早期盆底康复锻炼对不同分娩方式初产妇产后盆底功能的影响

Analysis of the benefits of early pelvic floor rehabilitation exercise on postpartum recovery of primiparous women with different delivery methods

目的探讨早期盆底康复锻炼对不同分娩方式初产妇产后盆底功能的影响,为其临床诊治提供参考。方法选取2018年9月-2019年11月在郑州市某医院进行分娩的100例初产妇作为研究对象,所有患者产后均由同一专业医师对其进行早期盆底肌康复训练,治疗周期为3个月,期间有5例患者中途退出。在完成盆底肌康复锻炼的95例患者中,剖宫产组患者36例,顺产组患者59例。比较2组患者临床效果;比较2组患者康复治疗前后盆底压力、盆底肌收缩压、性功能评分以及牛津急性疾病严重程度评分(OASIS)变化。结果治疗前,剖宫产组患者盆底静息压、盆底收缩压,盆底Ⅰ类肌纤维、Ⅱ类肌纤维收缩压,性功能评分及OASIS评分均明显高于顺产组,差异均有统计学意义(P<0.05)。治疗后,2组患者盆底静息压、盆底收缩压,盆底Ⅰ类肌纤维、Ⅱ类肌纤维收缩压,性功能评分及OASIS评分均明显高于治疗前,差异均有统计学意义(P<0.05)。顺产组患者的治疗有效率为96.61%,剖宫产组患者的治疗有效率为86.11%,差异无统计学意义(P>0.05)。结论给予不同分娩方式的初产妇进行早期盆底康复锻炼,可以较好地促进其盆底功能恢复,改善性功能,且效果显著,具有一定的临床应用价值。

Objective To explore the benefits of early pelvic floor rehabilitation exercises on the postpartum recovery of primiparous women with different delivery methods,and to provide reference for their clinical diagnosis and treatment.Methods One hundred cases of primiparous women who delivered in a hospital in Zhengzhou from September 2018 to November 2019 were selected asstudy subjects,and all patients were given early pelvic floor muscle rehabilitation training by the same professional physician after delivery,during which five patients dropped out halfway.Among the 95 patients who completed the pelvic floor rehabilitation exercise,36 patients were in the cesarean section group and 59 patients in the normal delivery group.The clinical outcomes of the two groups were compared;the changes in pelvic floor pressure,pelvic floor muscle systolic pressure,sexual function score and Oxford Acute Severity of Illness Score(OASIS)were compared before and after the rehabilitation treatment in the two groups.Results Before treatment,patients in the cesarean section group had significantly higher pelvic floor resting pressure,pelvic floor systolic pressure,pelvic floor class I muscle fiber and classⅡmuscle fiber systolic pressure,sexual function score and OASIS score than those in the parity group,and the differences were statistically significant(P<0.05).After treatment,the resting pelvic floor pressure,pelvic floor systolic pressure,pelvic floor classⅠmuscle fiber and classⅡmuscle fiber systolic pressure,sexual function score and OASIS were significantly higher in the 2 groups than before treatment,and the differences were all statistically significant(P<0.05).The treatment effective rate was 96.61%for patients in the normal delivery group and 86.11%for patients in the cesarean delivery group,with no statistically significant difference(P>0.05).Conclusion Early pelvic floor rehabilitation exercises for primiparous women with different delivery methods can promote their pelvic floor function recovery and improve their sexual function,and the effect issignificant and has certain clinical application value.