早期盆底康复治疗对产后盆底功能障碍的价值研究  

The Value of Early Pelvic Floor Rehabilitation for Postpartum Pelvic Floor Dysfunction

作　　者：陈敏枝[1] 叶瑞萍 刘述翠 CHEN Minzhi;YE Ruiping;LIU Shucui(Women's Health Care Department, Foshan Maternal and Child Health Care Hospital, Foshan Guangdong 528000, China)

机构地区：[1]佛山市妇幼保健院妇女保健科

出　　处：《中国继续医学教育》2019年第17期147-149,共3页China Continuing Medical Education

摘　　要：目的探讨早期盆底康复治疗对产后盆底功能障碍的应用效果。方法选择2016年11月-2017年11月产后盆底功能障碍产妇90例作为研究对象。根据治疗方法的不同,将全部患者分为两组。对照组给予常规康复治疗,观察组则给予早期盆底康复治疗。比较两组患者的效果。结果观察组产后盆底功能障碍改善率高于对照组,差异具有统计学意义(P<0.05);治疗前,两组产妇盆底肌力分级(Ⅰ类和Ⅱ类)、肌纤维疲劳度(Ⅰ类和Ⅱ类)、盆底动态压力、盆底肌张力评分比较,差异无统计学意义(P>0.05);治疗后,观察组产妇盆底肌力分级(Ⅰ类和Ⅱ类)、肌纤维疲劳度(Ⅰ类和Ⅱ类)、盆底动态压力、盆底肌张力评分优于对照组,差异具有统计学意义(P<0.05)。结论早期盆底康复治疗对产后盆底功能障碍的应用效果确切,可有效改善盆底功能,缓解肌纤维疲劳,改善肌张力。Objective To investigate the effect of early pelvic floor rehabilitation on postpartum pelvic floor dysfunction. Methods A total of 90 postpartum women with pelvic floor dysfunction from November 2016 to November 2017 were selected as the study subjects. According to the different treatment methods, all patients were divided into two groups. The control group was given routine rehabilitation treatment.The observation group was given early pelvic floor rehabilitation treatment. The effects of the two groups were compared. Results The improvement rate of pelvic floor dysfunction in the observation group was higher than that in the control group(P < 0.05). Before treatment,there were no significant differences in pelvic floor muscle strength grading(class Ⅰ and Ⅱ), muscle fiber fatigue(class Ⅰ and Ⅱ), pelvic floor dynamic pressure and pelvic floor muscle tension score between the two groups(P > 0.05). After treatment, the pelvic floor muscle strength grading(class Ⅰ and Ⅱ), muscle fiber fatigue(class Ⅰ and Ⅱ),pelvic floor dynamic pressure and pelvic floor muscle tension score of the observation group were better than those of the control group,with statistical significance(P < 0.05). Conclusion Early pelvic floor rehabilitation treatment has an exact effect on postpartum pelvic floor dysfunction. It can effectively improve pelvic floor function, relieve muscle fiber fatigue, and improve muscle tension.

关 键 词：早期盆底康复 产后盆底功能障碍 应用效果 肌纤维疲劳 盆底肌张力 盆底肌力 

分 类 号：R473[医药卫生—护理学]