盆底肌功能锻炼在产后妇女的应用效果评价  

Evaluation on application effect of pelvic floor muscle function exercise in postpartum women

作　　者：黄燕洁 王晓云[1] 李燕玲[1] 蔡锦燕 HUANG Yanjie;WANG Xiaoyun;LI Yanling;CAI Jinyan(Department of Obstetrics,Guangdong People’s Hospital,Guangdong,Guangzhou 510080,China)

机构地区：[1]广东省人民医院产科

出　　处：《中国医药科学》2019年第20期83-86,共4页China Medicine And Pharmacy

摘　　要：目的探讨盆底肌训练对分娩后盆底功能障碍患者盆底肌康复的影响。方法选取2017年1~12月我院收治分娩后盆底功能障碍性疾病患者100例,按随机数字表法分为观察组和对照组,每组50例。对照组给予常规健康教育,观察组在此基础上给予盆底肌锻炼指导。观察两组基线期与干预后(干预后42d)耻骨、尾骨肌(PC)的肌功能状态、盆腔器官脱垂情况及国际尿控协会问卷(ICIQ-UI Short Form,ICIQ-SF)评价变化。结果基线期,两组PC肌强度、POP-Q分度、ICIQ-SF得分比较,差异无统计学意义(P>0.05);干预后,观察组PC肌强度、POP-Q分度优于对照组,差异具有统计学意义(P<0.05)。干预后,观察组ICIQ-SF得分显著低于对照组,差异具有统计学意义(P<0.05)。结论盆底肌锻炼指导可促进分娩后盆底功能障碍性疾病患者盆底肌康复。Objective To explore effects of pelvic floor muscle function exercise on pelvic floor muscle rehabilitation of patients with pelvic floor dysfunction after delivery.Methods 100 patients with pelvic floor dysfunction after delivery who were admitted and treated in our hospital from January 2017 to December 2017 were selected.According to the random number table method,they were divided into the observation group and the control group,with 50 cases in each group.The control group was given health education while the observation group was given pelvic floor muscle exercise guide on basis of it.Muscle function status of pubis and musculi pubococcygeus(PC),pelvic organ prolapse and changes of International Urinary Control Association questionnaires(Short Form,ICIQ-SF)at baseline and after intervention of two groups were observed.Results At baseline,there was no statistically significant difference in PC muscle strength,POP-Q index,and ICIQ-SF score between the two groups(P>0.05).After intervention,the PC muscle strength and POP-Q index of the observation group were superior to the control group,and the difference was statistically significant(P<0.05).After the intervention,the ICIQ-SF score of the observation group was significantly lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Pelvic floor muscle exercise guidance can promote pelvic floor muscle recovery after pelvic floor dysfunction in patients after delivery.

关 键 词：盆底功能障碍性疾病 盆底肌力 产褥期 康复锻炼 

分 类 号：R714.6[医药卫生—妇产科学]