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盆底肌综合康复技术对盆底肌功能的影响

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目的:探讨盆底肌综合康复技术对盆底肌功能的影响.方法:按随机数字表法将 2018 年10月—2021年10月于赣州市南康区妇幼保健院分娩且产后42 d经复查确诊为盆底功能障碍性疾病的60例产妇分为对照组(30 例)和研究组(30 例).对照组给予常规康复指导,研究组给予盆底肌综合康复技术,两组干预周期均为 3 个月.对比两组超声检查结果、盆底电生理指标、盆腔脏器脱垂(POP)-Q分度、阴道动态压力、盆底肌力、盆底肌功能障碍情况.结果:干预后 3 个月,研究组静息状态下膀胱颈至耻骨联合下缘的垂直间距(BSD-R)、压力状态下膀胱尿道后角(PUVA-S)、静息状态下膀胱尿道后角(PUVA-R)、膀胱颈下降值(BND)、尿道膀胱连接部移动距离(UVJ-M)均比对照组低,而压力状态下膀胱颈至耻骨联合下缘的垂直间距(BSD-S)则比对照组高(P<0.05).干预后 6 个月研究组Ⅰ、Ⅱ类肌纤维疲劳度、POP-Q分度AP指示点比对照组更优(P<0.05);干预后 6 个月、1年,两组Ⅴ级盆底肌力占比均逐渐上升(P<0.05);干预前、干预后6个月、1年组间盆底肌力0级、Ⅰ级、Ⅱ级、Ⅲ级、Ⅳ级、Ⅴ级分级对比,差异均无统计学意义(P>0.05).干预后 3 个月,研究组子宫垂落、阴道壁膨胀、尿失禁总发生率比对照组低,差异有统计学意义(P<0.05).结论:对盆底功能障碍性疾病产妇进行盆底肌综合康复技术干预可有效缓解盆腔肌纤维疲劳度,提高盆底肌力,有助于产妇产后盆底功能的早日恢复,且具有较高的安全性.
The Effect of Comprehensive Rehabilitation Techniques for Pelvic Floor Muscles on Pelvic Floor Muscle Function
Objective:To explore the impact of comprehensive rehabilitation techniques for pelvic floor muscle on pelvic floor muscle function.Method:According to the method of random number table,60 parturients who gave birth in Nankang District Maternal and Child Health Hospital of Ganzhou from October 2018 to October 2021 and were diagnosed with pelvic floor dysfunction by reexamination 42 days after delivery were divided into control group(30 cases)and study group(30 cases).The control group was given routine rehabilitation guidance,and the study group was given comprehensive rehabilitation technology for pelvic floor muscle,the intervention period of both groups was 3 months.The results of ultrasound examination,pelvic floor electrophysiological indexes,pelvic organ prolapse(POP)-Q indexing,vaginal dynamic pressure,pelvic floor muscle strength,and pelvic floor muscle dysfunction were compared between the two groups.Result:After 3 months of intervention,bladder neck-symphyseal distance at resting state(BSD-R),posterior urethrovesical angle at stress state(PUVA-S),posterior urethrovesical angle at resting state(PUVA-R),bladder neck decline value(BND)and moving distance of urethrovesical junction(UVJ-M)in the study group were lower than those in the control group.the bladder neck-symphyseal distance at stress state(BSD-S)was higher than that in control group(P<0.05).The Ⅰ and Ⅱ muscle fiber fatigue,POP-Q index AP point after 6 months of intervention of the study group were better than those of the control group(P<0.05).After 6 months and 1 year of intervention,the proportion of grade Ⅴ pelvic floor muscle strength in the two groups were increased gradually(P<0.05);there were no significant differences in grade 0,grade Ⅰ,grade Ⅱ,grade Ⅲ,grade Ⅳ and grade V before and 6 months and 1 year after intervention(P>0.05).After 3 months of intervention,the total incidence of uterine prolapse,vaginal wall swelling and urinary incontinence in the study group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:Pelvic floor muscle comprehensive rehabilitation technique for parturients with pelvic floor dysfunction can effectively relieve pelvic muscle fiber fatigue,improve pelvic floor muscle strength,and contribute to early recovery of postpartum pelvic floor function,with higher safety.

Pelvic floor muscleComprehensive rehabilitation technologyPelvic floor muscle function

李兆香

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赣州市南康区妇幼保健院孕产保健部 江西 赣州 341400

盆底肌 综合康复技术 盆底肌功能

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(7)
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