初產(chǎn)婦產(chǎn)后盆底功能鍛煉對盆腔器官脫垂影響的臨床研究
發(fā)布時間:2018-05-11 17:38
本文選題:盆腔器官脫垂 + 盆底功能鍛煉; 參考:《中國婦幼健康研究》2016年11期
【摘要】:目的評估盆底功能鍛煉對初產(chǎn)婦產(chǎn)后盆腔器官脫垂(POP)分期和癥狀的預(yù)防及治療作用。方法將189例初產(chǎn)婦隨機(jī)分為實(shí)驗組和對照組,實(shí)驗組在產(chǎn)后6~8周進(jìn)行盆底功能鍛煉,維持4個月,對照組未進(jìn)行干預(yù)。結(jié)果實(shí)驗組和對照組基線值(產(chǎn)后6周)的POP分期(χ2=2.372,P=0.640),POP-Q位點(diǎn)(P0.05)和膀胱頸位置(P0.05)差異無統(tǒng)計學(xué)意義;實(shí)驗組和對照組確診POP-QⅡ度的初產(chǎn)婦在產(chǎn)后6周和6個月的相對風(fēng)險度無顯著性變化(χ2=2.204,P=0.533;χ2=2.407,P=0.326);對照組在產(chǎn)后6個月陰道內(nèi)膨脹癥狀的初產(chǎn)婦數(shù)量明顯高于實(shí)驗組(χ2=25.69,P=0.001)。結(jié)論產(chǎn)后盆底功能鍛煉對初產(chǎn)婦產(chǎn)后盆腔器官脫垂沒有影響;對于特定人群需要更多的隨機(jī)對照性研究確定盆底功能鍛煉對盆腔器官脫垂癥狀的影響。
[Abstract]:Objective to evaluate the preventive and therapeutic effects of pelvic floor exercise on postpartum pelvic organ prolapse (POP) staging and symptoms. Methods 189 primiparae were randomly divided into experimental group and control group. The experimental group underwent pelvic floor exercise at 6 and 8 weeks postpartum for 4 months, while the control group did not intervene. Results there was no significant difference in POP staging between the experimental group and the control group (P 0.05 at POP-Q site) and in the bladder neck position (P 0.05). There was no significant difference between the two groups in POP stage (蠂 2 / 2.372P ~ (0.640) P ~ (0.05) and the bladder neck position (P ~ (0.05). There was no significant change in the relative risk of POP-Q 鈪,
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