联合阴道哑铃锥训练改善产后盆底肌张力的研究

Improving postpartum pelvic floor muscle by vaginal dumbbell training

目的证实Kegel联合阴道哑铃锥训练方法对产后盆底肌康复的临床效果。方法借助PHENIX盆底肌康复检测仪检测300例产后妇女分别通过传统Kegel康复训练和Kegel联合阴道哑铃锥康复训练对盆底肌张力和产后性功能恢复的效果。对问卷调查资料和仪器检测数据进行评分和分度,并借助SPSS11.1软件对数据进行统计分析。结果对照组、传统训练组和联合哑铃锥训练组盆底肌张力的测定结果显示,盆底肌张力在Ⅳ级和Ⅴ级程度的传统训练组和联合哑铃锥训练组显著高于对照组(P<0.05),而且联合哑铃锥训练组比传统训练组的盆底肌张力增强更明显(P<0.05﹚。对问卷资料量化评分结果显示,在产后3个月的训练期间传统训练组和联合哑铃锥训练组性功能指数高于60分的人数明显多于对照组(P<0.05),此差异在产后12个月的训练期间更显著,而且在此期间联合哑铃锥训练组比传统训练组的效果更明显(P<0.05)。结论联合哑铃锥训练方式能够明显改善产后盆底肌张力,加速盆底肌和生殖器官的机能恢复,从而提高生育妇女的生活质量和幸福指数,而且此训练方式由于成本低廉和使用方便适合基层医院的临床推广。

Objective To confirm the clinical effect of Kegel＇s united vaginal dumbbell training for pelvic floor muscle recovery.Methods PHENIX pelvic floor muscle rehabilitation detector was used to compare the different effect of traditional Kegel＇s training and Kegel＇s united vaginal dumbbell training to the recovery of pelvic floor muscle strength and sexual function in 300 cases of postpartum women.The data of questionnaire and test were graded and statistically analyzed by SPSS11.1.Results The test of pelvic floor strength in controls,traditional group and dumbbell group showed that the pelvic floor strength in Ⅳ and Ⅴ grade were obviously higher in both traditional and dumbbell groups than in the controls（P0.05）,and which were also higher in dumbbell group than in traditional group（P0.05）.The score of questionnaire showed that during 3 months training postpartum,the number for sexual function index 60 was significantly higher in dumbbell and traditional groups than in controls（p0.05）.This difference was more obvious in 12 months training postpartum,and in which the effect was more obvious in dumbbell group than in traditional group（P0.05）.Conclusion Kegel＇s united vaginal dumbbell training could significantly improve pelvic floor strength,accelerate the functional recovery of pelvic floor muscles and reproductive organs,thereby improve the quality of life of women,and the training can be extended in basic hospitals for its convenience and low-cost.