Kegel锻炼对产后盆底功能障碍患者血清松弛素及盆底肌电参数的影响  

Effect of Kegel Exercise on Serum Relaxin and Pelvic Floor Electromyographic Parameters in Postpartum Pelvic Floor Dysfunction Patients

作　　者：史临临 白文慧 SHI Linlin;BAI Wenhui(Youyang Tujia and Miao Autonomous County People’s Hospital,Chongqing 400000,China)

机构地区：[1]重庆市酉阳土家族苗族自治县人民医院人民医院,重庆400000

出　　处：《中国伤残医学》2025年第7期68-71,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:分析Kegel锻炼对产后盆底功能障碍患者血清松弛素及盆底肌电参数的影响。方法:选取2023年1—12月酉阳土家族苗族自治县人民医院收治的90例产后盆底功能障碍患者为研究对象,采用随机数字表法将其分为对照组及研究组,每组45例。对照组采用仿生物电刺激康复治疗,研究组采用产后Kegel锻炼治疗。对比两组血清松弛素水平、盆底肌电参数及治疗总有效率。结果:治疗后,研究组的血清松弛素水平为(46.12±1.85)ρ/(ng·L),低于对照组的(53.17±2.01)ρ/(ng·L),差异有统计学意义(P<0.05)。治疗后,研究组的盆底持续收缩和快速收缩、耐力收缩的肌电参数水平分别为(32.05±2.86)cmH_(2)O、(32.03±2.89)cmH_(2)O,高于对照组的(26.39±2.24)cmH_(2)O、(26.43±2.35)cmH_(2)O,差异均有统计学意义(P<0.05)。研究组的治疗总有效率为75.56%,高于对照组57.78%,差异有统计学意义(P<0.05)。结论:引导产后盆底功能障碍患者进行Kegel锻炼,不仅能降低其血清松弛素水平,还能改善其盆底肌功能,治疗效果良好。Objective:To analyze the effects of Kegel exercise on serum relaxin and pelvic floor electromyoelectric parameters in postpartum pelvic floor dysfunction patients.Methods:A total of 90 patients with postpartum pelvic floor dysfunction admitted to Youyang Tujia and Miao Autonomous County People’s Hospital from January to December 2023 were selected as the study objects.They were divided into a control group and a study group by random number table method,with 45 cases in each group.The control group was treated with bioelectric stimulation and the study group was treated with postpartum Kegel exercise.The serum relaxin level,pelvic floor electromyoelectric parameters and total effective rate were compared between the two groups.Results:After treatment,the serum relaxin level of the study group was(46.12±1.85)ρ/(ng·L),lower than(53.17±2.01)ρ/(ng·L)of the control group,the difference was statistically significant(P<0.05).After treatment,the levels of electromyoelectric parameters of pelvic floor sustained contraction,rapid contraction and endurance contraction in the study group were were(32.05±2.86)cmH_(2)O and(32.03±2.89)cmH_(2)O,respectively,higher than(26.39±2.24)cmH_(2)O、(26.43±2.35)cmH_(2)O in the control group,and the differences were statistically significant(P<0.05).The total effective rate of the study group was 75.56%,which was higher than 57.78%of the control group,and the difference was statistically significant(P<0.05).Conclusion:Guiding postpartum pelvic floor dysfunction patients to do Kegel exercise can not only reduce their serum relaxin level,but also improve their pelvic floor muscle function,has good therapeutic effect.

关 键 词：盆底功能障碍 Kegel锻炼 松弛素 盆底肌电参数 

分 类 号：R714.6[医药卫生—妇产科学]