临床误诊误治2024,Vol.37Issue(15) :80-85.DOI:10.3969/j.issn.1002-3429.2024.15.016

阴道哑铃结合热敏灸、Kegel运动训练治疗产后盆底功能障碍的效果

Analysis of Vaginal Dumbbell Combined with Heat-Sensitive Moxibustion and Kegel Exercise Training in Improving Pelvic Floor Muscle Function in Postpartum Women

王云 贾贺 张华 杨慧琴 蒲巍林 康鑫玲 姚向荣 刘新禹
临床误诊误治2024,Vol.37Issue(15) :80-85.DOI:10.3969/j.issn.1002-3429.2024.15.016

阴道哑铃结合热敏灸、Kegel运动训练治疗产后盆底功能障碍的效果

Analysis of Vaginal Dumbbell Combined with Heat-Sensitive Moxibustion and Kegel Exercise Training in Improving Pelvic Floor Muscle Function in Postpartum Women

王云 1贾贺 2张华 3杨慧琴 4蒲巍林 5康鑫玲 1姚向荣 1刘新禹1
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作者信息

  • 1. 730050 兰州,中国人民解放军联勤保障部队第九四〇医院康复医学科
  • 2. 730050 兰州,中国人民解放军联勤保障部队第九四〇医院妇产科
  • 3. 730050 兰州,中国人民解放军联勤保障部队第九四〇医院军人门诊
  • 4. 730050 兰州,甘肃省妇幼保健院消毒供应科
  • 5. 730050 兰州,甘肃省妇幼保健院泌尿外科
  • 折叠

摘要

目的 分析阴道哑铃结合热敏灸、Kegel运动训练治疗产后盆底功能障碍(PFD)的效果.方法 选择2021 年1 月至2023 年12 月诊治的PFD初产妇118 例,依照随机抽签法分为观察组和对照组,每组59 例.对照组采用阴道哑铃结合Kegel运动训练,观察组给予阴道哑铃结合热敏灸、Kegel运动训练.比较2 组治疗效果,干预前后阴道收缩力、盆底肌力、盆底功能、女性性功能指数、尿失禁分级情况.结果 观察组总有效率[98.31%(58/59)]高于对照组[84.75%(50/59)](P<0.05).干预后,观察组阴道收缩力相关指标、盆底肌力、性功能指数均高于对照组(P<0.01);干预后,观察组盆底功能相关评分低于对照组(P<0.01);干预后,观察组尿失禁分级优于对照组(P<0.05).结论 PFD患者经阴道哑铃结合热敏灸、Kegel运动训练干预盆底肌力、盆底功能、尿失禁分级得到了改善,女性性功能指数、阴道收缩力得到了提升,效果较好.

Abstract

Objective To analyze the effect of vaginal dumbbell combined with heat-sensitive moxibustion and Kegel exercise training on improving postpartum pelvic floor dysfunction(PFD).Methods A total of 118 puerperal primipara with PFD diagnosed and treated from January 2021 to December 2023 were divided into observation group and control group accord-ing to random drawing method,with 59 cases in each group.The control group was given vaginal dumbbell combined with Ke-gel exercise training,and the observation group was given vaginal dumbbell combined with heat-sensitive moxibustion and Keg-el exercise training.The therapeutic effect,vaginal contractility,pelvic floor muscle strength,pelvic floor function,female sexual function index and urinary incontinence grade before and after intervention were compared between the two groups.Results The total effective rate of the observation group[98.31%(58/59)]was higher than that of the control group[84.75%(50/59)](P<0.05).After intervention,the related indexes of vaginal contractility,pelvic floor muscle strength and sexual function index in observation group were higher than those in control group(P<0.01).After intervention,the scores of pelvic floor function in the observation group were lower than those in the control group(P<0.01).After interven-tion,the urinary incontinence grade of the observation group was better than that of the control group(P<0.05).Conclusion For PFD patients,vaginal dumbbell combined with heat-sensitive moxibustion,and Kegel exercise training in-tervention improved pelvic floor muscle strength,pelvic floor function,urinary incontinence grade,female sexual function in-dex,and vaginal contraction force,with good effect.

关键词

阴道哑铃/热敏灸/Kegel运动训练/盆底疾病/女性盆底功能障碍/尿失禁/盆底功能影响问卷简表/盆腔器官脱垂-尿失禁性功能问卷

Key words

Vaginal dumbbells/Heat-sensitive moxibustion/Kegel exercise training/Pelvic floor disorders/Female pelvic floor dysfunction/Urinary incontinence/Pelvic Floor Impact Questionnaire/Pelvic organ prolapse/urinary incontinence sexual function questionnaire

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基金项目

甘肃省卫生行业科研计划项目(GSWSHL2022-38)

甘肃省科学技术厅重点研发计划项目(21YF5FA026)

出版年

2024
临床误诊误治
解放军白求恩国际和平医院

临床误诊误治

CSTPCD
影响因子:0.914
ISSN:1002-3429
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