产后妇女盆底肌锻炼持续干预对轻中度盆底功能障碍性疾病的效果评价  

Effect continuous intervention of pelvic floor muscle exercise on postpartum women with mild and moderate pelvic floor dysfunction

作　　者：丁林娟[1] 冯丽萍[1] 褚小梅 高霏[1] 花素梅[1] DING Lin-juan;FENG Li- ping;CHU Xiao- mei;GAO Fei;HUA Su- mei(Department of Gynaecology and Obstetrics ,Affiliated Hospital of Nantong University, Nantong 226001, China)

机构地区：[1]南通大学附属医院妇产科,江苏南通226001

出　　处：《现代医学》2018年第2期187-191,共5页Modern Medical Journal

摘　　要：目的:探索盆底肌锻炼(PFMT)持续干预对产后妇女轻中度盆底功能障碍性疾病的治疗效果。方法:选取2015年6月至2016年12月我院的孕妇303例,按照随机数法随机纳入持续干预组(156例)和对照组(147例)。持续干预组开展PFMT健康教育及一对一专人指导与定期追踪随访,对照组开展常规健康教育。对产妇产后(干预前)和3个月时的Ⅰ、Ⅱ类盆底肌纤维、肌电位均值、疲劳状况、产妇尿失禁(SUI)、盆腔器官脱垂(POP)进行对比分析。结果:干预3月后,持续干预组的I-V级盆底肌力比干预前提升,肌电位疲劳值下降较为明显(P<0.05),而对照组仅Ⅲ、Ⅴ级肌力有所提升。与对照组相比,持续干预组患者的Ⅲ-Ⅴ级盆底肌力恢复更为明显(P<0.05),盆底肌电位活动值均大于对照组,盆底肌疲劳值均小于对照组,差异均有统计学意义(P<0.05)。持续干预组的SUI患病率明显下降(10.26%),且低于对照组(21.09%),POP 0度比例远高于对照组,差异均有统计学意义(P<0.05)。结论:对产后妇女进行3个月的盆底肌锻炼持续干预,有助于产后盆底肌力恢复,降低SUI患病率,提高妇女产后生活质量。Objective：To explore the effect of pelvic floor muscle exercise（PFMT）on the treatment of postpartum women with pelvic floor muscle function.Methods：303 pregnant women were included and randomly divided into continuous guidance groups（156 cases）and control group（147 cases）from June 2015 to December 2016.PFMT health education,one-by-one guidance and regular follow-up were carried out in the continuous guidance group,while the regular health education was conducted in the control group.Grade Ⅰ and Ⅱ pelvic floor muscle fibers,mean muscle potential,fatigue status,maternal urinary incontinence（SUI）,pelvic organ prolapse（POP）were compared at 6 weeks,and 3 months after delivery,respectively.Results：After 3 months of intervention,grade Ⅰ-Ⅴ of pelvic floor muscle strength was significantly improved in continuous guidance group（P 〈 0.05）,while only grade Ⅲ and Ⅴ of muscle strength were significantly improved in the control group.With regard to the results detected in 3 months,compared to the control group,grade Ⅲ-Ⅴ of pelvic floor muscle in the continuous guidance group recovered more significantly（P 〈 0.05）,and pelvic floor muscle electrical activity values in the continuous guidance group were significantly higher than those in the control group.The pelvic floor muscle fatigue value was less than that of the control group with statistically significant difference（P 〈 0.05）.The SUI prevalence rate（10.26%）was significantly lower than that of the control group（21.09%）.The proportion of 0-degree POP was significantly higher compared to the control group（P 〈 0.05）.Conclusion：pelvic floor muscle exercise continuous guidance with at least 3 months in postpartum women can help recovering postpartum pelvic floor muscle strength,reducing the prevalence of SUI,and improving the quality of life for postpartum women.

关 键 词：盆底肌锻炼 尿失禁 盆腔器官脱垂 干预 

分 类 号：R711.2[医药卫生—妇产科学]