产后盆底康复治疗的临床效果评价

To Evaluate the Clinical Effect of Postpartum Pelvic Floor Rehabilitation Therapy

目的探讨产后盆底肌训练的康复效果对改善女性盆底肌群功能缺陷的临床效果。方法选取本院2013年1月至2014年1月共100例经阴道分娩的初产妇,随机分成治疗组对照组,每组50例,治疗组遵循自愿原则,于产后红色恶露清除,会阴切口已拆线且不感疼痛即可以进行训练,对照组按传统方法,42 d后才开始训练,100例产妇训练3个月后均作盆底肌功能测试。结果对照组测定患者的盆底综合肌力,基本恢复正常(IV)及完全恢复正常(V)者30%,而治疗后达到82%,P<0.05治疗前后差异有统计学意义(P<0.01);观察组产后42 d夜尿次数评分为(2.6±0.5),尿失禁阳性率为36.0%,经指导凯格尔运动180 d后复查,夜尿次数评分为(1.3±0.4),尿失禁阳性率为12.0%。对照组产后42 d夜尿次数评分为(2.5±0.6),尿失禁阳性率为36.0%,产后180 d后复查,夜尿次数评分为(2.3±0.5),尿失禁阳性率为28.0%。经统计学χ2检验,两组之间比较有明显差异(P<0.01);对照组性生活质量处于高水平者为40.0%;观察组患者性生活质量处于高水平78.0%比例明显高于治疗前,差异有统计学意义(P<0.01)。结论早期盆底肌训练的康复效果优于传统方法训练,有效降低压力性尿失禁等优异的疗效。

Objective To investigate the clinical effect of postpartum pelvic floor muscle tralning rehabilitation effect on improvement of female pelvic floor muscles function defects.Methods In our hospital from January 2013 to January 2014 a total of 100 cases of primipara with vaginal delivery were randomly divided into treatment group, control group, 50 cases in each group, the treatment group and follow the principle of voluntariness, postpartum lochia elimination in red, perineal incision has stitches and no sense of paln can be tralning, the control group by traditional method, 42 days after the tralning, 100 lying in women after 3 months of tralning for pelvic floor muscle function test.Results In the control group, comprehensive strength determination of pelvic floor, returned to normal（IV）and recovered to normal（V）in 30%, and after treatment reached 82%, P〈0.05 were statistically significant difference before and after treatment（P〈0.01）; observation group 42 days postpartum nocturia frequency score was（2.6±0.5）, positive rate urinary incontinence was 36%, with the guidance of Kegel motion after 180 days, the number of nocturia score was（1.3 ±0.4）, the positive rate of urinary incontinence was 12%. The control group 42 days postpartum nocturia frequency score was（2.5±0.6）, the positive rate of urinary incontinence was 36%, postpartum after 180 days, the number of nocturia score was（2.3±0.5）, the positive rate of urinary incontinence was 28%. The statistical χ2 test, there was significant difference between the two groups（P〈0.01）; the control group of the quality of life at a high level for 40%; observation group of the quality of life of patients with high at 78% was significantly higher than that before treatment, the difference was statistically significant（P〈0.01）.Conclusion The early rehabilitation tralning is better than the traditional method of pelvic floor muscle tralning, effectively reduce the effect of stress urinary incontinence and other excellent.