初产妇产后盆底功能锻炼对盆腔器官脱垂影响的临床研究

发布时间：2018-05-11 17:38

  本文选题：盆腔器官脱垂 + 盆底功能锻炼　； 参考：《中国妇幼健康研究》2016年11期

【摘要】：目的评估盆底功能锻炼对初产妇产后盆腔器官脱垂(POP)分期和症状的预防及治疗作用。方法将189例初产妇随机分为实验组和对照组,实验组在产后6~8周进行盆底功能锻炼,维持4个月,对照组未进行干预。结果实验组和对照组基线值(产后6周)的POP分期(χ2=2.372,P=0.640),POP-Q位点(P0.05)和膀胱颈位置(P0.05)差异无统计学意义;实验组和对照组确诊POP-QⅡ度的初产妇在产后6周和6个月的相对风险度无显著性变化(χ2=2.204,P=0.533;χ2=2.407,P=0.326);对照组在产后6个月阴道内膨胀症状的初产妇数量明显高于实验组(χ2=25.69,P=0.001)。结论产后盆底功能锻炼对初产妇产后盆腔器官脱垂没有影响;对于特定人群需要更多的随机对照性研究确定盆底功能锻炼对盆腔器官脱垂症状的影响。
[Abstract]:Objective to evaluate the preventive and therapeutic effects of pelvic floor exercise on postpartum pelvic organ prolapse (POP) staging and symptoms. Methods 189 primiparae were randomly divided into experimental group and control group. The experimental group underwent pelvic floor exercise at 6 and 8 weeks postpartum for 4 months, while the control group did not intervene. Results there was no significant difference in POP staging between the experimental group and the control group (P 0.05 at POP-Q site) and in the bladder neck position (P 0.05). There was no significant difference between the two groups in POP stage (蠂 2 / 2.372P ~ (0.640) P ~ (0.05) and the bladder neck position (P ~ (0.05). There was no significant change in the relative risk of POP-Q 鈪，

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