盆底肌肉锻炼联和有氧运动对改善健康孕妇盆底肌肉功能的疗效

Aerobic exercise program and pelvic floor exercise improves pelvic floor muscle function in healthy pregnant women

目的探讨盆底肌肉锻炼联和有氧运动对改善孕妇盆底肌肉功能的疗效。方法选取南昌市妇幼保健计划生育服务中心2016年8月至2018年8月接收的健康孕妇52名,随机分为观察组(n=26)和对照组(n=26)。观察组实施6周的结构化有氧运动计划,并根据Chiarelli的方法进行盆底肌肉锻炼,对照组不进行有氧运动和盆底肌肉训练。观察两组孕妇干预后各监测点肌电图(electromyography,EMG)振幅(10s放松、5次维持3s最大快速收缩、5次维持10s最大慢速收缩)和尿失禁发生率。结果观察组干预后6周10 s放松、5次维持3s最大快速收缩、5次维持10s最大慢速收缩EMG均高于对照组;观察组尿失禁发病率优于对照组,差异有统计学意义(P<0.05)。结论有氧运动联合盆底肌肉锻炼可改善孕妇盆底肌肉功能,降低尿失禁发生率,提高生活质量,值得临床推广。

Objective To explore the effect of pelvic floor muscle exercise and aerobic exercise on improving the function of pelvic floor muscle in pregnant women.Methods 52 healthy pregnant women received by Nanchang Women and Children's Health Care and Family Planning Center from August 2016 to August 2018 were randomly divided into observation group(n=26)and control group(n=26).The observation group carried out 6-week structured aerobic exercise plan,and carried out pelvic floor muscle exercise according to Chiarelli's method.The control group did not carry out aerobic exercise and pelvic floor muscle training.The amplitude of EMG(10 s relaxation,5 times maintaining 3s maximum fast contraction,5 times maintaining 10s maximum slow contraction)and the incidence of urinary incontinence were observed between two groups.Results After 6 weeks of intervention,10s relaxation,5 times maintaining 3s maximum fast contraction,5 times maintaining 10s maximum slow contraction EMG were higher than the observation group.The incidence rate of urinary incontinence in the observation group was better than that in the control group(P<0.05).Conclusion Aerobic exercise combined with pelvic floor muscle exercise program can improve the pelvic floor muscle function of pregnant women,reduce the incidence of urinary incontinence,improve the quality of life,which is worthy of clinical promotion.