摘要
目的探讨个体化产后盆底康复疗法对产后盆底功能障碍患者的应用研究。方法选择2019年1~3月收治的60例产后盆底功能障碍患者,随机分为观察组和对照组,每组30例。观察组采用个体化盆底康复措施(评估、电刺激/生物反馈技术等,并结合患者实际情况开展针对性治疗),对照组采用院外盆底肌肉锻炼,对比2组患者的盆底肌生理变化、盆底肌持续收缩压及快速收缩压变化、POP-Q分度、生活质量[盆底功能障碍影响简易问卷(PFIQ-7)、盆底功能障碍问卷评分(PFDI-20)]。结果2组治疗前盆底Ⅰ类肌纤维肌及Ⅱ类肌纤维肌的肌力、电压、疲劳度、阴道动态压力差异无统计学意义(P>0.05),观察组治疗后盆底Ⅰ类肌纤维肌及Ⅱ类肌纤维肌的肌力、电压、疲劳度、阴道动态压力均优于治疗前及对照组,差异有统计学意义(P<0.05);观察组治疗后Ⅰ类肌纤维的持续收缩压、持续时间、Ⅱ类肌纤维的快速收缩压、收缩个数均大于治疗前及对照组(P<0.05);观察组治疗后POP-Q分度在0度的比例明显高于对照组(P<0.05),而Ⅰ度、Ⅱ度的比例明显低于对照组(P<0.05);观察组治疗后PFIQ-7评分和PFDI-20评分明显低于治疗前和对照组(P<0.05)。结论个体化产后盆底康复疗法对产后盆底功能障碍患者的应用效果显著,可明显促进产妇产后盆底功能康复,提高盆底肌力,改善生活质量,具有积极的临床意义。
Objective To investigate the application effects of individualized postpartum pelvic floor rehabilitation therapy in patients with postpartum pelvic floor dysfunction.Methods A total of 60 patients with postpartum pelvic floor dysfunction who were treated in our hospital from January 2019 to March were randomly divided into observation group and control group,with 39 cases in each group.The patients in observation group were treated by individualized pelvic floor rehabilitation measures(biofeedback technology evaluation,electrical stimulation/biofeedback technique),however,the patients in control group were treated by pelvic floor muscle training outside the hospital.The pelvic floor muscle physiological changes,and the changes of pelvic floor muscles systolic blood pressure,and fast systolic blood pressure POP-Q scale division,life quality(PFIQ-7 score and PFDI-20 score)were observed and compared between the two groups.Results Before treatment there were no significant differences in the myodynamia of pelvic floorⅠkind andⅡtype muscle fiber,fatigue,muscle strength,voltage vaginal dynamic pressure between the two groups(P>0.05),moreover,which in observation group after treatment were superior to those before treatment and those in control group(P<0.05).However,which in observation group after treatment were superior to those before treatment and those in control group(P<0.05).Which in observation group after treatment was significantly higher than that in control group(P<0.05),while the proportion ofⅠdegree andⅡdegree was significantly lower than that in control group(P<0.05).The PFIQ-7 scores and PFDI-20 scores in observation group after treatment were significantly lower than those before treatment and those in control group(P<0.05).Conclusion The individualized postpartum pelvic floor rehabilitation has obvious therapeutic effects on postpartum pelvic floor dysfunction,which can promote the rehabilitation of postpartum pelvic floor function,improve the pelvic floor muscle strength,improve the life quality of patients,which has positive clinical significance.
作者
刘莎
赵永民
郭秀秀
李磊
杨红梅
LIU Sha;ZHAO Yongmin;GUO Xiuxiu(Baoding Second Hospital,Hebei,Baoding 071000,China)
出处
《河北医药》
CAS
2021年第6期918-921,共4页
Hebei Medical Journal
基金
保定市科学技术研究与发展计划项目(编号:1941ZF015)。
关键词
产后盆底功能障碍
个体化产后盆底康复疗法
应用效果
盆底肌力
生活质量
postpartum pelvic floor dysfunction
individualized postpartum pelvic floor rehabilitation therapy
application effects
pelvic floor muscle strength
life quality
