产后早期盆底肌康复治疗对产妇近期盆底功能的影响.pdf

·46 · CHINESEJOURNAL OF FAMILY PLANNING & GYNECOTOKOLOGY Volume7 Number 112015 论著与临床 产后早期盆底肌康复治疗对产妇近期 盆底功能的影响 陈翠兰 作者单位:445000　 湖北　 恩施,恩施州中心医院妇产科 作者简介:毕业于湖北民族学院,本科,主治医师,研究方向为盆底功能障碍性疾病的康复治疗、中西医结合治疗不孕不育、 围绝经期激素替代治疗。 　 　 【摘　 要】　 目的　 探讨产后早期盆底肌康复治疗对产妇近期盆底功能的影响。 方法　 收集2014 年1~ 8 月在恩施州中心医院产科分娩的284例产妇资料,将产后实施早期盆底肌康复治疗的142例产妇纳入观察 组,产后实施常规指导的142例产妇纳入对照组。 比较两组产妇盆底功能改变情况。 结果　 无论是阴道分娩 还是剖宫产,观察组盆底肌纤维( Ⅰ类、ⅡA类和ⅡB类)持续收缩压、持续收缩时间、平均肌力、肌电压均显著 高于对照组,且盆底肌力分布情况明显好于对照组(P<0．05)。 结论　 产后早期盆底肌康复治疗可显著提高 盆底肌肉的收缩能力,改善产妇盆底功能。 【关键词】　 盆底肌;康复治疗;盆底功能;近期影响 【中图分类号】R711.2　 　 【文献标志码】A　 　 　 【文章编号】1674-4020(2015)11-0046-04 doi:10．3969/ j.issn.1674-4020.2015.11.15 Recent effect on maternal pelvic floor function by early postpartum pelvic floor muscle rehabilitation CHEN Cui-lan Department of Gynecology and Obstetrics,Enshi Central Hospital,EnshiHubei445000,P.R.China 【Abstract】Objective　 To investigate recent effect on maternal pelvic floor function by early postpartum pelvic floor muscle rehabilitation. Methods　 Clinical data of284 puerperaswhodelivery inEnshi CentralHospital duringJantoAug2014 were selected. 142 puerperas accepted early postpartum pelvicfloor muscle rehabilitationwere selected as observation group. 142 puerperas accepted postpartum routine guidancewere selected control group. Changes of pelvicfloor function were compared between two groups. Results Whether vaginal delivery or cesarean section,the sustainedsystolicpressure,durationof contraction,average strength,musclevoltage of pelvicfloor musclefibers (type I,type II A,type II B) in observation group were higher than that in control group. Pelvic floor muscle strength distribution in observation group was significantly better than that in control group(P <0．05). Conclusion　 Early postpartum pelvicfloor muscle rehabilitation can significantly improve pelvic flo