盆底肌功能锻炼对阴道分娩结局及产后盆底功能的影响被引量：2

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摘要目的探讨盆底肌功能锻炼对孕妇阴道分娩结局及产妇产后盆底功能的影响。方法实验组孕产妇进行盆底肌功能锻炼,按照不同锻炼时间分为产前组(n=50)、产后组((n=50)及全程组((n=50);未进行功能锻炼的孕妇作为对照组((n=50)。记录阴道分娩情况,产后3个月行会阴B超测量膀胱角度、膀胱颈旋转角度评价产后盆底功能恢复情况。结果产后组及对照组孕妇阴道出血量、助产率及会阴侧切率均高于产前组和全程组(P<0.05)。对照组患者膀胱角度及膀胱颈旋转角度正常者低于产前、产后及全程盆底肌功能锻炼组(P<0.05)。结论盆底肌功能锻炼能够增强盆底肌收缩力,改善阴道分娩结局;并且对于产后盆底肌功能恢复有积极的作用。

作者万忠艳于晓勇王泽曼

机构地区珠海市第二人民医院产科珠海市第二人民医院超声科

出处《中国实用医药》 2013年第2期91-92,共2页 China Practical Medicine

基金珠海市科技工贸和信息化局(项目编号:00729611140413034)

关键词盆底肌功能锻炼阴道分娩盆底功能

分类号 R714.6 [医药卫生—妇产科学]

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参考文献10

1Goldberg RP,Kwon C,Gandhi S. Urinary incontinence among mothers of multiples:the protective effect of cesarean delivery[J].American Journal of Obstetrics and Gynecology,2003,(06):1447-1453.
2万忠艳.产前盆底肌功能锻炼对阴道分娩结局的影响[J].海南医学,2011,22(7):36-37. 被引量：11
3万忠艳.阴道分娩前后行盆底肌功能锻炼对盆底肌张力的影响[J].广西医学,2011,33(6):697-699. 被引量：17
4Mouritsen L,Rasmussen A. Bladder neck mobility evaluated by vaginal ultrasonography[J].British Journal of Urology,1993,(02):166-171.
5丰有吉;沈铿.妇产科学[M]北京:人民卫生出版社,2005163-167.
6Fritel X,Fauconnier A,Levet C. Stress urinary incontinence 4 years after the first delivery:a retrospective cohort survey[J].Acta Obstetricia Et Gynecologica Scandinavica,2004,(10):941-945.
7StriniT,BukoviD,Roje D. Epidemiology of pelvic floor disorders between urban and rural female inhabitants[J].Collegium Antropologicum,2007,(02):483-487.
8Dolan LM,Walsh D,Hamilton S. A study of quality of life in primigravidae with urinary incontinence[J].International Urogynecology Journal and Pelvic Floor Dysfunction,2004,(03):160-164.doi:10.1007/s00192-004-1128-x.
9Dalpiaz O,Curti P. Role of pefineal ultrasound in the evaluationof urinary stress incontinence and pelvicorgan prolapse:a systematie review[J].Neurourology and Urodynamics,2006,(04):301-306.doi:10.1002/nau.20261.
10Mouristen L,Rasmussen A. Bladder neck mobility evaluated by vaginal ultrasongraphy[J].British Journal of Urology,1993,(02):166-171.

二级参考文献14

1McLennan MT,Melick CF,Alton B,et al.Patients' knowledge of potential pelvic floor changes associated with pregnancy and delivery[J].Int Urogynecol J Pelvic Floor Dysfunct,2006,17(1):22-26.
2Harvey MA.Pelvic floor exercises during and after pregnancy:a systematic review of their role in preventing pelvic floor dysfunction[J].J Obstet Gynaecol Can,2003,25(6):487-498.
3Spruijt J,Vierhout M,Verstraeten R,et al.Vaginal electrical stimulation of the pelvic floor:a randomized feasibility study in urinary incontinent elderly women[J].Acta Obstet Gynecol Scand,2003,82 (11):1043-1048.
4Jonasson A, Larsson B, Pschera H. Testing and training of the pelvic floor muscles after childbirth [ J ]. Acta Obstet Gyneeol Scand, 1989,68 (4) :301 - 304.
5Harvey MA. Pelvic floor exercises during and after pregnancy: a systematic review of their role in preventing pelvic floor dysfunction [ J ]. J Obstet Gynaecol Can ,2003,25 (6) : 487 - 498.
6Spruijt J, Vierhout M, Verstraeten R, et al. Vaginal electrical stimulation of the pelvic floor:a randomized feasibility study in urinary incontinent elderly women [ J ]. Acta Obstet Gynecol Scand,2003,82( 11 ) : 1 043 - 1 048.
7Mc Lennan MT, Melick CF, Alten B, et al. Patients" knowledge of potential pelvic floor changes associated with pregnancy and delivery[ J]. Int Urogynecol J Pelvic Floor Dysfunct,2006,17 ( 1 ) :22 - 26.
8王雅贤,刘颖琳,陈少青,周艳红.产后盆底肌肉训练对改善盆底功能的作用分析[J].中国实用妇科与产科杂志,2008,24(8):593-595. 被引量：127
9胡孟彩,王锐,徐冬梅,吴惠琰,陈露.不同分娩方式对产后早期盆底肌力影响的研究[J].中国妇幼保健,2009,24(7):884-885. 被引量：76
10杨素勉,岳文芳,张艳勤,冯静,徐金秀,王莉.影响产妇盆底肌锻炼的因素及针对性指导[J].中国妇幼保健,2009,24(32):4523-4525. 被引量：8