产后盆底功能锻炼对经阴道分娩产妇盆底功能恢复及生活质量的影响  

Effect of postpartum pelvic floor exercise on pelvic floor function and quality of life of women experienced vaginal delivery

作　　者：曹芳[1] 

机构地区：[1]四川省隆昌县妇幼保健院,642150

出　　处：《中国计划生育学杂志》2017年第2期116-119,共4页Chinese Journal of Family Planning

摘　　要：目的:探讨产后盆底功能锻炼对阴道分娩产妇盆底功能恢复及生活质量的影响作用。方法:选取2015年4月~2016年3月在本院经阴道分娩并于产后6周回院复查且行盆底康复治疗的200例妇女作为研究对象,采用随机数字表法分为常规组、观察组各100例,常规组仅产后6周后给予生物反馈治疗,观察组在此基础上增加盆底肌功能锻炼,对比两组盆底肌力、生活质量评分的差异。结果:治疗前,两组产妇的盆底肌力阴道静息肌电值、阴道收缩肌电值、阴道收缩持续时间、盆底功能障碍问卷(PFDI-20、PFIQ-7)、盆底障碍影响简易问卷(WHOQOL-BREF)评分等无统计学差异(均P>0.05);治疗后,观察组的阴道静息肌电值、阴道收缩肌电值、阴道收缩持续时间等均高于常规组(均P<0.05),PFDI-20、PFIQ-7评分等均低于常规组(均P<0.05),WHOQOL-BREF评分高于常规组(P<0.05),两组尿失禁发生率较治疗前均降低(P<0.05)。结论:产后盆底功能锻炼对阴道分娩产妇盆底功能恢复具有促进作用,可以提高产妇的生活质量。Objective： To explore the effect of postpartum pelvic floor exercise on the recovery of pelvic floor function and quality of life of women experienced vaginal delivery. Methods： From April 2015 to March 2016, 200 women who experienced vaginal delivery and returned to Longchang Maternal and Child Health Care Hospital for pelvic floor rehabilitation treatment at 6 weeks postpartum were selected, and were randomly divided into control group and observa tion group （100 women in each group） by random number table. The women in control group were given treatment of stimulation of biological feedback, and the women in observation group were added functional exercise of pelvic floor muscle except for stimulation of biological feedback. Muscle strength of pelvic floor, and score of quality of life of women were compared between the two groups. Results： Before treatment, there were no statistical significance on pelvic floor muscle vaginal resting pressure, vaginal systolic pressure, time of the vaginal contraction sustained, PFDI 20, PFDI 7 and score of WHOQOL BREF between the two groups （P〉0.05）.After treatment, vaginal muscle rest- ing pressure, vaginal systolic pressure, time of the vaginal contraction sustained, and score of WHOQOL BREF of women in observation group were significant higher than those of women in control group （P〈0.05）, but PFDI 20 and PFDI 7 of women in observation group were significant lower than those of women in control group （P 〈 0.05）. Compared to treatment before, rate of urinary incontinence of women in both groups was significant higher （P〈 0.05）.Conclusion： Postpartum pelvic floor exercise can help recovery of pelvic floor function, and can improve the quality of life of women.

关 键 词：盆底 功能锻炼 阴道分娩 生活质量 

分 类 号：R714[医药卫生—妇产科学]