围生期盆底肌锻炼干预对不同分娩方式下盆底功能障碍性疾病的影响分析

Perinatal Pelvic Floor Muscle Exercise Intervention on Pelvic Floor Dysfunction Diseases inDifferent Delivery Modes

目的分析围手术期盆底肌锻炼干预对不同分娩方式下盆底肌功能障碍性疾病的影响。方法本次分析通过纳入本院2017年6月至2019年1月收治的188例孕妇为本次研究对象,根据孕妇分娩方式将其分为自然分娩组(n=100)与剖宫组(n=88),自然分娩组分为阴道锻炼组(n=60)和阴道无锻炼组(n=40),剖宫组分为剖宫锻炼组(n=48)和剖宫无锻炼组(n=40),针对阴道锻炼组及剖宫锻炼组孕妇进行围手术期盆底肌锻炼干预,观察分析自然分娩组内两组孕妇及剖宫组内两组孕妇产后12周的盆底肌、阴道静息压及收缩压、阴道收缩维持时间及盆底肌功能障碍发生情况。结果两组患者组内对比,阴道锻炼组和剖宫锻炼组的产妇的盆底肌力、阴道静息压及收缩压、阴道收缩维持时间、盆底肌功能障碍发生率分别优于阴道无锻炼组和剖宫无锻炼组(P<0.05)。结论围手术期盆底肌锻炼干预对不同分娩方式的产妇,均可改善其盆底肌功能,可预防产后盆底功能障碍性疾病发生。

Objective To analyze the effect of perioperative pelvic floor muscle exercise intervention on pelvic floor muscle dysfunction in different delivery modes.Methods 188 pregnant women admitted to our hospital from June 2017 to January 2019 were included in this study.According to the mode of delivery,they were divided into natural delivery group(n=100)and cesarean section group(n=88).The natural delivery group was divided into vaginal exercise group(n=60)and vaginal no exercise group(n=40).The cesarean section group was divided into cesarean section exercise group(n=48)and cesarean section no exercise group(n=40).Perioperative pelvic floor muscle exercise intervention was conducted in the vaginal exercise group and cesarean section exercise group.The pelvic floor muscle,vaginal resting pressure and systolic pressure,duration of vaginal contraction and the occurrence of pelvic floor muscle dysfunction were observed and analyzed in the natural delivery group and the cesarean section group at 12 weeks postpartum.Results The pelvic floor muscle strength,vaginal resting pressure and systolic pressure,duration of vaginal contraction and incidence of pelvic floor muscle dysfunction in vaginal exercise group and cesarean section exercise group were better than those in vaginal exercise group and cesarean section exercise group respectively(P<0.05).Conclusion Perioperative pelvic floor muscle exercise intervention can improve the pelvic floor muscle function and prevent the occurrence of pelvic floor dysfunction.