摘要
目的:探究产后盆底康复仪联合盆底肌训练对产妇盆底肌肉张力与盆底功能的影响。方法:选取100例产妇作为研究对象,随机分为对照组和观察组,对照组单纯采用盆底肌训练,观察组采用盆底康复仪联合盆底肌训练,比较两组盆底肌肉张力和盆底功能恢复情况。结果:对照组盆底肌张力恢复0~5级分别为8.00%,16.00%,20.00%,24.00%,18.00%,14.00%,观察组盆底肌张力恢复0~5级分别为0,4.00%,12.00%,14.00%,36.00%,34.00%,观察组4级和5级高于对照组,差异有统计学意义(P<0.05)。对照组并发症总发生率为32.00%,观察组并发症总发生率为14.00%,差异有统计学意义(P<0.05)。结论:产后盆底功能康复仪联合盆底肌训练可有效改善产妇的盆底肌肉张力,促进盆底功能的恢复。
Objective: To explore the effect of postpartum pelvic floor rehabilitation instrument combined with pelvic floor muscle training therapy on the maternal pelvic floor muscle tension and pelvic floor function. Methods: 100 parturient women were selected as the study subjects, and were randomly divided into the control group and the observation group. The control group received pelvic floor muscle training alone, and the observation group received pelvic floor rehabilitation instrument combined with pelvic floor muscle training. The pelvic floor muscle tension and pelvic floor function recovery of the two groups were compared. Results: The proportion of grade 0~5 pelvic floor muscle tone recovery in the control group was 8.00%, 16.00%, 20.00%, 24.00%, 18.00%, and 14.00%, respectively. The proportion of grade 0~5 pelvic floor muscle tone recovery in the observation group was 0, 4.00%, 12.00%, 14.00%, 36.00%, and 34.00%, respectively. The proportion of grade 4 and 5 in the observation group was higher than that in the control group, and the difference was statistically significant(P<0.05). The total incidence of complications was 32.00% in the control group and 14.00% in the observation group, with statistically significant difference(P<0.05). Conclusion: Postpartum pelvic floor function rehabilitation instrument combined with pelvic floor muscle training treatment can effectively improve the maternal pelvic floor muscle tension, promote the recovery of pelvic floor function.
引文
[1] 王雅贤,刘颖琳,陈少青,等.产后盆底肌肉训练对改善盆底功能的作用分析[J].中国实用妇科与产科杂志,2015,10(8):593-595.
[2] 马向英,刘艳慧,吕英璞,等.不同盆底肌肉康复术治疗产后盆底功能障碍的效果及对肌力、疲劳度和POP-Q分度的影响[J].河北医药,2018,12(11):213-214.
[3] 崔瑜,崔琳,吴蔚.电刺激联合生物反馈结合阴道哑铃盆底康复训练对改善产后盆底肌功能的作用研究[J].中国妇幼保健,2016,31(15):3171-3173.
[4] 陈聪,陈晶晶,陈育梅.盆底肌功能锻炼联合肌电刺激对盆底功能障碍患者功能恢复的影响[J].中国妇幼保健,2017,32(23):327-328.
[5] 黄润强,赵亚娟,崔明华,等.综合康复训练联合电刺激对产妇产后盆底肌功能的影响[J].神经损伤与功能重建,2016,11(2):177-178.
[6] 刘湘晖,杜丹,黄淑妹.产后早期盆底肌康复治疗对产妇盆底功能的近期影响[J].国际妇产科学杂志,2012,39(6):613-615.
[7] 刘叶君,张璞.补中益气丸联合盆底康复治疗仪治疗产后盆底功能障碍的临床观察[J].中医药导报,2017,10(2):103-104,107.
[8] 张荣玲,王秋菊,赵桂凤,等.产后盆底康复锻炼对女性盆底功能障碍性疾病相关研究[J].中华保健医学杂志,2015,17(6):469-472.
[9] 佚名.盆底康复锻炼对产妇盆底肌肉肌电活动及盆底功能的影响[J].中国康复,2018,33(2):126-128.
[10] 丁飞洋,戴悦萍.盆底肌肉康复器训练对产后盆底功能恢复的影响[J].中国妇幼保健,2018,10(8):1729-1731.