摘要
目的 分析产后序贯盆底康复锻炼对经产妇产后盆底功能的影响。方法 选取2020年1月至2021年10月在金华市中心医院分娩的经产妇98例纳入本研究,根据产妇入组顺序进行编号,单号纳入对照组,双号纳入观察组,每组各49例。对照组产妇行常规产后康复干预,观察组产妇行序贯盆底康复锻炼。两组产妇均持续干预至产后6个月。比较两组产妇产后24h、6周、3个月、6个月的Ⅰ类和Ⅱ类盆底肌肌力、盆腔器官脱垂定量(pelvic organ prolapse quantification,POP-Q)分度和盆腔器官脱垂/尿失禁性生活问卷简表(pelvic organ prolapse/urinary incontinence sexual questionnaire,PISQ-12)评分,记录产后6个月时盆底功能障碍发生情况。结果 产后24h、6周,两组产妇的Ⅰ类、Ⅱ类盆底肌肌力构成、POP-Q分度构成、PISQ-12评分比较差异均无统计学意义(P>0.05);产后3个月、6个月,观察组产妇的Ⅰ类、Ⅱ类盆底肌Ⅳ、Ⅴ级肌力占比和0度、Ⅰ度、Ⅱ度的POP-Q分度占比及PISQ-12评分均显著高于对照组(P<0.05);产后6个月时,观察组产妇的盆底功能障碍发生率显著低于对照组(P<0.05)。结论 产后行序贯盆底功能康复锻炼可有效促进经产妇近期Ⅰ、Ⅱ类盆底肌肌力恢复,降低盆底功能障碍发生率,提升产妇康复水平,是经产妇产后康复的重要措施。
Objective To analyze the effect of sequential pelvic floor rehabilitation exercise on postpartum pelvic floor function.Methods Ninety-eight women who gave birth in Jinhua Muncipal Central Hospital from January 2020 to October 2021 were included in this study.Maternal numbers were numbered according to the entry order,single number was included in control group,and even number was included in observation group,with 49 cases in each group.The control group received routine postpartum rehabilitation intervention,and observation group received sequential pelvic floor rehabilitation exercise.Both groups continued the intervention until 6 months postpartum.Pelvic floor muscle strength of ClassⅠand ClassⅡ,pelvic organ prolapse quantification(POP-Q) and pelvic organ prolapse/urinary incontinence sexual questionnaire(PISQ-12) were compared between the two groups at 24h,6 weeks,3 months,and 6 months postpartum,and the occurrence of pelvic floor dysfunction at 6months postpartum was recorded.Results 24h and 6 weeks postpartum,there were no significant differences in the muscle force composition of ClassⅠand ClassⅡ pelvic floor muscles,POP-Q scale composition and PISQ-12 score between the two groups(P>0.05).At 3 months and 6 months postpartum,the muscle force ratio of grade Ⅳ and Ⅴ pelvic floor muscle,the ratio of POP-Q 0 degree,Ⅰdegree,Ⅱdegree,and PISQ-12 score in observation group were significantly higher than those in control group(P<0.05).At 6 months postpartum,the incidence of pelvic floor dysfunction in observation group was significantly lower than that in control group(P<0.05).Conclusion Postpartum sequential pelvic floor functional rehabilitation exercise can effectively promote the recentⅠ,Ⅱpelvic floor muscle strength recovery,reduce the incidence of pelvic floor dysfunction,improve the level of maternal rehabilitation,is an important measure of postpartum rehabilitation.
作者
潘雅莉
朱伟新
陈和禾
PAN Yali;ZHU Weixin;CHEN Hehe(Department of Rehabilitation,Jinhua Muncipal Central Hospital,Jinhua 321000,Zhejiang,China)
出处
《中国现代医生》
2023年第10期45-49,共5页
China Modern Doctor
关键词
经产妇
序贯盆底康复锻炼
盆底肌
盆底功能障碍
Multipara
Sequential pelvic floor rehabilitation exercise
Pelvic floor muscle
Pelvic floor dysfunction
