盆底康复治疗在预防子宫切除患者盆底功能障碍的临床应用疗效分析  

Pelvic Floor Rehabilitation in Clinical AppIication of Prevention Pelvic Floor Dysfunction during Hysterectomy

作　　者：李文婷[1] 李淑萍[1] 曹文英[1] 王英红[1] 

机构地区：[1]石河子大学医学院第一附属医院妇产科,新疆石河子832008

出　　处：《农垦医学》2017年第4期314-317,共4页Journal of Nongken Medicine

基　　金：科技部国家级科技惠民计划(2013GS650104)

摘　　要：目的:探索盆底康复治疗与全子宫切除患者盆底功能恢复的相关性。方法:收集我院2013年5月-2014年5月因子宫良性疾病、术前无盆腔脏器脱垂需行全子宫切除术的160例患者作为研究对象,将其随机分为研究组和对照组,研究组术后3个月由盆底理疗师指导进行盆底康复训练,每周3次,12次为一个疗程,共2个疗程,随后持续家庭训练6个月,对照组术后进行一般健康宣教使其自行在家中进行缩肛运动锻炼。两组均于手术前、术后3月、术后5个月、术后12个月、术后24个月分别填写尿失禁问卷表(ICI-Q-F)、行POP-Q评分并测定盆底肌力,从压力性尿失禁(SUI)、盆底肌力和阴道顶端脱垂三方面来评价盆底康复治疗的疗效。结果:疗程结束时,对照组尿失禁发生率为25%,研究组为3.75%;术后12个月,对照组为23.8%,研究组为6.3%;术后24个月,对照组为40%,研究组为7.5%,差异均有统计学意义(P<0.05)。疗程结束时、术后12个月、24个月时,盆底肌肉肌力及C点测量值研究组与对照组比较,差异均有统计学意义(P<0.05)。结论:盆底康复治疗可以降低全子宫切除术后压力性尿失禁的发生率,提高盆底肌力,延缓阴道顶端的脱垂。Objective：therelevance between Pelvic floor rehabilitation treatment and total hysterectomy pelvic floor functional recovery.Methods： A total of 160 patients after total abdominal hysterectomy in the Gynecology and Obstetrics Department of the first affiliated hospital of xinjiang shihezi university from May 2013. to May 2014 were chosen as studyobjects ,which Were randomly divided into research group and the control group. After 3 months Of team directed by pelvic floor physical therapy for pelvic floor rehabilitation, three times a week,12 times for a period of treatment, a total of two period of treatment, then continue family training for 6 months, the control of postoperative general health education to shrink anus exercise at home. Two groups were recorded before the surgery,3 months,5 months,12 months 24 months after operation, respectively, fill in the questionnaire （ICI-Q-F）, determination of POP-Q rating and pelvic floor muscle strength ,from stress urinary incontinence, pelvic floor muscle strength, and the top of vaginal prolapse three aspects to evaluate the effect of pelvic floor rehabilitation.Results：At the end of the control group the incidence of stress incontinence is25%o, the treatment group was 3.75%0; After 12 months ,control group was 23.8%0, 6.3%, 24 months after,control group was 40%, the treatment group was 7.5%, all the differences above were statistically significant （P〈0.05）. At the end of the treatment, after 12 months, 24 months of pelvic floor muscle strength and C points measured value research group were higher than control group （P〈0.05）.Conclusion：the pelvic floor rehabilitation treatment can reduce the incidence of stress urinary incontinence after hysterectomy, improve pelvic floor muscle strength, slow down the top of the vaginal prolapse.

关 键 词：压力性尿失禁 阴道穹窿脱垂 全子宫切除术 盆底康复治疗 

分 类 号：R713[医药卫生—妇产科学]