摘要
目的探讨督导盆底康复训练应用于产后盆腔脏器脱垂患者中的效果。方法选取在本院产科分娩且产后42 d复查存在盆腔脏器脱垂患者150例,根据随机数字表法分为观察组与对照组,各75例。对照组实施常规盆底肌肉收缩训练,观察组实施督导盆底康复训练,由专业物理治疗师指导患者盆底肌肉收缩训练。干预8周,对比两组产后42 d、产后6个月盆底肌力、盆底肌纤维肌电压、临床症状、生活质量变化及盆底功能指标情况。结果产后42 d,两组盆底肌力分级、盆底收缩持续时间及最大收缩力、Ⅰ类及Ⅱ类肌纤维肌电压、盆腔脏器脱垂症状评分(POP-SS)及盆底疾病生活质量影响简易问卷7(PFIQ-7)比较,差异无统计学意义(P>0.05)。产后6个月,观察组盆底肌力分级显著优于对照组,差异有统计学意义(P<0.05);观察组盆底收缩持续时间长于对照组,最大收缩力高于对照组,差异有统计学意义(P<0.05);观察组Ⅰ类肌纤维肌电压、Ⅱ类肌纤维肌电压均显著高于对照组,差异有统计学意义(P<0.05);观察组POP-SS评分、PFIQ-7评分[(4.48±0.85)分、(5.36±0.82)分]均显著低于对照组[(5.28±0.96)分、(9.15±1.13)分],差异有统计学意义(P<0.05)。结论督导盆底康复训练应用于产后盆腔脏器脱垂患者中,可提升盆底肌力,缓解盆腔脏器脱垂症状,改善患者生活质量,值得临床推广。
Objective To explore the effectiveness of supervised pelvic floor rehabilitation training in patients with postpartum pelvic organ prolapse.Methods 150 patients with pelvic organ prolapse who gave birth in obstetrics department of our hospital and were reexamined 42 days after delivery were divided into observation group and control group according to random number table method,with 75 cases in each group.The control group received routine pelvic floor muscle contraction training,the observation group received supervised pelvic floor rehabilitation training,guided by professional physical therapists.After 8 weeks of intervention,and pelvic floor muscle strength,pelvic floor muscle fiber voltage,clinical symptoms,changes in quality of life,and pelvic floor functional indicators were compared at 42 days postpartum and 6 months postpartum.Results On postpartum day 42,there was no significant difference between the two groups in pelvic floor muscle strength classification,pelvic floor contraction duration and maximum contraction force,Class Ⅰ and Class Ⅱ muscle fibromuscular voltage,pelvic organ prolapse symptom score(POP-SS)and the simple Questionnaire on the impact of pelvic floor disease quality of life 7(PFIQ-7)(P>0.05).At 6 months postpartum,the pelvic floor muscle strength of the observation group was significantly better than that of the control group,the difference was statistically significant(P<0.05).The duration of pelvic floor contraction in the observation group was longer than that in the control group,and the maximum contraction force was higher than that in the control group,the difference was statistically significant(P<0.05).The fibromuscle voltage of class Ⅰ muscle and class Ⅱ muscle in observation group were significantly higher than those of control group,with statistical significance(P<0.05).POP-SS score and PFIQ-7 score[(4.48±0.85)points,(5.36±0.82)points]in observation group were significantly lower than those in control group[(5.28±0.96)points,(9.15±1.13)pointsl,and the difference was statistically significant(P<0.05).Conclusion The application of supervised pelvic floor rehabilitation training in patients with postpartum pelvic organ prolapse can improve pelvic foor muscle strength,alleviate symptoms of pelvic organ prolapse,and improve quality of life of patients,which is worth promoting.
作者
翁翔
袁嘉羚
陈思彤
马玲
Weng Xiang;Yuan Jiaing;Chen Sitong;Ma Ling(Obstetrics and Gynecology Department,Wuxi Ninth People's Hospital,Wuxi 214000,China)
出处
《实用妇科内分泌电子杂志》
2023年第14期1-4,共4页
Electronic Journal of Practical Gynecological Endocrinology
基金
无锡市卫生健康委妇幼健康适宜技术推广计划资助项目(编号FYTG202007)。
关键词
盆底康复训练
产后盆腔脏器脱垂
督导训练
生活质量
Pelvic floor rehabilitation training
Postpartum pelvic organ prolapse
Supervisory training
Quality of Life
