产后盆底康复治疗对盆底功能的影响  

Influence of postpartum pelvic floor rehabilitation on pelvic floor function

作　　者：王奕翔 葛艳[1,2] 王丽娟[1] 杨培丽[1] 杨永秀 

机构地区：[1]兰州大学第一临床医学院,甘肃730000 [2]兰州大学第一医院妇产科

出　　处：《江苏医药》2018年第2期175-178,共4页Jiangsu Medical Journal

摘　　要：目的探讨产后盆底康复治疗(PFR)对盆底功能的影响。方法选取产妇147例,其中73例产后实施PFR(观察组),74例未实施PFR(对照组)。产后42d和10周,比较两组产妇盆底功能和生活质量等情况,并对两组进行Glazer盆底表面肌电评估。结果产后42d,两组盆底功能情况相仿(P>0.05);产后10周,观察组尿频发生率低于对照组(5.48%vs.16.22%)(P<0.05)。观察组情绪状态和性生活满意度高于对照组(P<0.05或P<0.01)。观察组产后10周快肌阶段最大值、慢肌阶段平均值、耐力测试阶段平均值和总得分均较产后42d升高(P<0.01)。结论 PFR可改善产后妇女的盆底功能,提高生活质量,减少远期盆底功能障碍性疾病的发生。Objective To investigate the influence of postpartum pelvic floor rehabilitation （PFR） on pelvic floor function. Methods A total of 147 puerperas was divided into two groups. PFR was performed in group A（73 cases）, which was not performed in group B（74 cases）. The pelvic floor function and quality of life were compared between two groups on the 42nd day and 10th week after delivery. The Glazer surface electromyography of pelvic floor was evaluated. Results The pelvic floor function of two groups was similar on the 42na day after delivery（P〉0. 05）. The incidence of frequent micturition in the 10th week after delivery was less in group A than that in group B（5.48% vs. 16.22%） （P〈0. 05）. The satisfaction of emotional status and sexual life was higher in group A than that in group B（P〈0. 05 or P〈0. 01）. The maxima value of the fast muscle, mean value of the slow muscle,mean value of endurance test and total score were higher in the 10th week after delivery than those on the 42th day after delivery（P〈0. 01）. Conclusion PFR can effectively improve the pelvic floor function and quality of life and reduce the incidence of the diseases related to pelvic floor dysfunction.

关 键 词：盆底康复治疗 盆底功能 

分 类 号：R714[医药卫生—妇产科学]