摘要
目的探讨产后进行盆底肌肉锻炼(PFMT)对产后压力性尿失禁的影响。方法将192例住院自然分娩初产妇,随机分为观察组和对照组。对照组实施常规产后健康教育指导,观察组由专业助产士实施8周以上一对一的健康教育及盆底肌功能训练指导。分别于产后3、6及12个月随访,通过两组排尿状况、盆底肌张力及尿垫试验进行评估,评价PFMT对产后压力性尿失禁的影响。结果观察组产后3、6、12个月排尿状况评分、盆底肌张力强度评分与对照组比较,差异显著有统计学意义(P<0.001),产后6、12个月尿垫试验阳性率与对照组比较,差异有计学意义(P<0.05,P<0.01)。结论产后行PFMT可以有效防治产后压力性尿失禁的发生和发展。
Objective To carry out pelvic floor muscle exercises after childbirth（pelvic floor muscle training,PFMT） on the impact of postpartum stress urinary incontinence.Methods 192 cases of maternal hospitalization in early spontaneous labor were randomly divided into two groups and the control group.The implementation of routine post-natal group health education guidance,the implementation of the observation group of professional midwives more than 8 weeks-one health education and pelvic floor muscle training guidance.3 months postpartum,respectively,for 6 months and 12 months follow up the situation by two groups of urination,pelvic floor muscle tension and pad test assessment,evaluation of PFMT on the impact of postpartum stress urinary incontinence.Results The results of the observation group 3,6,12 months postpartum urinary condition score,pelvic floor muscle tension and intensity scores compared with the control group,significant difference was significant（P0.001）,postpartum 6,12 pad test positive months rate compared with the control group,the difference was total significance（P0.05,P0.01）.Conclusions can effectively prevent post-natal line PFMT postpartum stress urinary incontinence occurrence and development.
出处
《中国医药指南》
2011年第2期21-22,共2页
Guide of China Medicine
关键词
盆底肌肉锻炼
产后
压力性尿失禁
影响
Pelvic floor muscle training（PFMT）
Postpartum
Stress urinary incontinence
Effect
