妊娠和分娩对盆底功能的影响及早期盆底康复治疗近期效果的研究.docVIP

妊娠和分娩对盆底功能的影响及早期盆底康复治疗近期效果的研究 　　【摘要】 目的：研究妊娠和分娩对盆底功能的影响及早期盆底康复治疗的近期效果。方法：选取在笔者所在医院分娩的142例产妇为研究对象，按不同分娩方式，将其分成阴道分娩组与剖宫产组，各71例，产后42 d复查并评估盆底功能，分析盆底功能的影响因素及早期盆底康复治疗近期效果。结果：对比两组产妇产后的阴道压力、疲劳度以及盆底肌力，差异均无统计学意义（P0.05）；对比治疗前与治疗后产妇盆底肌力与肌电压的变化情况，差异均有统计学意义（P0.05）。结论：妊娠和分娩会降低盆底肌力与阴道压力，增加肌肉的疲劳度；早期盆底康复治疗可增强产后盆底肌力与肌电压，值得推广应用。 　　【关键词】 妊娠； 分娩； 盆底功能； 早期盆底康复治疗； 近期疗效 　　中图分类号 R714.6 文献标识码 B 文章编号 1674-6805（2016）9-0031-02 　　【Abstract】 Objective：To study the effect of pregnancy and delivery on the pelvic floor function and the short-term effect of early pelvic floor rehabilitation therapy.Method：The clinical data of 142 pregnant women in our hospital were selected as the research objects，according to the different methods of delivery，they were divided into the vaginal delivery group and the cesarean section group，71 cases in each group，reviewed and evaluation of pelvic floor function for 42 days after delivery，the influencing factors of pelvic floor function and the short term effect of early rehabilitation therapy were analysed.Result：Postpartum vaginal pressure， fatigue and pelvic floor muscle strength of the two groups were compared，there were no statistically significant differences（P0.05）.The changes of pelvic floor muscle strength and muscle voltage of the patients before treatment and after treatment were compared，the differences were statistically significant（P0.05）.Conclusion：Pregnancy and childbirth will reduce the pelvic floor muscle strength and vaginal pressure，increase the fatigue of the muscle，early pelvic floor rehabilitation treatment can enhance the postpartum pelvic floor muscle strength and muscle voltage，it is worth promoting application. 　　【Key words】 Pregnancy； Delivery； Pelvic floor function； Early pelvic floor rehabilitation therapy； The short-term effect 　　First-author’s address：Changsha Hospital for Maternal and Child Health Care，Changsha 410007，China 　　doi：10.14033/j.cnki.cfmr.2016.9.017 　　女性盆底是由封闭骨盆出口的多层肌肉和筋膜构成，尿道、阴道、直肠贯穿于其中，是一个紧密关联的整体[1]。有研究表明，妊娠和分娩