發(fā)布時間：2018-11-21 18:30

【摘要】：目的研究不同分娩方式對初產(chǎn)婦產(chǎn)后早期盆底肌力降低程度的影響,并提出相應對策以改善盆底肌力。方法隨機選擇2009年2月至5月在中山市人民醫(yī)院產(chǎn)后門診進行6-8周復查的初產(chǎn)婦63例,按分娩方式將其分為擇期剖宮產(chǎn)組(30例)和陰道順產(chǎn)組(33例)。根據(jù)盆底肌肉肌力分級測試(GRRUG)分為0-5級,肌力≤3級者采用廣州杉山公司PHENIX神經(jīng)肌肉刺激儀,由專一盆底康復師進行盆底肌肉功能訓練,每周2次,12次為一個療程;肌力≥4級者進行常規(guī)健康宣教,隨訪至產(chǎn)后6個月。結(jié)果初產(chǎn)婦產(chǎn)后6-8周盆底肌力測試擇期剖宮產(chǎn)組≤3級者占23.3%(7/30),≥4級者占76.7%(23/30);陰道順產(chǎn)組≤3級者占54.5%(18/33),≥4級者占45.5%(15/33),兩組比較差異均有統(tǒng)計學意義(P0.05)。產(chǎn)后6個月與6-8周時肌力比較,≤3級者經(jīng)一個療程盆底肌肉功能訓練后差異有統(tǒng)計學意義(P0.05),而≥4級未行訓練者則有不同程度的降低。結(jié)論兩種分娩方式對初產(chǎn)婦產(chǎn)后早期盆底肌力均有影響,就其降低程度而言,擇期剖宮產(chǎn)的影響相對于陰道分娩為小。然而,選擇剖宮產(chǎn)以期降低分娩對盆底肌力的影響的做法并不可取,故建議初產(chǎn)婦產(chǎn)后早期進行盆底肌肉功能訓練,以改善盆底肌力,減少或延緩女性盆底功能障礙性疾病(FPFD)的發(fā)生。
[Abstract]:Objective to study the effect of different delivery methods on the reduction of pelvic floor muscle strength in the early postpartum period of primipara, and put forward corresponding countermeasures to improve pelvic floor muscle strength. Methods from February to May 2009, 63 primipara were randomly divided into elective cesarean section group (n = 30) and vaginal delivery group (n = 33), which were re-examined in postpartum clinic of Zhongshan people's Hospital from February to May, 2009 for 6 to 8 weeks, and were divided into elective cesarean section group (n = 30) and vaginal delivery group (n = 33). According to the pelvic floor muscle strength grading test, (GRRUG) was divided into 0-5 grades. The patients with muscle strength 鈮，

本文編號：2347904