盆底康复操训练对产妇产后盆底肌力的影响

Effects of pelvic floor rehabilitation exercises on postpartum pelvic floor muscle strength of parturients

目的:观察盆底康复操训练对产妇产后盆底肌力的影响。方法:选取2032名产妇为研究对象,按照随机数字表法分为观察组与对照组各1016名。对照组行常规康复训练,观察组在对照组基础上行盆底康复操训练,比较两组盆底肌力等级、盆底功能障碍性疾病发病率和健康状况调查简表(SF-36)评分。结果:观察组盆底肌力Ⅲ级及以上率为100.00%,明显高于对照组的63.39%,差异有统计学意义(P<0.05);观察组盆底功能障碍性疾病发病率为4.53%,明显低于对照组的17.32%,差异有统计学意义(P<0.05);训练后,两组SF-36各维度评分均高于训练前,且观察组明显高于对照组,差异有统计学意义(P<0.05)。结论:在常规康复训练基础上采用盆底康复操训练,可提高产妇产后盆底肌力Ⅲ级及以上率和SF-36评分,以及降低盆底功能障碍性疾病发病率,效果优于单纯常规康复训练。

Objective:To observe effects of pelvic floor rehabilitation exercises on postpartum pelvic floor muscle strength of parturients.Methods:2032 parturients were selected as the research subjects,and were divided into observation group and control group according to the random number table method,1016 cases in each group.The control group was given routine rehabilitation training,while the observation group performed the pelvic floor rehabilitation exercises on the basis of that of the control group.The pelvic floor muscle strength level,the incidence of pelvic floor dysfunction and the MOS item-short form health survey(SF-36)score were compared between the two groups.Results:The rate of pelvic floor muscle strength grade III and above in the observation group was 100.00%,which was significantly higher than the control group of 63.39%,and the difference was statistically significant(P<0.05).The incidence of pelvic floor dysfunction in the observation group was 4.53%,which was significantly lower than 17.32%in the control group,and the difference was statistically significant(P<0.05).After the training,the scores of SF-36 dimensions in the two groups were higher than those before the training;those of the observation group were significantly higher than those of the control group;and the differences were statistically significant(P<0.05).Conclusions:On the basis of routine rehabilitation training,the pelvic floor rehabilitation exercises can increase the rate of postpartum pelvic floor muscle strength level III and above and the SF-36 score,and reduce the incidence of pelvic floor dysfunction.Moreover,it is superior to single routine rehabilitation training.