手法康复联合盆底功能锻炼治疗初产妇产后盆腔器官脱垂的效果分析  

Therapeutic Effect of Manual Rehabilitation Combined with Pelvic Floor Muscle Training on Postpartum Pelvic Organ Prolapse in Primiparas

作　　者：段泽敏 蔡易伶 梁振英 宋英 Duan Zemin;Cai Yiling;Liang Zhenying;Song Ying(Department of Gynecology,Baiyun Hospital Affiliated to Guizhou Medical University,Guiyang 550014,Guizhou Province,China)

机构地区：[1]贵州医科大学附属白云医院妇科,贵州贵阳550014

出　　处：《中外医药研究》2025年第7期60-62,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:分析手法康复联合盆底功能锻炼治疗初产妇产后盆腔器官脱垂(POP)的效果。方法:选取2022年5月—2024年5月贵州医科大学附属白云医院收治的186例产后POP的初产妇为研究对象,随机分为对照组与观察组,各93例。对照组使用常规盆底功能锻炼,观察组在对照组基础上使用手法康复。对比两组POP程度、盆底肌指标及性生活质量。结果:干预后,两组国际尿控协会POP量化分期法分度降低,观察组低于对照组(P<0.05);干预后,两组Ⅰ类、Ⅱ类肌纤维疲劳度降低,Ⅰ类、Ⅱ类肌纤维电位升高,观察组优于对照组(P<0.05);干预后,两组盆腔脏器脱垂/尿失禁性功能问卷评分降低,女性性功能量表评分升高,观察组优于对照组(P<0.05)。结论:手法康复联合盆底功能锻炼治疗初产妇产后POP的效果显著,可降低脱垂程度,减轻肌纤维疲劳,提高性生活质量。Objective:To analyze the therapeutic effect of manual rehabilitation combined with pelvic floor muscle training on postpartum pelvic organ prolapse in primiparas.Methods:A total of 186 primiparas with postpartum pelvic organ prolapse admitted to Baiyun Hospital Affiliated to Guizhou Medical University from May 2022 to May 2024 were randomly divided into a control group(n=93,receiving conventional pelvic floor muscle training)and an observation group(n=93,receiving additional manual rehabilitation).The pelvic organ prolapse degree,pelvic floor muscle indices,and sexual life quality were compared between the two groups.Results:After intervention,both groups showed reduced staging according to the International Continence Society POP Quantification System,with the observation group demonstrating significantly lower staging(P<0.05).The fatigue degrees of type I and II muscle fibers decreased while their electromyographic potentials increased in both groups,with more significant improvements in the observation group(P<0.05).Both groups exhibited decreased Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire scores and increased Female Sexual Function Index scores,with the observation group showing superior outcomes(P<0.05).Conclusion:The combination of manual rehabilitation and pelvic floor muscle training demonstrates significant therapeutic effects on postpartum POP in primiparas,effectively reducing prolapse severity,alleviating muscle fiber fatigue,and improving sexual life quality.

关 键 词：盆腔器官脱垂 手法复位 盆底功能锻炼 初产妇 

分 类 号：R711.5[医药卫生—妇产科学]