早期行盆底肌康复训练对预防盆底功能障碍的临床效果

Clinical effect of early pelvic floor muscle rehabilitation training on prevention of pelvic floor dysfunction

目的探讨产后早期行盆底肌康复训练对预防盆底功能障碍(PFD)的临床效果。方法选取我院2016年4月至2017年9月收治的产妇89例作为观察组,按照康复训练时间顺序进行分组,A组28例(产后6~8周训练),B组35例(产后9~12周训练),C组26例(产后12~13周训练)。另选择同期门诊产后仅复查未做训练的产妇69例作为对照组。比较两组一般情况、阴道收缩压、盆底肌力及观察组不同时间开始康复训练的盆底肌收缩力。结果观察组产后6个月尿失禁、盆腔脏器脱垂发生率均低于对照组,阴道收缩压及盆底Ⅰ、Ⅱ类肌力均大于对照组(P<0.05);A、B、C组训练后及产后6个月的盆底Ⅰ、Ⅱ类肌力均高于训练前(P<0.05)。结论早期进行盆底肌康复训练可以有效减低产妇尿失禁及盆腔器官脱垂的发生率,提高盆底肌力。

Objective To investigate the clinical effect of early pelvic floor muscle rehabilitation training on prevention of pelvic floor dysfunction（PFD）. Methods A total of 89 maternal in our hospital from April 2016 to September 2017 were selected as observation group. They were divided into three groups according to the order of rehabilitation training, 28 cases in group A（training 6-8 weeks after delivery）, 35 cases in group B（training 9-12 weeks after delivery） and 26 cases in group C（training 12-13 weeks after delivery）. During the same period, 69 maternal who had not been trained were selected as control group. The general situation, the vaginal systolic blood pressure and pelvic floor muscle strength of the two groups and the pelvic floor musde at different times of rehabilitation training in the observation group were compared.Results The incidences of urinary incontinence and pelvic organ prolapse in the observation group were lower than those of the control group at 6 months after delivery, and vaginal systolic pressure and pelvic floor Ⅰ and Ⅱ muscle strength were greater than those of the control group（P〈0.05）. The pelvic floor Ⅰ and Ⅱ muscle strength after training and 6 months after delivery in groups A, B and C were higher than those before training（P〈0.05）. Conclusion Early pelvic floor muscle rehabilitation can effectively reduce the incidence of urinary incontinence and pelvic, improve plevic floor muscle strength.