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产后盆底肌锻炼对产妇盆底康复的临床效果

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目的 探讨产后盆底肌锻炼对产妇盆底康复的效果.方法 选择2016年8月 2017年3月于我科经阴分娩的产妇110例作为研究对象,采用随机数字表法随机分组.对照组产妇产后给予常规对症治疗与护理;观察组产妇在常规对症治疗和护理的基础上,给予盆底肌锻炼,锻炼在专业医护人员指导下进行.锻炼4周后,比较两组产妇的盆底肌张力、阴道肌张力、阴道肌电压及尿潴留情况.结果 观察组产妇盆底肌张力治疗达标率为85.46%,显著高于对照组29.09%的达标率,差异有统计学意义(x 2=11.63,P<0.05).治疗后,观察组产妇阴道肌张力、肌电压均显著高于对照组(t=10.06、12.38,P<0.05),夜尿次数显著少于对照组(£=13.24,P<0.05).结论 有针对性的产后盆底肌锻炼可有效恢复产妇盆底肌张力、阴道肌张力与肌电压,减少尿潴留,值得临床推广.
CLINICAL EFFECT OF POSTPARTUM PELVIC FLOOR MUSCLE TRAINING ON PELVIC FLOOR REHABILITATION IN PARTURIENTS
Objective To investigate the clinical effect of postpartum pelvic floor muscle training on pelvic floor rehabilitation in parturients.Methods A total of 110 parturients who underwent transvaginal delivery in our department from August 2016 to March 2017 were enrolled and randomly divided into control group and observation group using a random number table.The parturients in the control group were given conventional symptomatic treatment and nursing after delivery,and those in the observation group were given pelvic floor muscle training guided by the professional medical staff in addition to the conventional symptomatic treatment and nursing for the control group.After 4 weeks of training,the two groups were compared in terms of pelvie floor muscle tension,vaginal muscle tension,vaginal muscle voltage,and urinary retention.Results The observation group had a significantly higher proportion of parturients who reached the treatment target of pelvic floor muscle tension than the control group (85.46 % vs 29.09 %;x2 =11.63,P<0.05).Compared with the control group,the observation group had significantly higher vaginal muscle tension and vaginal muscle voltage (t =10.06,12.38;P<0.05) and a significantly lower number of times of nocturia (t=13.24,P<0.05) after treatment.Conclusion Targeted pelvic floor muscle training can effectively promote the recovery of pelvic floor muscle tension,vaginal muscle tension,and vaginal muscle voltage and reduce urinary retention.Therefore,it holds promise for clinical application.

pelvic floormyofunctional therapypostpartum periodrehabilitationtreatment outcome

张健、赵敏、王艳、徐琳

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广饶县人民医院妇产科,山东广饶257300

青岛大学附属医院产科

骨盆底 肌功能疗法 产后期 康复 治疗结果

2017

齐鲁医学杂志
青岛大学医学院

齐鲁医学杂志

影响因子:0.609
ISSN:1008-0341
年,卷(期):2017.32(4)
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