盆底肌锻炼对产后盆底功能障碍性疾病患者盆底肌肌力的影响

Effects of pelvic floor muscle exercise on pelvic floor muscle strength of patients with pelvic floor dysfunction

目的探讨盆底肌锻炼对产后盆底功能障碍性疾病患者盆底肌肌力的影响。方法抽取河南省人民医院省直第一医院2019年1月至2020年1月收治的产后盆底功能障碍患者60例,随机分为对照组与观察组,每组30例。对照组予以常规康复训练,观察组予以盆底肌锻炼;观察比较两组患者治疗前后的盆底肌肌力、盆底肌疲劳值及性生活质量评分的变化情况。结果治疗前,两组Ⅰ、Ⅱ类肌纤维盆底肌肌力、疲劳值比较差异未见统计学意义(P>0.05);治疗后,两组盆底肌肌力均高于治疗前,疲劳值均低于治疗前(P均<0.05);且观察组盆底肌肌力高于对照组,疲劳值低于对照组(P<0.05)。治疗前,两组性生活质量评分比较差异未见统计学意义(P>0.05);治疗后,两组性生活质量评分均高于治疗前,且观察组高于对照组(P<0.05)。结论通过将盆底肌锻炼应用于产后盆底功能障碍性疾病,可明显改善患者盆底肌肌力,提高其性生活质量。

Objective To investigate the effects of pelvic floor muscle exercise on pelvic floor muscle strength in patients with pelvic floor dysfunction.Methods A total of 60 patients with postpartum pelvic floor dysfunction admitted to the First Provincial Hospital of Henan Provincial People’s Hospital,from January 2019 to January 2020 were selected.And they were randomly divided into observation group and control group,with 30 cases in each group.The control group was given routine rehabilitation training,and the observation group was given pelvic floor muscle exercise.The pelvic floor muscle strength,fatigue value of the pelvic floor muscle and the quality of life score of the two groups before and after treatment were observed and compared.Results Before treatment,there was no significant difference in the pelvic floor muscle strength and fatigue value of the pelvic floor muscle ofⅠ-Ⅱmuscle fibers between observation group and control group(P>0.05).After treatment,the muscle strength of pelvic floor in both groups were higher than those before treatment,and the fatigue value was lower than that before treatment(all P<0.05).The pelvic floor muscle strength of the observation group was significantly higher than that of the control group,and the fatigue value was significantly lower than that of the control group(P<0.05).The observation group and the control group had no significant difference in sexual quality scores prior to treatment(P>0.05).After treatment,the sexual quality scores of the two groups were significantly higher than those before treatment,and the sexual quality scores of the observation group was significantly higher than that of the control group(P<0.05).Conclusions Applying pelvic floor muscle exercise in the treatment of postpartum pelvic floor dysfunction diseases can significantly improve the patient’s pelvic floor muscle strength,improve their quality of life.