摘要
目的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作用。方法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POP—Q分度，评价盆底肌肉训练的效果。结果锻炼组产后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2．5％（2／81）和11．9％（10／81），两组比较P〈0．05；锻炼组及对照组产后12个月压力性尿失禁发生率分别为3．7％（3／81）和11.9％（10／81），两组比较P〈0．05。锻炼组及对照组产后12个月POP—QI度脱垂发生率分别为33．3％（27／81）和48．8％（41／84），两组比较P〈0．05。结论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。
Objective To study the effect of postpartum plevic floor muscle training in improving pelvic floor muscle strength and pelvic floor dysfunction. Methods A total 165 postpartum women 6 weeks after delivery were randomly allocated to a training （ n = 81 ） or a control group （ n = 84）. The training group attended a EMG-biofeedback assisted pelvic floor muscle training program, The control group received the customary information. The two groups finished the questionaire and were measured the pelvic floor strength 3 months after delivery, and they finished the questionaire and were measure the pelvic floor strength and did the pelvic organ prolapse quantification system 12 months after delivery. Results At follow-up, pelvic floor muscle strength was significantly higher in the training group than in the control group 3 months after delivery and 12 months after delivery. Significantly fewer women in the training group reported stress urinary incontinence： 2 of 81 （2. 5% ） versus 10 of 84 （ 11. 9% ） （P 〈0. 05 ）3 months after delivery and 3 of 81 （3.7%） versus 10 of 84 （ 11. 9% ） 12 months after delivery （P 〈0 . 05）. Significantly fewer women in the training group reported prolapse： 27 of 81（33.3%） versus 41 of 84 （48.8%） （P〈0.05）. Conclusion Pelvic floor muscle strength improves significantly after intensive pelvic floor muscle training. Stress urinary incontinence prevalence decreases and the vaginal former wall prolapse improves. We should pay more attention to the education of pelvic floor health.
出处
《中国实用妇科与产科杂志》
CAS
CSCD
北大核心
2008年第8期593-595,共3页
Chinese Journal of Practical Gynecology and Obstetrics
关键词
盆底肌肉训练
产妇
压力性尿失禁
盆腔器官脱垂
pelvic floor muscle training
parturient
stress urinary incontinence
pelvic organ prolapse
