首页|超早期盆底肌康复训练联合补中益气丸对产后盆底肌功能恢复的影响

超早期盆底肌康复训练联合补中益气丸对产后盆底肌功能恢复的影响

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目的 观察超早期和早期盆底肌康复训练分别联合补中益气丸对产后盆底肌功能恢复的影响,探讨产后超早期康复训练介入的可行性.方法 将314例产妇随机分为超早期组和早期组,每组157例.超早期组于术后1~2 d指导产妇行Kegel运动+第7周加用生物反馈+电刺激治疗+补中益气丸口服;早期组于术后第7周给予Kegel训练+生物反馈+电刺激治疗+补中益气丸口服.观察2组干预效果.结果 2组术后6周盆底肌电活动与产后2 d相比较均显著升高(P<0.05),且超早期组与同期早期组相比较均显著升高(P<0.05).2组产后12周良好率与产后即刻和产后2 d相比较均显著升高(P<0.05),且超早期组均显著高于早期组(P<0.05).12周时超早期组尿频尿急、腰骶酸痛下坠感、阴道松弛、阴道干涩发生率与早期组相比较均显著降低(P<0.05).结论 超早期盆底肌康复训练联合补中益气丸用于产后盆底肌功能恢复具有良好效果,值得临床推广应用.
Effect of pelvic floor muscle rehabilitation training combined with Buzhong Yiqi Pill at ultra-early stage on the recovery of pelvic floor muscle function after delivery
Objective To observe the effect of pelvic floor muscle rehabilitation training combined with Buzhong Yiqi Pill at ultra-early stage or early stage on the recovery of postpartum pelvic floor muscle function, to explore the feasibility of intervention of postpartum rehabilitation training at ultra-early stage. Methods 314 patients were randomly divided into the ultra-early stage group and the early stage group, 157 cases for each group. Patients in the ultra-early group were guided to give Kegel exercise and the biofeedback electrical stimulation therapy in the seventh week combined with Buzhong Yiqi pill in 1-2 days after delivery , patients in the early group were given Kegel exercise and biofeedback electrical stimulation therapy in the seventh week combined with Buzhong Yiqi pill. Effects of treatment two groups were observed. Results There were significant increased in pelvic floor muscle activity compared with six weeks and 2 days after delivery between two groups (P<0.05), and there were significant increased in the ultra-early group compared with the same period in the early group (P<0.05) . There were significant increased in good rate in 12 weeks after delivery compared with immediate time and 2 days after delidery (P<0.05), and more significant increased in the ultra- early group than that in the early group (P<0.05). There were significant decreased in urinary urgency, lumbosacral painand tenesmus, vaginal relaxation, and vaginal dryness rate in 12 weeks after delivery compared between two groups (P<0.05). Conclusion There were good effects in pelvic floor muscle rehabilitation training combined with Buzhong Yiqi Pill at ultra-early stage on the recovery of pelvic floor muscle function after delivery, and be worthy of clinical application.

parturient womenpelvic floor muscle functionrehabilitation training

杨梅

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淳安县第一人民医院 妇产科,浙江 杭州 311700

产妇 盆底肌功能 康复训练

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(9)
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