产后不同时间盆底康复训练对盆底功能障碍性疾病的疗效  

Effect of the pelvic floor rehabilitation training during the different postpartum periods for women with pelvic floor dysfunction diseases

作　　者：谈莉 吕文杰[1] 赵保静[1] 王凤英[1] TAN Li;LV Wenjie;ZHAO Baojing;WANG Fengying(The First Affiliated Hospital of Anhui Medical University,Hefei,Anhui Province,230088)

机构地区：[1]安徽医科大学第一附属医院,合肥230088

出　　处：《中国计划生育学杂志》2025年第1期112-115,120,共5页Chinese Journal of Family Planning

基　　金：国家重点研发计划项目(课题任务书编号:2021YFC2701303)(项目任务书号:2021YFC2701300)。

摘　　要：目的:分析产妇产后不同时间开始盆底康复训练对盆底功能障碍性疾病(PFD)的治疗效果。方法:选取2021年6月-2023年6月在本院行产后盆底康复训练的产妇138例作为研究对象,随机数字的原则分为两组各69例,分别从产后6周(6周组)或产后8周(8周组)开始进行盆底康复训练。盆底康复训练方式均为电刺激联合生物反馈训练。比较治疗前、治疗完成时、产后6个月两组产妇压力性尿失禁症状及盆底肌力改善情况。结果:治疗结束时、产后6个月的尿失禁阳性率、Ⅰ类和Ⅱ类肌纤维的肌力两组均较治疗前明显改善,且治疗结束时及产后6个月,8周组压力性尿失禁发生率(5.8%、7.2%)均小于6周组(14.5%、15.9%),I类肌纤维肌力(4.46±0.85级、4.52±1.05级)、II类肌纤维肌力(4.22±1.21级、4.24±1.53级)分级均高于6周组(3.55±1.10级、3.38±2.08级、3.66±1.10级、3.61±1.98级)(均P<0.05)。但两组治疗结束时与产后6个月上述指标比较均未见差异(P>0.05)。结论:产后盆底康复训练可以有效降低产妇压力性尿失禁发生率,增加盆底肌力,且产后8周开始康复训练效果更佳。Objective:To analyze the therapeutic effect of the pelvic floor rehabilitation training during the different postpartum periods for women with pelvic floor dysfunction diseases(PFD).Methods:138 women who wanted the postpartum pelvic floor rehabilitation training in the hospital were selected and were divided into two groups(69 cases in each group)according to the principle of random number from June 2021 to June 2023.The women in the two groups received the pelvic floor rehabilitation training of the electrical stimulation combined with biofeedback training,and the women in group A received the pelvic floor rehabilitation training from the postpartum 6th week and the women in group B received the pelvic floor rehabilitation training from the postpartum 8th week.The symptoms of the stress urinary incontinence and the improvement of the pelvic floor muscle strength of the women before treatment,after treatment and in the postpartum 6th month were compared between the two groups.Results:The positive rate of the urinary incontinence and the strength of type I and type II muscle fibers of the women in the two groups at the end of the treatment and in the postpartum 6th month had increased significantly.The incidence of the stress urinary incontinence of the women in group B at the end of the treatment and in the postpartum 6th month were 5.8%and 7.2%,and which were significantly lower than those(14.5%and 15.9%)of the women in group A.The muscle strength of type I muscle fibers of the women in group B at the end of the treatment and in the postpartum 6th month were 4.46±0.85 grade and 4.52±1.05 grade,and which were significantly higher than those(4.22±1.21 grade and 4.24±1.53 grade)of the women in group A.The muscle strength of type II muscle fibers of the women in group B at the end of the treatment and in the postpartum 6th month were 3.55±1.10 grade and 3.38±2.08 grade,and which were significantly higher than those(3.66±1.10 grade and 3.61±1.98 grade)of the women in group A(all P<0.05).However,there were no

关 键 词：产后 盆底功能障碍性疾病 电刺激 生物反馈 训练开始时间 效果 

分 类 号：R47[医药卫生—护理学]