盆底超声评估妊娠、分娩和盆底肌锻炼对产妇盆底功能的影响

Pelvic Floor Ultrasound Assessment of the Impact of Pregnancy,Delivery and Pelvic Floor Muscle Exercise on Pelvic Floor Function in Puerperae

目的探讨盆底超声评估妊娠、分娩和盆底肌锻炼对产妇盆底功能的影响。方法选择2019年1月至2023年1月我院收治的104例产妇,根据干预方式不同分为对照组(n=50)和研究组(n=54)。对照组给予常规妊娠指导和护理,研究组则在妊娠28周后加用盆底肌锻炼。比较两组产后8周的盆底功能和盆底超声检查结果。结果研究组盆底肌力等级显著优于对照组,压力性尿失禁发生率显著低于对照组(P<0.05)。研究组CD、LHD-d、LHLR-d、RAD、BND显著低于对照组(P<0.05)。结论盆底超声可评估妊娠、分娩和盆底肌锻炼产妇的盆底功能;盆底肌锻炼能够显著改善产妇的盆底功能,减少盆腔结构变化,降低压力性尿失禁发生率。

Objective To explore the pelvic floor ultrasound assessment of the impact of pregnancy,delivery and pelvic floor muscle exercise on pelvic floor function in puerperae.Methods 104 puerperae admitted to our hospital from January 2019 to January 2023 were selected and divided into control group(n=50)and study group(n=54)according to the different intervention methods.The control group was given routine pregnancy guidance and nursing,while the study group was given additional pelvic floor muscle exercise after 28 weeks of gestation.The pelvic floor function and pelvic floor ultrasound results at 8 weeks after delivery were compared between the two groups.Results The pelvic floor muscle strength level of the study group was significantly better than that of the control group,and the incidence of stress urinary incontinence was significantly lower than that of the control group(P<0.05).The CD,LHD-d,LHLR-d,RAD and BND of the study group were significantly lower than those of the control group(P<0.05).Conclusions Pelvic floor ultrasound can evaluate the pelvic floor function of puerperae with pelvic floor muscle exercise.Pelvic floor muscle exercise can significantly improve the pelvic floor function of puerperae,reduce the changes in pelvic structure and the incidence of stress urinary incontinence.