【摘要】 目的:探讨产褥期后妇女盆底肌肉康复治疗的临床疗效。方法:选取深圳市第二人民医院2012年6月~2013年6月常规产后42天检查的妇女60例,分为顺产组37例和剖宫产组23例,由同一位专业盆底康复师进行个体化的电刺激及生物反馈治疗,每周2次,10次为1个疗程,治疗前后进行盆底肌肉压力检测,评价两组之间及治疗前后的盆底压力变化。结果:两组产妇产后6周Ⅰ类纤维的持续收缩压及Ⅱ类肌纤维的快速收缩压无明显差异。经盆底康复治疗后,两组的Ⅰ、Ⅱ类肌纤维收缩强度、Ⅰ类持续时间及Ⅱ类收缩个数均较治疗前显著提高(P<0.01)。结论:两种分娩方式均造成产后盆底肌力下降;经电刺激联合生物反馈治疗后盆底肌功能得到改善,建议产妇产后早期进行盆底肌肉康复训练,减少或延缓女性盆底功能障碍性疾病的发生。更多还原

【Abstract】 Objective: To explore the clinical efficacy of postpartum pelvic floor muscle rehabilitation training. Methods: Sixty women receiving conventional examination at 42 days after delivery in the hospital from June 2012 to June 2013 were selected and divided into vaginal delivery group( 37 women) and cesarean section group( 23 women); individual electric stimulation- biofeedback treatment was conducted twice a week by the same specialized physical therapist,one course of treatment included 10 times; pelvic floor muscle stress examination was performed before and after treatment to evaluate the changes of pelvic floor muscle stress between the two groups before and after treatment. Results: There was no significant difference in constant contraction pressure of fiber Ⅰ and fast contraction pressure of fiber Ⅱ at six weeks after delivery between the two groups. After treatment,the contraction intensities of fiber Ⅰ and fiber Ⅱ,the duration time of contraction of fiber Ⅰ and the number of contraction of fiber Ⅱ in the two groups were improved compared with before treatment( P < 0. 01).Conclusion: Both the two delivery modes can cause decrease of pelvic floor muscle strength; the function of pelvic floor muscles is improved after electric stimulation- biofeedback therapy. Postpartum pelvic floor muscle rehabilitation training should be performed early among postpartum women to reduce or delay the occurrence of female pelvic floor dysfunction.更多还原