产后盆底肌肉训练对改善盆底功能的作用分析.pdfVIP

2008 8 24 8 # 593# : 1005- 2216( 2008) 08- 0593- 03 王雅贤, 刘颖琳, 陈少青, 周艳红 : 评价产后盆底肌肉训练对盆底肌肉张力的影响及对盆底功能的 用 选择中山大学附属第 二医院 2007年 1~ 3月收治的 165例住院分娩产后 6周的产妇进入研究, 随机分成两组锻炼组 81例于产后 6 周进行 1疗程盆底肌肉训练 (包括生物反馈及电刺激)对照组 84例进行 一般的产后健康教育两组均于产后 3 个月进行 一般情况问卷及国际尿失禁咨询委员会尿失禁问卷表简表( ICIQ-SF)调查, 并进行盆底肌肉张力测 定产后 12 个月进行问卷调查及盆底肌肉张力测定和 O -Q 分度, 评价盆底肌肉训练的效果 锻炼组 产后 3 个月产后 12 个月盆底肌肉张力高于对照组锻炼组及对照组产后 3 个月压力性尿失禁发生率分别为 21 5% (2/81)和 111 9% ( 10/81), 两组比较 P 01 05; 锻炼组及对照组产后 12 个月压力性尿失禁发生率分别为 31 7% ( 3/81)和 111 9% ( 10/81), 两组比较P 0105锻炼组及对照组产后 12 个月 O -QÑ度脱垂发生率分别为 3313% ( 27/81)和 4818% ( 41/84), 两组比较 P 0105 产后盆底肌肉训练能提高盆底肌肉张力, 降低尿 失禁发生率, 改善阴道前壁脱垂 : 盆底肌肉训练; 产妇;压力性尿失禁; 盆腔器官脱垂 : R71 : A A naly sis of th e effec t of postpartum p elvic floor m usc le tra in ing in im proving pe lvic floor func tion: one-year fo-l low-up. WANG Ya-xian, LIU Ying-lin, CHEN Shao-qing, ZHOU Yan-hong. Sun Yat-SenM e orialH osp ital, Guangzhou 510120, China A bstrac t: Obj ec tive To study the effect of postpartum p levic floor muscle train ing in mi proving pelvic floor muscle strength and pelvic floor dysfunction. M ethod s A total 165 postpartum women 6 weeks after delivery were random ly a-l located to a train ing ( n= 81) or a control group ( n= 84). The training group attended a EMG-biofeedback assisted pe-l vic floorm uscle train ing program, The control group received the custom ary inform ation. The two groups fin ished the ques- tionaire andw erem easured the pelvic floor strength 3 m onths after delivery, and they fin ished the questionaire and w ere m easure the pelvic floor strength and did th