产后盆底康复技术对女性盆底功能障碍防治效果的研究

Effect of postpartum pelvic floor rehabilitation techniques on prevention and treatment of female pelvic floor dysfunction

目的探究产后盆底康复技术对女性盆底功能障碍的防治效果。方法选取2012年1月至2014年1月期间在贵港市妇幼保健院生产且产后42天确诊为女性盆底功能障碍的476例产妇为研究对象。采用随机数字表法对476例产妇进行分组治疗,其中157例产妇未采用盆底康复治疗仪者为对照组,其余319例产妇采用盆底肌低频电刺激治疗者为观察组。对比两组产妇产后3个月、6个月、12个月脏器脱垂,尿失禁,性欲,性交痛、性伴侣满意度,盆底器官脱垂评估系统(POP—Q)情况。结果观察组产妇产后3个月、6个月、12个月脏器脱垂和尿失禁发生率均显著低于对照组产妇(x^2=4.137~15.489,均P<0.05)。观察组产妇产后6个月、12个月时性欲、性交痛发生率、性伴侣满意度显著优于对照组产妇(x^2=4.312~17.426,均P<0.05),而产后3个月两组上述指标无显著性差异(x^2值分别为0.728、0.464、0.587,均P>0.05)。观察组产妇产后3个月、6个月、12个月POP-Q评分均显著优于对照组产妇(x^2值分别为67.993、157.046、223.687,均<0.05),且观察组产妇产后6个月、12个月的POP-Q评分均显著优于产后3个月(x^2值分别为410.305、481.273,均P<0.05),而对照组产妇产后6个月、12个月的POP—Q评分与产后3个月比较均无显著性差异(x^2值分别为0.227、2.965,均P>0.05)。结论采用产后盆底康复技术对女性盆底功能障碍性疾病具有较好的防治效果,能够降低盆腔脏器脱垂、尿失禁的发生率,改善妇女性欲、性交痛、性伴侣满意度,预防女性盆底功能障碍,值得在临床推广应用。

Objective To explore the prevention and treatment effect of postpartum pelvic floor rehabilitation techniques on female pelvic floor dysfunction. Methods Research subjects were 476 cases delivering in Guigang Maternal and Child Health Care Hospital and diagnosed with postpartum pelvic floor dysfunction at 42 day during the period of January 2012 to January 2014. Random number table method was used to group eases, including 157 cases in control group not using maternal pelvic floor rehabilitation instrument and 319 cases in observation group with maternal pelvic floor rehabilitation therapy using low frequency electrical stimulation. Two groups were compared in terms of organ prolapse, urinary incontinence, sexual desire, sexual pain, sexual partner＇ s satisfaction degree, and pelvic organ prolapse assessment system （pelvic organ prolapsed quantitive examination, POP-Q） 3, 6 and 12 months after delivery. Results The incidence of organ prolapse and urinary incontinence in the observation group were significantly lower than that of the control group after 3 months, 6 months and 12 months （X2 value ranged 4. 137 - 15. 489, respectively, all P 〈 0.05 ）. The incidence of sexual desire, sexual intercourse pain and sexual partner＇ s satisfaction in the observation group were significantly better than that of the control group after 6 months and 12 months （Xz value ranged 4. 312 - 17. 426, respectively, all P 〈 0.05 ）, but there was no significant difference after 3 months between two groups （XZ value was 0. 728, 0. 464 and 0.587, respectively, all P 〉 0.05）. Compared with the control group, the POP-Q scores in the observation group after 3 months, 6 months and 12 months were significantly better than those of the control group （X2 value was 67. 993, 157. 046 and 223. 687, respectively, all P 〈0.05）, and the POP-Q scores in the observation group of postpartum 6 months and 12 months were significantly better than that of 3 months （χ^2 value was 410. 305 and 481. 273, respectively, both P 〈 0.05）. But POP-Q score of postpartum 3 months was not significantly different from that of postpartum 6 months and 12 months in the control group （χ^2 value was 0. 227 and 2. 965, respectively, both P 〉 0.05 ）. Conclusion Postpartum pelvic floor rehabilitation techniques have good preventive and control effect on female pelvic floor dysfunction, can reduce the incidence of pelvic organ prolapse and urinary incontinence, improve women＇ s sexual desire, painful intercourse and sexual partner＇ s satisfaction, and prevent woman pelvic floor dysfunction. They are worthy of promotion in clinical practice.