不同盆底康复疗法在改善产后盆底肌力的作用

发布时间：2018-01-11 15:27

本文关键词：不同盆底康复疗法在改善产后盆底肌力的作用　出处：《实用妇产科杂志》2016年08期 　论文类型：期刊论文

【摘要】：目的:探讨不同康复疗法在改善产后盆底肌功能的临床效果。方法:对符合入选标准的产后42~60天的妇女,有产后尿失禁或盆底器官脱垂等产后盆底功能障碍的患者127例,其中能在医院接受电刺激和生物反馈治疗的87例患者为治疗组,其中的35例完成了2个疗程;而无法在医院接受治疗,在家进行Kegel锻炼法的40例患者为锻炼组,6~8周后来医院复查。并分别比较两者治疗或锻炼前后、1个疗程和2个疗程后的盆底肌收缩力的恢复情况及疗效。结果:1两组一般资料比较无明显差异(P0.05)。2两组1个疗程治疗前后比较,快速收缩力和持续收缩力有明显提高,差异有统计学意义(P0.01)。3持续收缩力增长值比较治疗组明显高于锻炼组(P0.05);而快速收缩力增长值差异无统计学意义性(P0.05)。4治疗组2个疗程的快速收缩力优于1个疗程(P0.05),持续收缩力与1个疗程无明显差异(P0.05)。结论:产后Kegel锻炼法、电刺激加生物反馈对提高盆底肌收缩力均有效,但电刺激加生物反馈优于单纯的盆底肌肉锻炼,疗程长效果更优。
[Abstract]:Objective: to investigate the clinical effect of different rehabilitation therapy on improving the function of pelvic floor muscle after delivery. 127 patients with postpartum pelvic floor dysfunction, such as postpartum urinary incontinence or pelvic floor organ prolapse, were treated with electrical stimulation and biofeedback in hospital. 35 of them completed two courses of treatment; However, 40 patients who could not be treated in hospital and had Kegel exercise at home came to the hospital after 8 weeks of exercise, and compared the two before and after treatment or exercise. Results there was no significant difference in general data between the two groups after one and two courses of treatment. Results there was no significant difference between the two groups before and after one course of treatment. Rapid contractility and sustained contractility were significantly increased, and the difference was statistically significant (P 0.01.3). The increase value of sustained contractility in the treatment group was significantly higher than that in the exercise group (P 0.05). The rapid contractility of the treatment group was better than that of one course of treatment (P 0.05). Conclusion: postpartum Kegel exercise, electrical stimulation and biofeedback are effective in improving the contractility of pelvic floor muscle. But electrical stimulation plus biofeedback is better than pelvic floor muscle exercise alone.
【作者单位】：浙江大学医学院附属妇产科医院;
【基金】：浙江省医药卫生科学研究基金(编号:2012KYB116,2013ZHA008)
【分类号】：R714.6
【正文快照】： 女性盆底功能障碍性疾病(pelvic floor dysfunc-tion,PFD)包括盆腔器官脱垂(pelvic organ prolapse,POP)、尿失禁(urinary incontinence,UI)和粪失禁(fecalincontinence,FI),是妇女常见病,也是影响人类生活质量的五大疾病之一。PFD病因很多,既往对女性PFD的研究集中在老年妇女

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