产后盆底康复技术治疗女性盆底功能障碍的临床效果

Clinical effect of postpartum pelvic floor rehabilitation technique on female pelvic floor dysfunction

目的探讨产后盆底康复技术治疗女性盆底功能障碍的临床效果。方法选取300例盆底功能障碍患者,根据随机数字表法分为对照组与观察组,每组150例。对照组给予常规康复干预,观察组给予盆底肌康复锻炼。对比两组临床效果。结果两组治疗前Ⅰ类肌纤维、Ⅱ类肌纤维评分比较,差异无统计学意义(P>0.05);治疗后观察组Ⅰ类肌纤维、Ⅱ类肌纤维评分明显优于对照组(P<0.05)。两组治疗前持续收缩压、持续时间、快速收缩压、收缩个数比较,差异无统计学意义(P>0.05);治疗后观察组持续收缩压、持续时间、快速收缩压、收缩个数明显优于对照组(P<0.05)。两组治疗前盆底障碍影响简易问卷(PFIQ-7)、盆底功能障碍问卷(PFDI-20)评分比较,差异无统计学意义(P>0.05);治疗后观察组PFIQ-7、PFDI-20评分明显优于对照组(P<0.05)。观察组治疗总有效率为96.67%明显高于对照组的84.00%(P<0.05)。结论产后盆底康复技术能够有效改善患者盆底肌力,降低脏器脱垂及尿失禁发生率,提升生活质量,值得临床推广与应用。

Objective To explore the clinical effect of postpartum pelvic floor rehabilitation technique on female pelvic floor dysfunction.Methods 300 hundred patients with pelvic floor dysfunction were selected and divided into control group and observation group according to random number table method,150 cases in each group.The control group was given routine rehabilitation intervention,and the observation group was given pelvic floor muscle rehabilitation exercise.The clinical effect of the two groups was compared.Results There were no significant differences in the scores of classⅠmuscle fiber and classⅡmuscle fiber between the two groups before treatment(P>0.05).After treatment,the scores of classⅠand ClassⅡmuscle fibers in the observation group were significantly better than those in the control group(P<0.05).There were no significant differences in continuous systolic blood pressure,duration,rapid systolic blood pressure and number of contractions between the two groups before treatment(P>0.05).After treatment,the continuous systolic blood pressure,duration,rapid systolic blood pressure and number of contractions in the observation group were significantly better than those in the control group(P<0.05).There were no significant differences in the scores of PFIQ-7 and PFDI-20 before treatment between two groups(P>0.05).After treatment,PFIQ-7 and PFDI-20 scores in the observation group were significantly better than those in the control group(P<0.05).The total effective rate of the observation group was 96.67%,which was significantly higher than 84.00%of the control group(P<0.05).Conclusion Postpartum pelvic floor rehabilitation technology can effectively improve the pelvic floor muscle strength of patients,reduce the incidence of organ prolapse and urinary incontinence,improve the quality of life,worthy of clinical promotion and application.