产后盆底康复研究新进展  

Research Progress of Postpartum Pelvic Floor Rehabilitation

作　　者：马擘[1] 崔红艳[1] MA Bo;CUI Hongyan(Obstetrics Department,Tianjin Central Obstetrics and Gynecology Hospital,Tianjin 300100,China)

机构地区：[1]天津市中心妇产科医院产科,天津300100

出　　处：《继续医学教育》2020年第10期166-168,共3页Continuing Medical Education

摘　　要：盆底功能障碍性疾病(pelvic floor dysfunction,PFD)是各种病因导致的盆底支持薄弱,进而盆腔脏器移位,连锁引发其它盆腔器官的位置和功能异常。主要表现为盆腔器官脱垂(pelvic organ prolapse,POP)、压力性尿失禁、直肠出口障碍等排便功能异常、性功能障碍、慢性疼痛等,严重影响女性的生活质量。分娩是导致PFD的独立、位列第1的影响因素。当前普遍认为,盆底功能障碍性疾病较多发生在围产期,由此积极在产后预防及治疗PFD会取得较为满意的效果。产后早期进行盆底功能锻炼,增强盆底肌肉力量,恢复周围神经功能,预防盆底功能障碍性疾病的发生,改善盆底功能障碍性疾病产生的相应症状,旨在探讨产后盆底康复治疗手段的研究进展。Pelvic floor dysfunction(PFD)is a pelvic floor supporting tissue defect and injury disease.The main manifestations are pelvic organ prolapse(POP),various types of urinary incontinence,rectal outlet disorders and other defecation dysfunction,sexual dysfunction,chronic pain,which are one of the five major diseases affecting women's quality of life.Delivery is the first independent factor leading to PFD.With the comprehensive liberalization of China's two-child policy,the incidence of PFD among Chinese women will increase rapidly with the increase of the number of pregnant births,and it will become a common health and social problem that Chinese women are looking forward to solving.At present,it is generally believed that perinatal period is not only the peak time for pelvic floor dysfunction,but also an important stage and ideal opportunity for the prevention and treatment of such diseases.Early post-partum pelvic floor rehabilitation exercise can make damaged nerves and muscles repaired in time,prevent the occurrence of PFD and improve the symptoms of postpartum urinary incontinence and pelvic organ prolapse.The purpose of this article is to discuss the research progress of the measures of postpartum pelvic floor rehabilitation.

关 键 词：盆底功能障碍性疾病 分娩 盆底康复 产后 

分 类 号：R714[医药卫生—妇产科学]