妊娠晚期盆底肌功能锻炼联合产后神经肌肉电刺激对产妇盆底功能恢复效果  

Efficacy of the recovery of postpartum pelvic floor function of women who had pelvic floor muscle exercise during the late pregnancy combined with postpartum neuromuscular electric stimulation

作　　者：胡盛君 朱立波[2] 徐陈雪 HU Shengjun;ZHU Libo;XU Chenxue(Yongkang Hospital of traditional Chinese medicine,Yongkang,Zhejiang Province,321302;Hangzhou First People's Hospital)

机构地区：[1]浙江省永康市中医院,321302 [2]浙江省杭州市第一人民医院

出　　处：《中国计划生育学杂志》2022年第10期2289-2293,共5页Chinese Journal of Family Planning

摘　　要：目的:观察妊娠晚期盆底肌功能锻炼联合产后神经肌肉电刺激对产后盆底功能恢复的效果.方法:选择2019年8月-2020年8月本院就诊的118例孕产妇,随机数字表法分为两组各59例,对照组在产后42d开展盆底肌功能锻炼,联合组在妊娠28周时开展盆底肌功能锻炼并产后42d行神经肌电治疗,治疗2个月.比较两组产后3个月时盆底肌张力评分、盆底肌电位活动值和疲劳度、尿失禁发生率、盆底器官脱垂程度及盆底功能和生活质量.结果:联合组产妇产后盆底肌张力正常率(81.4%)高于对照组(61.0%),产后3个月盆底肌电位活动值大于对照组,盆底肌疲劳值值小于对照组,压力性尿失禁发生率(5.1%)低于对照组(20.3%)(均P<0.05);联合组产妇盆底肌器官脱垂程度多分布在0度和Ⅰ度,与对照组比较有差异(P<0.05).两组产妇治疗后的盆底功能和生活质量均有改善,且联合组盆底疾病生活质量影响评分(25.53±3.55分)、盆底功能障碍性疾病症状评分(21.06±3.15分)均低于对照组(42.23±4.32分、30.14±4.01分)(均P<0.05).结论:孕妇于妊娠28周开展盆底肌功能锻炼,产后开展神经肌肉电刺激可提高盆底肌生理改善状况,降低尿失禁和盆底器官脱垂的发生率,促进产后恢复.Objective: To observe the efficacy of the recovery of postpartum pelvic floor function women after the pelvic floor muscle exercise during the third trimester of pregnancy combined with the postpartum neuromuscular electric stimulation. Methods: 118 pregnant women were selected and were randomly divided into two groups(59 cases in each group) from August 2019 to August 2020. The women in the control group were given pelvic floor muscle function exercise after postpartum 42 days, and the women in the study group were given pelvic floor muscle function exercise during 28 gestational weeks combined with neuromuscular electric stimulation after postpartum 42 days for 2 months. The pelvic floor muscle tension score, the values of pelvic floor muscle potential activity and fatigue degree, the incidence of urinary incontinence, the degree of pelvic floor organ prolapse, the pelvic floor function, and the quality of life of the women in the postpartum 3 rd month were compared between the two groups. Results: The normal rate of postpartum pelvic floor muscle tension(81.4%) of the women in the study group was significantly higher than that(61.0%) of the women in the control group. The potential activity value of pelvic floor muscle of the women in the study group in the 3 rd month after delivery was significantly higher than that of the women in the control group. The value of pelvic floor muscle fatigue of the women in the study group was significantly lower than that of the women in the control group. The incidence of stress urinary incontinence(5.1%) of the women in the study group was significantly lower than that(20.3%) of the women in the control group(all P<0.05). The degree of pelvic floor muscle organ prolapse of the women in the study group was mostly distributed in degree 0andⅠ,which had significantly different from that of the women in the control group(P <0.05).The pelvic floor function and quality of life of the women in the two groups after treatment had improved significantly.The scores of quality of life

关 键 词：妊娠晚期 盆底肌康复锻炼 神经肌肉电刺激 盆底功能 产后恢复 

分 类 号：R714.6[医药卫生—妇产科学] R493[医药卫生—临床医学]