多次生育产妇产后盆底功能研究现状及三孩政策下防治管理策略探讨  

Research about the status of postpartum pelvic floor function of multiple births women and discussion on prevention and management strategies under the three-child policy

作　　者：程贤鹦 孙志强 CHENG Xianying;SUN Zhiqiang(Department Obstetrics and Gynecology,Shulan(Hang Zhou)Hospital,Hangzhou,Zhejiang 310023,China)

机构地区：[1]树兰(杭州)医院妇产科,浙江杭州310023

出　　处：《中国优生与遗传杂志》2022年第11期2082-2084,共3页Chinese Journal of Birth Health & Heredity

基　　金：杭州市拱墅区医药卫生科技计划项目(202208)。

摘　　要：二孩政策实施后出现许多多次生育的产妇,再生育使得她们盆底结构和功能受到了更大的损伤,盆膈裂孔面积增大,以盆腔脏器脱垂和压力性尿失禁为主的盆底功能障碍性疾病风险增加。孕前及孕期BMI、生育间隔、分娩方式等是盆底损伤的重要影响因素。产后盆底康复治疗对盆底功能损伤的恢复仍可取得较好的效果。微信互动模式管理有利于提高她们盆底康复的认知和依从性,提升康复效果。这些可为三孩政策后多次生育产妇盆底功能障碍的防治管理提供重要参考。With the implementation of the two-child policy, there are many parturient women who have multiple births. The structure and function of the pelvic floor are suffering greater damaged due to the reproduction, the area of pelvic diaphragm hole increased, and the risk of pelvic floor dysfunction diseases also increased, which mainly manifestations were pelvic organ prolapse and stress urinary incontinence. The BMI before and during pregnancy, birth interval and delivery mode are important influencing factors of pelvic floor injury. Postpartum pelvic floor rehabilitation therapy can still achieve good results in the recovery of pelvic floor function injury. WeChat interactive mode management is conducive to improve their cognition and compliance of pelvic floor rehabilitation, and improve the rehabilitation effect. These results can provide an important reference for the prevention and management of pelvic floor dysfunction after the three-child policy.

关 键 词：三孩政策 盆底损伤功能 盆底功能障碍 产后康复 管理策略 

分 类 号：R711.5[医药卫生—妇产科学]