摘要
目的：评价产后盆底康复仪联合盆底肌训练治疗对盆底肌肉张力的影响及对盆底功能的作用。方法：选择垦利县人民医院2012年1~3月收治的150例住院足月妊娠产后6周的产妇进入研究，随机分成两组。盆底康复治疗组80例，对照组70例。治疗组采用法国PHEN IX盆底康复治疗仪进行盆底康复治疗，主要包括盆底肌力评估和电刺激治疗一个疗程加盆底肌训练（也称Kegel运动）；观察组采用普通产后康复教育。通过盆腔肌肉电生理诊断、压力性尿失禁、POP-Q诊断盆腔器官脱垂情况指标。两组分别于产后6周、6个月、12个月评价盆底功能康复治疗的临床效果。结果：产后6个月、12个月盆底肌肉张力治疗组均高于对照组。产后6个月治疗组及对照组压力性尿失禁发生率分别为2.50%（2/80）和12.86%（9/70），差异有统计学意义（P〈0.05）；产后12个月治疗组及对照组压力性尿失禁发生率分别为3.75%（3/80）和14.29%（10/70），差异有统计学意义（P〈0.05）。产后12个月治疗组及对照组POP-QⅠ度脱垂发生率分别为26.25%（21/80）和42.86%（30/70），差异有统计学意义（P〈0.05）。结论：产后采用法国PHEN IX盆底康复治疗仪盆底康复治疗加Kegel运动，可有效加强盆底肌肉支持功能，减少尿失禁及盆腔器官脱垂的发生率。
Objective：To evaluate the postpartum pelvic floor rehabilitation combined with pelvic floor muscle training in the treatment of pelvic floor muscle tension and on the pelvic floor function.Method：150 patients admitted to hospital full-term pregnancy 6 weeks postpartum women as research object in the People’s hospital of Kenli county from January 2012 to March 2012,they were randomly divided into two groups.Pelvic floor rehabilitation treatment group had 80 cases,control group had 70 cases.The treatment group by French PHEN IX pelvic floor rehabilitation therapy for pelvic floor rehabilitation,including pelvic floor muscle strength evaluation and stimulation of a course of treatment with pelvic floor muscle training（also known as Kegel）;the observation group with normal postpartum rehabilitation education.Through the pelvic muscle electrophysiology diagnosis,stress urinary incontinence,POP-Q diagnosis of pelvic organ prolapse index.The clinical effects of the two groups were treated for 6 weeks postpartum,6 months,12 months of pelvic floor functional rehabilitation evaluation.Result：After 6 months,12 months of pelvic floor muscle tension in treatment group were higher than those in the control group.6 months after the treatment group and the control group with stress urinary incontinence was 2.50%（2/80）and 12.86%（9/70）,the difference was statistically significant（P〈0.05）;12 months postpartum treatment group and control group with stress urinary incontinence was 3.75%（3/80）and 14.29%（10/70）,the difference was statistically significant（P〈0.05）.12 months after the treatment group and the control group of POP-QⅠdegree prolapse was 26.25%（21/80）and 42.86%（30/70）,the difference was statistically significant（P〈0.05）.Conclusion：Postpartum by French PHEN IX pelvic floor rehabilitation instrument for pelvic floor rehabilitation treatment plus Kegel,can effectively strengthen the pelvic floor muscles support function,reduce the incidence of urinary incontinence and pelvic organ prolapse.
出处
《中国医学创新》
CAS
2013年第25期55-57,共3页
Medical Innovation of China
关键词
盆底功能
康复治疗
产妇
压力性尿失禁
盆腔器官脱垂
Pelvic floor function
Rehabilitation
Parturient
Stress urinary incontinence
Pelvic organ prolapse
