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产后盆底功能障碍的康复治疗效果评价

Evaluation of Rehabilitation Therapeutic Effect on Postpartum Pelvic Floor Dysfunction

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【作者】 梁玲胡凤玲潘静

【Author】 LIANG Ling;HU Feng-ling;PAN Jing;Wuhu Maternal and Child Health Hospital;

【机构】 安徽省芜湖市妇幼保健院

【摘要】 目的研讨产后盆底功能障碍患者实施盆底康复治疗的临床价值。方法选择我院收治于2018年1月至12月的60例产后盆底功能障碍患者做研究分析,并通过随机数表模式分组,A组(n=30)予以自主盆底肌训练(凯格尔运动),B组(n=30)在该基础上接受盆底康复治疗仪治疗,对两组的盆底功能、尿失禁率等进行观察与比较。结果 (1)两组不同治疗阶段的肌纤维疲劳情况与POP-Q分度:治疗前,两组的Ⅰ、Ⅱ类肌纤维疲劳与POP-Q指示点记录值相比,P>0.05,无统计学意义;产后12周,B组的Ⅰ、Ⅱ类肌纤维疲劳与POP-Q指示点记录值较A组均显著改善,P<0.05,有统计学意义;(2)两组产后12周的盆底肌力恢复情况与尿失禁率:与A组比较,B组盆底肌力的恢复明显更理想,发生尿失禁的概率明显更低,P<0.05,有统计学意义。结论自主盆底肌训练(凯格尔运动)+盆底康复治疗仪对产后盆底功能障碍的治疗有确切疗效,能够明显改善患者的盆底功能,减少尿失禁的发生,值得推荐。

【Abstract】 Objective To discuss the clinical value of pelvic floor rehabilitation therapy for postpartum patients with pelvic floor dysfunction.Methods Sixty patients with postpartum pelvic floor dysfunction who were admitted to our hospital from Januaty to December 2018 were selected for analysis and analysis by random number table.Group A(n=30) was given autonomous pelvic floor muscle training(Kegel motion).The group B(n=30) was treated with the pelvic floor rehabilitation apparatus on the basis of this.The pelvic floor function and urinaty incontinence rate of the two groups were observed and compared.Results(1) Myofiber fatigue and POP-Q scores at different stages of treatment in the two groups:before treatment,the recorded values of type Ⅰ and Ⅱ myofiber fatigue and POP-Q indicators in the two groups were compared,P>0.05,with no statistical significance;(2) Two groups of postpartum12 weeks of pot Bottom muscle strength recovery and urinary incontinence rate:compared with group A,the recovery of pelvic floor muscle strength in group B was significantly better,and the probability of urinary incontinence was significantly lower,P<0.05,statistically significant.Conclusion Autonomous pelvic floor muscle training(Kegel motion)+pelvic floor rehabilitation therapy instrument has a definite effect on the treatment of postpartum pelvic floor dysfunction.It can significantly improve the pelvic floor function and reduce the occurrence of urinaty incontinence.It is recommended.

  • 【文献出处】 世界最新医学信息文摘 ,World Latest Medicine Information , 编辑部邮箱 ,2019年87期
  • 【分类号】R714.6
  • 【被引频次】4
  • 【下载频次】181
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