【摘要】 目的探讨足月顺产产妇盆底康复治疗的时机及其疗效,为预防和早期治疗盆底功能障碍性疾病(pelvic floor dysfunction,PFD)提供依据。方法选择2014年1月至2015年12月在福田区妇幼保健院产科门诊进行盆底康复治疗的1 000例产妇为研究对象。根据治疗时间分为A组和B组,每组各500例,A组于产后6~12周治疗,B组于产后12~20周治疗,共治疗10次,之后门诊定期随访,治疗3个月后再次评价盆底肌力。结果两组产妇治疗前均存在不同程度的盆底肌张力异常,但差异无统计学意义(P>0.05)。治疗后,A组和B组Ⅰ类肌纤维的持续收缩压、持续时间和Ⅱ类肌纤维的快速收缩压、收缩个数相比较,差异有统计学意义(P<0.05)。结论足月顺产后产妇均存在不同程度的盆底肌力异常,盆底康复治疗能改善盆底肌力,早期治疗更加有效,临床医生有必要指导产妇及早进行治疗。更多还原

【Abstract】 Objective To explore the timing of pelvic floor rehabilitation treatment in full-term normal delivery and curative effect,provide a basis for prevention and early treatment of pelvic floor dysfunction(PFD).Methods A total of 1 000 postpartum women receiving pelvic floor rehabilitation treatment in Outpatient Department of Obstetrics in the hospital from January 2014 to December 2015 were selected and divided into group A and group B according to treatment timing,500 women in each group.The women in group A were treated during 6-12 weeks after delivery,and the women in group B were treated during 12-20 weeks after delivery,all the women were treated for10 times,then they were followed up regularly in Outpatient Department;after three months,pelvic floor muscle strength was evaluated again.Results Abnormal pelvic floor muscular tension was found in the women in the two groups before treatment,but there was no statistically significant difference(P > 0.05).After treatment,there were statistically significant differences in sustained systolic blood pressure and persistence time of type Ⅰ muscle fiber,rapid systolic blood pressure and contraction number of type Ⅱ muscle fiber between group A and group B(P<0.05).Conclusion Abnormal pelvic floor muscular tension in varying degrees is found in full-term normal delivery,pelvic floor rehabilitation therapy can improve pelvic floor muscle strength,early treatment is more effective,clinicians should guide maternal treatment as early as possible.更多还原