盆底康复治疗与盆底肌训练对产妇盆底功能的影响

Effect of pelvic floor rehabilitation and pelvic floor muscle exercise on pelvic floor function of parturients

目的探讨盆底康复治疗与盆底肌训练对产妇盆底功能的影响。方法回顾性选取2018年6月至2020年6月本院产妇40例,依据治疗方法分为单独盆底康复治疗组(单独治疗组,n=20)、盆底康复治疗与盆底肌训练联合治疗组(联合治疗组,n=20)两组,统计分析两组产妇的恶露持续时间、泌乳始动时间、盆底肌纤维持续收缩压、持续收缩时间、肌电压、盆底肌张力、尿失禁评分。结果联合治疗组产妇的恶露持续时间、泌乳始动时间均显著短于单独治疗组(P<0.05)。联合治疗组产妇的盆底Ⅰ类、ⅡA类、ⅡB类肌纤维持续收缩压均显著高于单独治疗组(P<0.05),持续收缩时间均显著长于单独治疗组(P<0.05)。联合治疗组产妇治疗后较治疗前的肌电压、盆底肌张力评分升高幅度、尿失禁评分降低幅度均显著高于单独治疗组(P<0.05)。结论盆底康复治疗与盆底肌训练联合治疗较单独盆底康复治疗更能有效改善产妇盆底功能。

Objective To explore the effects of pelvic floor rehabilitation(PFR)and pelvic floor muscle exercise(PFME)on pelvic floor function of parturients.Methods A total of 40 parturients in our hospital from June 2018 to June 2020 were selected retrospectively.According to the treatment methods,they were divided into two groups:the PFR group(single treatment group,n=20)and the PFR and PFME group(combined treatment group,n=20).The duration of lochia,starting time of lactation,persistent systolic pressure of pelvic floor muscle fiber,duration of sustained contraction,muscle voltage,pelvic floor muscle tension,and urinary incontinence score of the two groups were statistically analyzed.Results The duration of lochia and the starting time of lactation were significantly shorter in the combined treatment group than those in the single treatment group(P<0.05).The persistent systolic pressure of typeⅠ,typeⅡA and typeⅡB pelvic floor muscle fiber was significantly higher in the combined treatment group than that in the single treatment group(P<0.05).The duration of sustained contraction was significantly longer in the combined treatment group than that in the single treatment group(P<0.05).After treatment,the increase of muscle voltage,the score of pelvic floor muscle tension and the decrease of urinary incontinence score were significantly higher in the combined treatment group than those in the single treatment group(P<0.05).Conclusion PFR combined with PFME can more effectively improve the pelvic floor function of parturients than PFR alone.