产后女性盆底功能障碍康复治疗的临床效果探讨

Discussion on the Clinical Effect of Rehabilitation Treatment of Female Pelvic Floor Dysfunction After Delivery

目的探讨康复治疗应用于产后女性盆底功能障碍的临床效果。方法选取2014年9月至2015年6月在我院行阴道分娩并在产后检测患者盆底功能性障碍的180例产妇为研究对象。将患者随机分为对照组(90例)和观察组(90例),对照组给予单纯盆底肌功能训练治疗,观察组在此基础上给予生物反馈联合电刺激治疗。采用GRRUG法评估患者的会阴肌力分级情况,比较两组的盆底肌力情况。结果治疗后观察组的会阴肌力分级情况显著优于对照组,差异具有统计学意义(P<0.05);观察组Ⅰ、Ⅱ类肌纤维肌电压明显高于对照组,肌纤维疲劳度明显低于对照组(P<0.05)。结论对产后女性盆底功能障碍者采用多种疗法联合的盆底肌肉康复治疗,可有效提高盆底肌肉张力,促进产后盆腔肌肉功能康复,值得在临床推广应用。

Objective To investigate the clinical effect of rehabilitation treatment of female pelvic floor dysfunction after delivery. Methods From September 2014 to June 2015, 180 cases of pregnant women who implemented vaginal delivery in our hospital and diagnosed with pelvic floor dysfunction after delivery were selected as research objects. All patients were randomly divided into control group （90 cases） and observation group （90 cases）, the control group was treated with simple pelvic floor muscle training, the observation group was given biofeedback combined with electrical stimulation on the basis of control group. The classification of perineal muscle strength was evaluated by GRRUG method, and the conditions of pelvic floor muscle strength in two groups were compared. Results After treatment, the grading situations of perineal muscle strength in observation group were better than those in control group （P 〈0.05）; the muscle voltage of I , II muscle fiber in observation group was significantly higher than that in control group, the muscle fatigue in observation group was significantly lower than that in control group （both P〈0.05）. Conclusions For patients with postpartum female pelvic floor dysfunction, the combination therapy of pelvic floor muscle rehabilitation treatment can effectively improve the pelvic floor muscle tension, promote the rehabilitation of postpartum pelvic muscle function, which is worthy of promotion and application in clinic.