教案不同产科因素对孕产妇盆底功能的影响及盆底肌康复治疗的近期效果观察.doc

不同产科因素对孕产妇盆底功能的影响及盆底肌康复治疗的近期效果观察 Impact of different factors of gravidity and delivery on pelvic floor function and study on short-term curative effect of postpartum pelvic floor muscle rehabilitation therapy Abstract Objectives:To explore the changes of pelvic floor muscle strength PFMS at postpartum an- d after pelvic floor muscle rehabilitation therapy, compare the impact of different factors of gravidity and delivery on pelvic floor muscle strength. To detect serum concentrations of relaxin, determin the content of typeⅠand type Ⅲ collagen of connective tissue in puerperal, to approach the mechanisms of change with pelvic floor function and the etiopathogenisis of pelvic floor dysfunctionPFD,include postpartum stress urinary incontinenceSUI and pelvic organ prolapsPOP.To appraise the short-term effect of postpartum pelvic floor muscle rehabilitation therapyMethods:To random select Healthy puerperant who undergo regular prenatal checkup, a- llocated them to three group: Group 1 gravidity 37-40 weeks, Group 2 postpartum 6-8 weeks, and Group 3 postpartum 3-6 month, meanwhile bolted nulliparous and nonfertile women as control group.Study as follow: 1. to appraise pelvic floor muscle strength, using biofeedback electrical stimulation device to gain electromyogram, myoelectricity and defatigation degree of pelvic floor muscle,and adopting vaginal palpation at the same time; 2. to compare the effect of different factors of delivery on pelvic floor muscle strength, using questionnaire of pelvic floor dysfunction; 3. to approach the mechanisms of change with pelvic floor muscle strength, detectin- g serum concentrations of relaxin in different period by enzyme-linked immuno-sorbe-nt assay; 4. to stochastically select subjects at late pregnancy, taking the tissue in paries poste-rior vaginase of spontaneous labor, Fusiform scissoring ligamentum teres of one sideV暨南大学硕士学位论文 of uterine-incision delivery, every one about 50mg;taking the same place of