产后盆底康复治疗对盆底肌力恢复效果的影响

Effect of postpartum pelvic floor rehabilitation therapy on pelvic floor muscle and vaginal tighten of maternal

目的 探讨产后盆底康复治疗对盆底肌的肌力和阴道紧缩度的影响.方法 将69例足月头位分娩的产妇随机分为两组,治疗组37例利用PHENⅨ型号盆底电刺激治疗仪行产后康复治疗,对照组32例行Kegel盆底肌功能训练,两组均于1个疗程后进行盆底肌的肌力分级评定（专科手法检查及张力治疗头筛查）,评价两组康复效果.结果 两组产后盆底康复后肌力均有明显改善,治疗组盆底肌的肌力改善有效及显效例数为18例和15例,对照组盆底肌的肌力改善有效及显效例数分别为14例和8例；治疗组阴道紧缩度改善例数为32例,对照组阴道紧缩度改善例数为20例；治疗组盆底肌力改善程度及阴道紧缩度提高率明显优于对照组,差异有统计学意义（u值分别为3.59,2.16;P ＜0.05）.结论 盆底电刺激行产后康复治疗方法简单、安全,产妇的依从性好,产后盆底肌力提高,阴道的紧缩度增强.

Objective To examine the effect of postpartum pelvic floor rehabilitation therapy on pelvic floor muscle and Vaginal tighten.Methods A total of 69 maternal with head position term delivery were recruited and divided into two groups randomly.The treatment group received the therapy of electrical muscle stimulator （model PHENIX）,while the control group received Kegel pelvic muscle exercise.Their pelvic muscle strength was evaluated after a course of therapy.Results After the intervention,pelvic muscle strength of all maternal were improved.The number of cases had marked effect or improved of partial response on pelvic floor muscle strength in treatment group respectively were 18 cases and 15 cases,and those in control group respectively were 14 cases and 8 cases,and the difference was statistically significant（u =3.59,P 〈 0.05）.The number of the pelvic muscle strength and vaginal tightening improved in treatment group was higher than that in control group （32 vs 20）,and the difference was statistically significant （u =2.16 ; P 〈 0.05）.Conclusions The electrical muscle stimulate therapy is useful and safe for delivery woman.It can improve the pelvic muscle strength and tighten vaginal muscle.