产后盆底肌肉训练对改善盆底功能的作用分析_王雅贤.pdf

2008 8 24 8 593 : 1005- 2216( 2008) 08- 0593- 03 王雅贤, 刘颖琳, 陈少青, 周艳红 : 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 用 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( ICIQSF)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 O Q 分度, 评价盆底肌肉训练的效果 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 25% (2/81)和 119% ( 10/81), 两组比较 P 005; 锻炼组及对照组产后 12 个月压力性尿失禁发生率分别为 37% ( 3/81)和 119% ( 10/81), 两组比较P 005锻炼组及对照组产后 12 个月 O Q度脱垂发生率分别为 333% ( 27/81)和 488% ( 41/84), 两组比较 P 005 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 : 盆底肌肉训练; 产妇;压力性尿失禁; 盆腔器官脱垂 : R71 : A A naly sis of th e effec t of postpartum p elvic floor m usc le tra in ing in im proving pe lvic floor func tion: oneyear fo l lowup. WAN G Yax ian, LI U Ying lin, CHEN Shaoqing, ZH OU Yanhong. Sun Ya tSen M em o ialH osp ital, Guangzhou 510120, China A bstrac t: Obj ec tive To study the effect of postpartum p levic floor muscle train ing in mi proving pelvic floor muscle strength and pelvic floor dysfunction. M ethod s A total 165 postpartum women 6 weeks after delivery were random ly al located to a train ing ( n= 81) or a control group ( n= 84). The training group attended a EMGbiofeedback assisted pel vic floorm uscle train ing program, The control group received the custom ary inform ation. The two groups fin ished the ques tionaire andw erem easured the pelvic floor strength 3 m onths after delivery, and they fin ished the questionaire and w ere m easure the pelvic floor strength and did the pelvic organ prolapse quantification system 12 m onths after delivery. R esu lts A t followup, pelvic floor muscle str