盆底康复训练对产后盆底功能障碍性疾病患者盆底肌力、肌纤维疲劳度及尿流动力学的影响

Influence of Pelvic Floor Rehabilitation Training on Pelvic Floor Muscle Strength,Muscle Fiber Fatigue and Urodynamics of Patients with Postpartum Pelvic Floor Dysfunction

目的:探究盆底康复训练对产后盆底功能障碍性疾病患者盆底肌力、肌纤维疲劳度及尿流动力学的影响。方法:选取2019年10月-2021年12月中国人民解放军联勤保障部队第九〇八医院收治的100例产后盆底功能障碍性疾病患者,按照随机数字表法将其分为对照组50例和观察组50例。对照组进行常规产后干预,观察组则在对照组的基础上进行盆底康复训练。比较两组盆底功能障碍治疗总有效率、盆底肌力、肌纤维疲劳度及尿流动力学指标[腹压漏尿点压(ALPP)、最大尿道压力(MUP)、最大尿流率(Qmax)及排尿后膀胱残余尿量(PVR)]。结果:观察组盆底功能障碍治疗总有效率高于对照组,差异有统计学意义(P<0.05)。干预前,两组盆底肌力情况、盆底Ⅰ类及Ⅱ类肌纤维疲劳度、ALPP、MUP、Qmax、PVR比较,差异均无统计学意义(P>0.05);干预6、12周后,观察组盆底肌力情况、盆底Ⅰ类及Ⅱ类肌纤维疲劳度、ALPP、MUP、Qmax、PVR均优于对照组,差异均有统计学意义(P<0.05)。结论:盆底康复训练在产后盆底功能障碍性疾病患者中的应用效果较好,可显著改善患者的盆底肌力、肌纤维疲劳度及尿流动力学,因此在产后盆底功能障碍性疾病患者中的应用价值较高。

Objective:To investigate the influence of pelvic floor rehabilitation training on pelvic floor muscle strength,fatigue and urodynamics of patients with postpartum pelvic floor dysfunction.Method:A total of 100 patients with postpartum pelvic floor dysfunction in 908 Hospital of the Joint Service Support Force of the People’s Liberation Army from October 2019 to December 2021 were selected,they were divided into control group 50 cases and observation group 50 cases by the method of random number table.The control group was treated with routine postpartum intervention,and the observation group was treated with pelvic floor rehabilitation training on the basis of control group.Then the total effective rates of pelvic floor dysfunction,pelvic floor muscle strength,muscle fiber fatigue and urodynamics indexes[abdominal pressure leakage point pressure(ALPP),maximum urethral pressure(MUP),maximum urinary flow rate(Qmax)and residual bladder urine volume after urination(PVR)]were compared between the two groups.Result:The total effective rate of pelvic floor dysfunction in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Before intervention,there were no significant differences in pelvic floor muscle strength,pelvic floor classⅠand classⅡmuscle fiber fatigue,ALPP,MUP,Qmax and PVR between the two groups(P>0.05).After 6 and 12 weeks of intervention,pelvic floor muscle strength,pelvic floor classⅠand classⅡmuscle fiber fatigue,ALPP,MUP,Qmax and PVR in the observation group were better than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:The application effect of pelvic floor rehabilitation training in patients with postpartum pelvic floor dysfunction is better,and it can significantly improve the pelvic floor muscle strength,muscle fiber fatigue and urodynamics of patients,so it has higher application value in the patients with postpartum pelvic floor dysfunction.