产后盆底功能康复锻炼的临床效果分析

Analysis of clinical effect of postpartum pelvic floor rehabilitation exercise

目的分析产后盆底功能康复锻炼的临床效果和价值。方法80例产妇,以康复治疗差异性分为对比组及研究组,每组40例。对比组产后采用一般治疗,研究组产后采用盆底功能康复锻炼。比较两组盆底功能障碍性疾病发生率、盆底肌各项指标(阴道收缩肌电值、阴道收缩持续时间、阴道静息肌电值)、盆底功能恢复相关指标(盆底功能障碍评分、盆底肌纤维收缩压)。结果研究组盆底功能障碍性疾病发生率5.00%低于对比组的20.00%,差异具有统计学意义(P<0.05)。研究组阴道收缩肌电值(33.52±1.41)μV、阴道静息肌电值(37.13±1.35)μV大于对比组的(28.48±1.39)、(26.35±1.29)μV,阴道收缩持续时间(6.31±0.72)s长于对比组的(4.24±0.47)s,差异具有统计学意义(P<0.05)。治疗后,研究组的盆底功能障碍评分(10.23±1.01)分低于对比组的(15.45±1.06)分、盆底肌纤维收缩压(38.51±2.63)cm H2O(1 cm H2O=0.098 kPa)高于对比组的(32.18±2.44)cm H2O,差异具有统计学意义(P<0.05)。结论产后盆底功能康复锻炼可最大程度降低产妇盆底功能障碍性疾病发生率,优化盆底肌相关指标,促进盆底功能恢复进程,可作为推荐康复治疗方式在产妇中推广应用。

Objective To analyze the clinical effect and value of postpartum pelvic floor rehabilitation exercise.Methods A total of 80 puerperae were divided into control group and research group according to the difference in rehabilitation treatment,with 40 cases in each group.The control group received general treatment after delivery,and the research group received pelvic floor function rehabilitation exercise after delivery.Both groups were compared in terms of incidence of pelvic floor dysfunction,pelvic floor muscle indicators(vaginal contractile electromyography,duration of vaginal contraction,vaginal resting electromyography),and pelvic floor function recovery-related indicators(pelvic floor dysfunction score,systolic blood pressure of pelvic floor muscle fiber).Results The incidence of pelvic floor dysfunction 5.00% in the research group was lower than 20.00% in the control group,and the difference was statistically significant(P<0.05).The vaginal contractile electromyography of the research group was(33.52±1.41)μV,the vaginal resting electromyography(37.13±1.35)μV was greater than(28.48±1.39)and(26.35±1.29)μV of the control group,and the duration of vaginal contraction(6.31±0.72)s was longer than(4.24±0.47)s of the control group.All the differences were statistically significant(P<0.05).After treatment,the pelvic floor dysfunction score of the research group(10.23±1.01)points was lower than(15.45±1.06)points of the control group,and the systolic blood pressure of pelvic floor muscle fiber(38.51±2.63)cm H2O(1 cm H2O=0.098 kPa)was higher than(32.18±2.44)cm H2O of the control group.All the differences were statistically significant(P<0.05).Conclusion Postpartum pelvic floor function rehabilitation exercises can minimize the incidence of maternal pelvic floor dysfunction,optimize pelvic floor muscle-related indexes,and promote the process of pelvic floor function recovery,which can be used as a recommended rehabilitation treatment method in puerperae.