产后盆底康复锻炼对盆底功能障碍性疾病的预防作用

Preventive effect of postpartum pelvic floor rehabilitation exercise on pelvic floor dysfunction

目的探讨盆底功能障碍性疾病(FPFD)采用产后盆底康复锻炼的预防效果及临床价值。方法选取2017年11月~2018年6月来我院首次进行产后复查的98例产妇作为研究对象,根据随机数字表法将其分为对照组和观察组,每组各49例。对照组给予常规盆底肌锻炼,观察组在进行8次电刺激联合生物反馈治疗后再行盆底肌康复锻炼。比较两组产后6周与产后6个月的尿失禁发生情况、盆腔脏器脱垂程度及预后生活质量与性生活质量。结果观察组产后尿失禁发生率显著低于对照组,差异有统计学意义(P<0.05)。观察组的盆腔脏器脱垂定量测评表(POP-Q)分度显著优于对照组,差异有统计学意义(P<0.05)。观察组产后6周及产后6个月的盆底功能影响问卷调查简表(PFIQ-7)评分明显高于对照组,差异有统计学意义(P<0.05);观察组产后6周及产后6个月的盆腔脏器脱垂-尿失禁功能问卷调查简表(PISQ-12)评分明显高于对照组,差异有统计学意义(P<0.05)。结论产后盆底康复锻炼应用于产后女性的机体恢复中,不仅能有效降低尿失禁及盆腔脏器脱垂的风险,还可提高产妇预后的生活质量与性生活质量,值得临床借鉴实施。

Objective To explore the preventive effect and clinical value of postpartum pelvic floor rehabilitation exercise for pelvic floor dysfunction(FPFD).Methods From November 2017 to June 2018,98 parturients women who came to our hospital for the first postpartum review were selected as the objects of this study.According to the random number table method,all the subjects were divided into control group and observation group,49 cases in each group.The control group was given routine pelvic floor muscle exercise,while the observation group was given pelvic floor muscle rehabilitation exercise after 8 times of electric stimulation combined with biofeedback treatment.The occurrence of urinary incontinence,the degree of pelvic organ prolapsed,prognosis quality of life and quality of sexual life were compared between the two groups at 6 weeks and 6 months after delivery.Results The incidence of postpartum incontinence in the observation group was 8.16%,lower than that in the control group,and the difference was statistically significant(P<0.05).Quantitative evaluation table for pelvic organ prolaps(POP-Q)score of the observation group was significantly better than that of the control group,and the difference was statistically significant(P<0.05).Brief questionnaire on pelvic floor function(PFIQ-7)scores of the observation group at 6 weeks postpartum and 6 months postpartum were higher than those of the control group,and the differences were statistically significant(P<0.05).Pelvic organ prolapse-urinary incontinence questionnaire(PISQ-12)scores of the observation group at 6 weeks and 6 months postpartum were significantly higher than those of the control group(P<0.05).Conclusion Postpartum pelvic floor rehabilitation exercise applied to postpartum female body recovery,not only can effectively reduce the risk of urinary incontinence and pelvic organ prolapsed,but also can improve the maternal prognosis of the quality of life and quality of sexual life,it is worth clinical practice.