妊娠晚期盆底肌锻炼对产后膀胱功能障碍及尿动力学的影响

Effect of Pelvic Floor Muscle Exercise on the Urinary Bladder Dysfunction and Urinary Dynamics During Late Pregnancy

目的探讨妊娠晚期盆底肌锻炼对产后膀胱功能障碍及尿动力学的影响。方法选取我院接收的96例孕妇,随机分组,各48例。对照组做常规产检,观察组在产检基础上进行盆底肌锻炼,观察两组产后膀胱功能障碍发生率及尿动力学变化情况。结果两组产妇产后膀胱初感容积、最大尿流率时逼尿肌压力相比较,差异无统计学意义(P>0.05),观察组最大膀胱容量、最大尿流率均显著高于对照组,差异有统计学意义(P<0.05);产后观察组盆底肌张力正常率87.50%显著高于对照组62.50%,差异有统计学意义(P<0.05)。结论妊娠晚期进行盆底肌锻炼可改善膀胱功能障碍及尿动力学。

Objective To investigate the effect of pelvic floor muscle exercise on the urinary bladder dysfunction and urinary dynamics in the late pregnancy. Methods 96 cases of pregnant women received in our hospital were randomly divided into two groups, each of 48 cases. Control group did routine prenatal examination, observation group for pelvic floor muscle exercise on the basis of prenatal examination, the incidence rate of bladder dysfunction and the changes of urinary dynamics in the two groups were observed. Results Comparison of two groups of maternal postpartum initial bladder sensation volume and detrusor pressure at maximum urinary flow rate, the difference was not statistically significant （P＆gt;0.05）,the maximum bladder capacity and maximum urine flow rate of the observation group were significantly higher than those in the control group, the difference was statistically significant （P〈0.05）; The normal rate of pelvic floor muscle tension in the postpartum observation group was 87.50%, significantly higher than that in the control group 62.50%, the difference was statistically significant （P〈0.05）. Conclusion Pelvic floor muscle exercise in late pregnancy can improve bladder dysfunction and urinary dynamics.