无创接生联合盆底康复治疗对盆底肌肉早期恢复的影响

Influence of Noninvasive Delivery Combined with Pelvic Floor Rehabilitation on Early Recovery of Pelvic Floor Muscles

目的:探讨无创接生联合盆底康复治疗对盆底肌肉早期恢复的影响。方法:选取2019年10月-2020年7月本院分娩的初产妇92例,随机分为对照组和研究组,各46例。对照组应用会阴侧切联合盆底康复治疗,研究组应用无创接生联合盆底康复治疗。比较两组盆底肌肉收缩情况、分娩后盆底损伤率、盆底肌肉功能。结果:研究组盆底肌损伤率(28.3%)低于对照组(50.0%),差异有统计学意义(P<0.05)。研究组分娩8周后、治疗2个月后盆底肌肉收缩情况评分为(3.34±0.40)、(4.22±0.64)分,均高于对照组的(2.74±0.34)、(3.40±0.52)分(P<0.05)。研究组60 s耐久收缩平均波幅(24.70±4.94)μV、慢肌肌力(50.36±4.20)μV、快肌肌力(54.90±5.16)μV,均高于对照组的(19.13±3.74)、(40.17±3.91)、(48.70±4.25)μV;前静息电位波幅(2.50±1.26)μV及后静息电位波幅(3.14±0.88)μV,均低于对照组的(4.71±1.13)、(4.11±1.06)μV(P<0.05)。结论:初产妇应用无创接生联合盆底康复治疗效果较好,可以有效降低盆底肌的损伤率,对盆底肌肉的早期恢复有利,同时其治疗后有助于盆底肌功能的恢复和盆底肌肉的收缩情况,康复效果更佳。

Objective:To investigate the influence of non-invasive delivery in the early recovery of pelvic floor muscles of primiparas and to observe the effect of pelvic floor rehabilitation after treatment.Method:A total of 92 primiparas who gave birth in our hospital from October 2019 to July 2020 were selected and randomly divided into the control group and the study group,46 cases in each group.The control group used perineal lateral resection combined with pelvic floor rehabilitation,and the study group used non-invasive delivery combined with pelvic floor rehabilitation.The pelvic floor muscle contraction,pelvic floor injury rate,pelvic floor muscle function were compared between the two groups.Result:The pelvic floor muscle injury rate of the study group (28.3%) was lower than that of the control group (50.0%),the difference was statistically significant (P<0.05).The pelvic floor muscle contraction score of the study group 8 weeks after delivery and after 2 months of treatment were (3.34±0.40),(4.22±0.64) points,which were higher than (2.74±0.34) and (3.40±0.52) points of the control group (P<0.05).The 60 s durable contraction average amplitude (24.70±4.94) μV,slow muscle strength (50.36±4.20) μV,fast muscle strength (54.90±5.16) μV of the study group were higher than those of the control group (19.13±3.74),(40.17±3.91),(48.70±4.25) μV;the pre-resting potential amplitude (2.50±1.26)μV and the post-resting potential amplitude (3.14±0.88) μV were lower than those of the control group (4.71±1.13),(4.11±1.06)μV (P<0.05).Conclusion:The effect of non-invasive delivery combined with pelvic floor rehabilitation for primiparas is better,which can effectively reduce the injury rate of pelvic floor muscles,and is beneficial to the early recovery of pelvic floor muscles.At the same time,it can help the recovery of pelvic floor muscle function and contraction of pelvic floor muscles after treatment,the rehabilitation effect is better.