摘要
目的探讨采用不同盆底肌肉康复术治疗产后盆底功能障碍(PFD)的治疗效果及对肌力、疲劳度及POP-Q分度的影响。方法纳入产科分娩后产妇,产后6周门诊复查诊断为盆底功能障碍患者120例,随机分为对照组(盆底肌肉训练+健康教育)与研究组(盆底肌肉训练+健康教育+电刺激+生物反馈),每组60例,比较2组治疗效果。结果比较2组治疗前Ⅰ类肌力、Ⅱ类肌力及疲劳度,差异无统计学意义(P>0.05),研究组治疗后Ⅰ类、Ⅱ类肌力显著优于对照组(P<0.05),但2组治疗后盆肌疲劳度比较,差异无统计学意义(P>0.05);治疗前2组POP-Q分度比较,差异无统计学意义(P>0.05),治疗后研究组POP-Q分度数据显著优于对照组(P<0.05);治疗后研究组患者尿失禁、性生活质量、阴道壁膨出及腰骶痛改善情况均明显优于对照组,差异有统计学意义(P<0.05)。结论采用盆底肌肉训练、健康教育、电刺激及生物反馈联合治疗产后盆底功能障碍的疗效显著,可提升盆底肌力,促进尿失禁及子宫脱垂的康复,提高产妇产后生活质量。
Objective To investigate the effects of different pelvic floor muscle（ PFM） rehabilitation therapies in treatment of postpartum pelvic floor dysfunction（ PFD） and their effects on muscle strength,fatigue degree and POP-Q indexes. Methods A total of 120 puerpera who were diagnosed as PFD at 6 weeks after childbirth in our hospital were enrolled in the study,who were randomly divided into control group（ PFM training ＋ health education） and research group（ PFM training ＋ health education ＋ electrical stimulation ＋ biofeedback）,with 60 patients in each group. The therapeutic effects were observed and compared between the two groups. Results Before treatment there were no significant differences in type Ⅰ muscle strength,type Ⅱ muscle strength and fatigue degree between the two groups（ P〈0. 05）. After treatment,type Ⅰ muscle strength and type Ⅱ muscle strength in research group were significantly better than those in control group（ P〈0. 05）,but there was no significant difference in pelvic muscle fatigue degree between two groups after treatment（ P〈0. 05）. Before treatment,there were no significant differences in POP-Q scores between the two groups（ P〈0. 05）.However,after treatment,the POP-Q scores in research group were superiot to those in control group（ P〈0. 05）. Moreover the improvement degree of urinary incontinence,quality of sexual life,vaginal wall bulging,and lumbosacral pain in research group after treatment was superior to that in control group（ P〈0. 05）. Conclusion The PFM training,health education,electrical stimulation and biofeedback have significant effects in treatment of postpartum PFD,which can increase PFM strength,promote recovery of urinary incontinence and uterine prolapse of patients,and improve life quality of puerpera after childbirth.
作者
马向英
刘艳慧
吕英璞
尚丽丽
娄玉芹
张立新
MA Xiangying, LIU Yanhui, LV Yingpu, et al.(Department of Obstetrics and Gynecology, The First Hospital of Shijiazhuang City, Hebei, Shijiazhuang 050011, Chin)
出处
《河北医药》
CAS
2018年第11期1727-1729,共3页
Hebei Medical Journal
基金
石家庄市科学技术研究与发展指导计划项目(编号:151461423)
关键词
盆底肌肉康复术
盆底功能障碍
肌力
POP-Q分度
pelvic floor musele rehabilitation
pelvic floor dysfunction
musele strength
POP-Q scale division
