不同分娩方式对盆底功能的影响及产后盆底磁电联合治疗对盆底肌康复的效果

Influence of Different Delivery Methods on Pelvic Floor Function and the Effect of Postpartum Combined Pelvic Floor Magnetic and Electric Therapy on Pelvic Floor Muscle Rehabilitation

目的研究不同分娩方式对盆底功能的影响,以及产后盆底磁电联合治疗对盆底肌康复的效果.方法选取2020年1月—2021年6月在本院分娩的1082例产妇为研究对象,根据分娩方式的不同将其分为顺产组634例和剖腹产组448例,产后42 d复查盆底肌功能,对比两组的盆底肌功能障碍发生率.采用随机数表法将有盆底肌功能障碍的产妇均分为对照组和研究组,进行盆底肌康复治疗,对照组采用自行缩提肛康复治疗,研究组采用盆底磁电联合治疗,治疗结束后进行盆底表面肌电评估,对比分析两组产妇的盆底肌力分级、肌电压、阴道压力正常比率及治疗满意度.结果剖腹产组盆底功能障碍发生率为44.20%,略低于顺产组的45.74%,但差异无统计学意义(P>0.05).发生盆底功能障碍的产妇共488例,均分为对照组和研究组,每组244例.治疗前,两组产妇的盆底肌力分级、肌电压、阴道压力正常比率比较,组间差异无统计学意义(P>0.05);治疗后,两组产妇的盆底肌力分级、肌电压、阴道压力正常比率均显著高于治疗前,且研究组各项指标均明显高于对照组,组间差异有统计学意义(P<0.05).研究组的治疗满意度为96.72%,显著高于对照组的83.61%,差异有统计学意义(P<0.05).结论顺产和剖腹产均会对盆底功能产生影响;产后盆底肌功能障碍产妇采用盆底磁电联合治疗可获得较好的效果,有助于盆底肌康复,产妇的治疗满意度高,值得推广与应用.

Objective To study the influence of different delivery methods on pelvic floor function and the effect of postpartum combined pelvic floor magnetic electrotherapy on pelvic floor muscle rehabilitation.Methods A total of 1082 parturitions who delivered in the hospital from January 2020 to June 2021 were selected as the research subjects.According to different delivery methods,they were divided into 634 cases in the vaginal delivery group and 448 cases in the caesarean delivery group.Pelvic floor muscle function was examined 42 days after delivery,and the incidence of pelvic floor muscle dysfunction was compared between the two groups.The parturient women with pelvic floor muscle dysfunction were divided into the control group and the study group for pelvic floor muscle rehabilitation.The control group was treated with self-lifting rehabilitation,and the study group was treated with combined pelvic floor magnetic electrotherapy.After treatment,the pelvic floor surface electromyography was evaluated,and the pelvic floor muscle strength grade,muscle voltage,vaginal pressure normal ratio and treatment satisfaction were compared and analyzed between the two groups.Results The incidence of pelvic floor dysfunction in caesarean delivery group was 44.20%,which was slightly lower than 45.74%in vaginal delivery group,but the difference was not statistically significant(P>0.05).A total of 488 parturient women with pelvic floor dysfunction were divided into the control group and the study group,with 244 cases in each group.Before treatment,there were no significant difference in pelvic floor muscle strength grade,muscle voltage and vaginal pressure normal ratio between the two groups(P>0.05);after treatment,the grade of pelvic floor muscle strength,muscle voltage and normal ratio of vaginal pressure of puerpera in the two groups were significantly higher than before treatment,and all indexes in the study group were significantly higher than those in the control group,the differences between the groups were statistically significant(P<0.05).The treatment satisfaction of the study group was 96.72%,which was significantly higher than 83.61%of the control group,and the difference was statistically significant(P<0.05).Conclusion Both vaginal delivery and caesarean section can affect pelvic floor function.The combined pelvic floor magnetic electrotherapy for parturient women with postpartum pelvic floor muscle dysfunction can achieve better results,contribute to the rehabilitation of pelvic floor muscle,and the treatment satisfaction of parturient women is high,which is worthy of promotion and application.