本文選題：盆底康復(fù)治療 + 盆底功能障礙性疾病�。� 參考：《中國婦幼保健》2016年24期

【摘要】：目的通過比較康復(fù)治療前后的產(chǎn)后婦女壓力性尿失禁(SUI)、盆腔臟器脫垂(POP)和盆底肌肉收縮強度的變化,探討不同分娩方式對盆底功能障礙性疾病(PFD)康復(fù)治療效果的影響。方法選取2012年10月-2014年6月在廈門市婦幼保健院產(chǎn)后門診就診的初產(chǎn)婦236例,分為陰道分娩組170例,剖宮產(chǎn)組66例。于產(chǎn)后6周進(jìn)行盆底功能檢測,測定盆底肌力以及POP-Q數(shù)值,確定其存在盆底功能障礙,之后遵循自愿原則進(jìn)行10~15次治療,治療結(jié)束后再次進(jìn)行盆底功能檢測。由專人詢問及填寫治療前后的SUI問卷調(diào)查表,并對結(jié)果進(jìn)行統(tǒng)計學(xué)分析。結(jié)果治療前,陰道分娩組和剖宮產(chǎn)組SUI和POP發(fā)生率比較差異有統(tǒng)計學(xué)意義(P0.05)。陰道分娩組、剖宮產(chǎn)組治療前和治療后SUI和POP發(fā)生率比較差異有統(tǒng)計學(xué)意義(P0.05)。治療后,陰道分娩組和剖宮產(chǎn)組SUI和POP發(fā)生率比較差異無統(tǒng)計學(xué)意義(P0.05)。治療前,陰道分娩組和剖宮產(chǎn)組肌纖維肌力下降程度比較差異無統(tǒng)計學(xué)意義(P0.05)。陰道分娩組、剖宮產(chǎn)組治療前和治療后肌纖維肌力下降程度比較差異有統(tǒng)計學(xué)意義(P0.05)。治療后,陰道分娩組和剖宮產(chǎn)組肌纖維肌力下降程度比較差異無統(tǒng)計學(xué)意義(P0.05)。結(jié)論陰道分娩及剖宮產(chǎn)均對產(chǎn)后早期盆底肌力有影響,陰道分娩產(chǎn)婦盆底功能更差,各種PFD癥狀明顯,而經(jīng)過盆底康復(fù)治療后,PFD癥狀明顯減少,患者盆底功能改善,說明盆底康復(fù)治療對產(chǎn)后盆底功能障礙具有防治作用,不同分娩方式的影響無差別,療效與盆底功能障礙程度、患者依從性有關(guān)。
[Abstract]:Objective to investigate the effects of different delivery methods on the rehabilitation of stress urinary incontinence (Su I), pelvic organ prolapse (POP) and pelvic floor muscle contraction (PFDs) in postpartum women before and after rehabilitation treatment. Methods from October 2012 to June 2014, 236 primiparous women were selected and divided into vaginal delivery group (n = 170) and cesarean section group (n = 66). The pelvic floor function was measured at 6 weeks postpartum, the pelvic floor muscle strength and POP-Q value were measured, and the pelvic floor dysfunction was confirmed, followed the voluntary principle of 1015 times of treatment, and the pelvic floor function was tested again after the treatment. The SUI questionnaire before and after treatment was investigated and the results were analyzed statistically. Results before treatment, the incidence of SUI and pop in vaginal delivery group and cesarean section group were significantly different (P 0.05). The incidence of SUI and pop in vaginal delivery group and cesarean section group was significantly different before and after treatment (P 0.05). After treatment, there was no significant difference in the incidence of SUI and pop between vaginal delivery group and cesarean section group (P 0.05). Before treatment, there was no significant difference between vaginal delivery group and cesarean section group. There was significant difference between vaginal delivery group and cesarean section group before and after treatment. After treatment, there was no significant difference between vaginal delivery group and cesarean section group. Conclusion vaginal delivery and cesarean section have an effect on pelvic floor muscle strength in the early postpartum period. The pelvic floor function of vaginal delivery parturient is worse and all kinds of PFD symptoms are obvious, but after pelvic floor rehabilitation treatment, PFD symptoms are obviously reduced and pelvic floor function is improved. The results showed that pelvic floor rehabilitation therapy had a preventive and therapeutic effect on postpartum pelvic floor dysfunction, and there was no difference in different delivery modes. The curative effect was related to the degree of pelvic floor dysfunction and the compliance of patients.
【作者單位】： 廈門市婦幼保健院健康管理科;
【分類號】：R711.5
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本文編號：2045570