前增高(t1值分别为-10.787、-8.775,均P1<0.05),且观察组阴道动态压力增高更明显(t2=-3.074,P2<0.05),差异均有统计学意义。两组患者治疗前盆底肌张力、尿失禁评分比较无明显差别,治疗后,两组患者的盆底肌张力均较治疗前增高(t1值分别为-7.450、-3.012,均P1<0.05),尿失禁评分均较治疗前降低(t1值分别为11.950、5.042,均P2<0.05),且观察组盆底肌张力、尿失禁评分变化较对照组更明显(盆底肌张力:t2=-4.326,P2<0.05;尿失禁评分:t2=7.341,P2<0.05),差异均有统计学意义。两组患者治疗前性生活质量评分无明显差别,治疗后,两组患者的性生活质量各项评分均较治疗前改善,且观察组改善较对照组更明显(t值分别为-9.835、-13.213、-10.605、-12.174、-9.424、14.661,均P<0.05)。结论盆底肌肉训练联合健康知识教育可明显改善盆底功能障碍患者阴道动态压力,提高其性生活质量。Objective To explore the effect of combined treatment of pelvic floor muscle training on rehabilitation of patients with pelvic floor dysfunction. Methods Patients with pelvic floor dysfunction treated in Tangshan Maternal and Child Health Care Hospital from March2014 to October 2015 were selected as observation objects,and they were divided into control group and observation group based on patients＇ will. Patients in the control group were given health education and patients in the observation group were given pelvic floor muscle training based on health education,with 8 weeks as one course treatment. Vaginal dynamic pressure,pelvic floor muscle tension,urinary incontinence score and sexual function of patients in two groups were compared before and after treatment. Results Vaginal dynamic pressure of patients in two groups before treatment had no significant difference. After treatment it increased in two groups（ t1 value was- 10. 787 and- 8. 775,respectively,both P1 0. 05）,and the increase in the observation group was more significant（ t2=- 3. 074,P2 0. 05）. All differences had statistical significance. Pelvic floor muscle tension and urinary incontinence score of patients in two groups had no significant differences before treatment,but pelvic floor muscle tension was improved（ t1was- 7. 450 and- 3. 012,respectively,both P1 0. 05） and urinary incontinence score decreased after treatment（ t1 was 11. 950 and 5. 042,respectively,both P1 0. 05）. The changes in the observation group were more significant than those in the control group（ for pelvic floor muscle tension,t2=- 4. 326,P20. 05; for urinary incontinence score t2= 7. 341,P2 0. 05）. The differences had statistical significance. Quality of sexual life of patients in two groups before treatment had no significant difference,but after treatment,the scores of sexual life quality in two groups were improved and the improvement in the observation group was more obvious（ t value was- 9. 835,- 13. 213,- 10. 605,- 12. 174,- 9. 424 and 14. 66

关 键 词：盆底功能障碍 阴道 性功能 肌肉训练 

分 类 号：R711[医药卫生—妇产科学]