盆底康复技术对产后盆底功能障碍的防治作用

Effect of Pelvic Floor Rehabilitation on Postpartum Pelvic Floor Dysfunction

目的评价盆底康复技术对产后盆底功能障碍的防治作用。方法采用回顾性分析方法 ,2016年10月—2017年9月医院共为55例产妇提供了盆底康复服务,纳入观察组。根据临床资料,年龄、阴道分娩方式、孕周(±1)周、新生儿体重(±200 g),选择同期选择未接受盆底康复服务的对象55例,纳入对照组。两组对象均在产后6个月进行复查,进行盆底功能障碍检查,对比异常检出情况、症状发生情况。结果观察组的Ⅰ类肌力与疲劳度异常、Ⅱ类肌力与疲劳度异常、其他异常、盆底功能障碍性疾病发生率分别为12.73%、7.27%、7.27%、3.64%,低于对照组41.82%、40.00%、47.27%、29.09%,差异有统计学意义(χ~2=11.73、16.32、22.18、13.02,P=0.001、0.000、0.000、0.000<0.05)。观察组外阴坠胀、盆腔胀痛、症状合计发生率1.92%、0.00%、7.27%低于对照组12.73%、10.91%、41.82%,差异有统计学意义(χ~2=4.85、4.41、22.83,P=0.028、0.036、0.000<0.05)。结论盆底康复技术对产后盆底功能障碍有较好的防治作用,推荐作为一种普遍性的产后保健技术,所有的产妇都推荐开展盆底肌肉训练。

Objective This paper tries to evaluate the effect of pelvic floor rehabilitation on postpartum pelvic floor dysfunction. Methods Using retrospective analysis, from October 2016 to September 2017, the hospital provided pelvic floor rehabilitation services to 55 women who were part of the observation group. According to clinical data, age, vaginal delivery,gestational age（±1） weeks, and neonatal weight（±200 g）, 55 patients who did not receive pelvic floor rehabilitation services at the same time were selected and included in the control group. Both groups of subjects were reexamined at 6 months postpartum for the examination of pelvic floor dysfunction and the comparison of abnormalities and symptoms. Results The incidences of type I muscle strength and fatigue abnormalities, type II muscle strength and fatigue abnormalities, other abnormalities, and pelvic floor dysfunction diseases in the observation group were 12.73%, 7.27%, 7.27%, and 3.64%, respectively, lower than those in the control group 41.82%, 40.00%, 47.27%, 29.09%, the difference was statistically significant（χ~2=11.73, 16.32, 22.18, 13.02, P=0.001,0.000, 0.000, 0.000〈0.05）. Observing group genital bulge, pelvic pain, the total incidence of symptoms 1.92%, 0.00%, 7.27% lower than the control group 12.73%, 10.91%, 41.82%, the difference was statistically significant（χ~2=4.85, 4.41, 22.83, P =0.028, 0.036, 0.000 0〈05）. Conclusion The pelvic floor rehabilitation technology has good prevention and treatment of postpartum pelvic floor dysfunction and is recommended as a universal postpartum health care technology. All mothers recommend pelvic floor muscle training.