不同时机盆底康复治疗产后盆底功能障碍性疾病的效果观察

Observation on the Effect of Pelvic Floor Rehabilitation Therapy on Postpartum Pelvic Floor Dysfunction at Different Times

目的探讨不同时机盆底康复治疗产后盆底功能障碍性疾病的临床效果.方法选择2019年10月—2022年10月该院收治的78例产后盆底功能障碍性疾病患者为研究对象,并随机将其分为研究组和对照组,各39例.对照组患者于产后3个月开始进行盆底康复治疗,研究组患者则于产后42d开始行盆底康复治疗.对比两组患者的盆底功能恢复情况.结果研究组治疗总有效率为94.87%,高于对照组的78.49%,差异有统计学意义(P<0.05).治疗后,研究组患者盆底肌力等级分布情况优于对照组,差异有统计学意义(P<0.05).治疗后,研究组盆底Ⅰ类与Ⅱ类肌纤维肌力及阴道最大压力均高于对照组,组间差异有统计学意义(P<0.05).治疗后,研究组PISQ-12评分较对照组高,PFID-20与PFIQ-7评分较对照组低,组间差异有统计学意义(P<0.05).治疗后,研究组FS-FI评分较对照组高,差异有统计学意义(P<0.05).结论产后42d开始行盆底康复治疗更有利于改善盆底肌力,促进盆底功能恢复,提高治疗效果及患者性生活质量.

Objective To explore the clinical effect of pelvic floor rehabilitation therapy on postpartum pelvic floor dysfunction at different times.Methods 78 patients with postpartum pelvic floor dysfunction admitted to the hospital from October 2019 to October 2022 were selected as the research subjects,and were randomly divided into a study group and a control group,with 39 patients in each group.The control group patients began pelvic floor rehabilitation therapy 3 months postpartum,while the study group patients began pelvic floor rehabilitation therapy 42 days postpartum.The recovery of pelvic floor function between two groups were compared.Results The total effective rate of treatment in the research group was 94.87%which was higher than 78.49%in the control group,and the difference was statistically significant(P<0.05).After treatment,the distribution of pelvic floor muscle strength in the study group was better than that in the control group,with a statistically significant difference(P<0.05).After treatment,the PISQ-12 score in the study group was higher than that in the control group,while the PFID-20 and PFIQ-7 scores were lower than those in the control group,and the differences were statistically significant(P<0.05).After treatment,the FS-FI score of the study group was higher than that of the control group,with a statistically significant difference(P<0.05).Conclusion Starting pelvic floor rehabilitation treatment at 42 days postpartum is more beneficial for improving pelvic floor muscle strength,promoting pelvic floor function recovery,improving treatment effectiveness,and improving patients'sexual quality of life.