不同分娩方式对盆底功能障碍性疾病康复治疗效果的影响

发布时间：2018-06-20 20:28

  本文选题：盆底康复治疗 + 盆底功能障碍性疾病　； 参考：《中国妇幼保健》2016年24期

【摘要】：目的通过比较康复治疗前后的产后妇女压力性尿失禁(SUI)、盆腔脏器脱垂(POP)和盆底肌肉收缩强度的变化,探讨不同分娩方式对盆底功能障碍性疾病(PFD)康复治疗效果的影响。方法选取2012年10月-2014年6月在厦门市妇幼保健院产后门诊就诊的初产妇236例,分为阴道分娩组170例,剖宫产组66例。于产后6周进行盆底功能检测,测定盆底肌力以及POP-Q数值,确定其存在盆底功能障碍,之后遵循自愿原则进行10~15次治疗,治疗结束后再次进行盆底功能检测。由专人询问及填写治疗前后的SUI问卷调查表,并对结果进行统计学分析。结果治疗前,阴道分娩组和剖宫产组SUI和POP发生率比较差异有统计学意义(P0.05)。阴道分娩组、剖宫产组治疗前和治疗后SUI和POP发生率比较差异有统计学意义(P0.05)。治疗后,阴道分娩组和剖宫产组SUI和POP发生率比较差异无统计学意义(P0.05)。治疗前,阴道分娩组和剖宫产组肌纤维肌力下降程度比较差异无统计学意义(P0.05)。阴道分娩组、剖宫产组治疗前和治疗后肌纤维肌力下降程度比较差异有统计学意义(P0.05)。治疗后,阴道分娩组和剖宫产组肌纤维肌力下降程度比较差异无统计学意义(P0.05)。结论阴道分娩及剖宫产均对产后早期盆底肌力有影响,阴道分娩产妇盆底功能更差,各种PFD症状明显,而经过盆底康复治疗后,PFD症状明显减少,患者盆底功能改善,说明盆底康复治疗对产后盆底功能障碍具有防治作用,不同分娩方式的影响无差别,疗效与盆底功能障碍程度、患者依从性有关。
[Abstract]:Objective to investigate the effects of different delivery methods on the rehabilitation of stress urinary incontinence (Su I), pelvic organ prolapse (POP) and pelvic floor muscle contraction (PFDs) in postpartum women before and after rehabilitation treatment. Methods from October 2012 to June 2014, 236 primiparous women were selected and divided into vaginal delivery group (n = 170) and cesarean section group (n = 66). The pelvic floor function was measured at 6 weeks postpartum, the pelvic floor muscle strength and POP-Q value were measured, and the pelvic floor dysfunction was confirmed, followed the voluntary principle of 1015 times of treatment, and the pelvic floor function was tested again after the treatment. The SUI questionnaire before and after treatment was investigated and the results were analyzed statistically. Results before treatment, the incidence of SUI and pop in vaginal delivery group and cesarean section group were significantly different (P 0.05). The incidence of SUI and pop in vaginal delivery group and cesarean section group was significantly different before and after treatment (P 0.05). After treatment, there was no significant difference in the incidence of SUI and pop between vaginal delivery group and cesarean section group (P 0.05). Before treatment, there was no significant difference between vaginal delivery group and cesarean section group. There was significant difference between vaginal delivery group and cesarean section group before and after treatment. After treatment, there was no significant difference between vaginal delivery group and cesarean section group. Conclusion vaginal delivery and cesarean section have an effect on pelvic floor muscle strength in the early postpartum period. The pelvic floor function of vaginal delivery parturient is worse and all kinds of PFD symptoms are obvious, but after pelvic floor rehabilitation treatment, PFD symptoms are obviously reduced and pelvic floor function is improved. The results showed that pelvic floor rehabilitation therapy had a preventive and therapeutic effect on postpartum pelvic floor dysfunction, and there was no difference in different delivery modes. The curative effect was related to the degree of pelvic floor dysfunction and the compliance of patients.
【作者单位】： 厦门市妇幼保健院健康管理科;
【分类号】：R711.5
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本文编号：2045570