摘要
目的分析盆底表面肌电指导产后盆底康复对阴道分娩、产钳助产和剖宫产产妇盆底功能障碍发生的影响。方法选取内蒙古医科大学附属医院2016年1月至2017年6月分娩的产妇180例作为盆底表面肌电组,同时随机选取同一时期内返院复查的产妇85例作为对照组,对所有产妇进行个性化产后健康指导。结果产后1个月,剖宫产组的盆底肌张力评分异常率显著低于阴道分娩组（P〈0.05）;产后2个月盆底表面肌电组的盆底肌张力评分异常率较对照组更低（P〈0.05）;结论盆底表面肌电指导产后盆底康复能够提高产后产妇的肌纤维功能以及肌肉压力功能,且降低其膀胱颈的角度或旋转角度和盆底功能障碍性疾病发生率,应提倡产后行盆底康复指导。
Objective To analyze the surface electromyography of pelvic floor guidance in postpartum pelvic floor rehabilitation of vaginal delivery, cesarean section and forceps delivery on the incidence of maternal pelvic floor dysfunction. Methods 180 cases of puerperant in the Affiliated Hospital of Inner Mongolia Medical University from January 2016 to June 2017 were chosen as the pelvic floor surface electromyography group（the study group）. 85 cases in the same period were randomly selected as control group. All cases underwent postpartum individualized health guidance, and the study group received pelvic floor surface electromyography guidance. Results One month after delivery, the abnormal rate of pelvic floor muscle tension score in the cesarean section women were significantly lower than that of the vaginal delivery women（P〈0.05）. The abnormal rate of pelvic floor muscle tension score in the study group was lower than the control group（P〈0.05）. Conclusion Pelvic floor surface electromyography guidance of postpartum pelvic floor rehabilitation can improve maternal postpartum muscle function and muscle fiber pressure function, and decrease the incidence rate of pelvic floor dysfunction.
作者
肖兰凤
孟海霞
XIA;MENG Haixia(Affiliated Hospital of Inner Mongolia Medical University,Huhhot 010050,China)
出处
《中国妇产科临床杂志》
CSCD
北大核心
2018年第5期423-425,共3页
Chinese Journal of Clinical Obstetrics and Gynecology
基金
内蒙古自治区自然科学基金(2015MS08127)
关键词
盆底功能障碍
盆底表面肌电
盆底康复
阴道分娩
剖宫产
pelvic floor dysfunction
pelvic floor electromyography
pelvic floor rehabilitation
vaginal delivery
cesarean section
