摘要
目的探讨产后盆底功能障碍产妇的患病情况及盆底肌康复联合治疗对产后盆底功能障碍的疗效。方法选取2014年1月至2015年7月间于西北妇女儿童医院盆底中心接受治疗的盆底功能障碍患者960例,按患者意愿将其分为单纯的Kegel训练组(对照组)和电刺激联合生物反馈结合Kegel训练联合治疗组(观察组)进行临床研究,分析产后盆底功能障碍产妇的患病状况及盆底康复治疗效果。结果经过相关治疗,观察组压力性尿失禁、盆腔器官脱垂、慢性盆腔疼痛及女性性功能的治愈率明显高于对照组(x^2值分别为16.00、5.37、5.02、4.50,均P<0.05);治疗后Ⅰ类和Ⅱ类肌纤维的收缩力观察组也较对照组有明显地改善,其差异有统计学意义(x^2值分别为5.38、21.13,均P<0.05)。结论对盆底功能障碍患者进行盆底肌康复联合治疗可明显提高患者的治疗效果,有效地改善了患者的Ⅰ类和Ⅱ类肌纤维的肌力,其具有重要的临床应用价值。
Objective To analyze the prevalence of postpartum pelvic floor dysfunctional （PFD） disease and explore the curative effect of rehabilitation training combined with therapy on PFD. Methods During January 2014 and July 2015, 960 patients diagnosed with PFD accepted therapy in Northwest Maternal and Children Hospital, and they were divided into control group with single Kegel training and observation group with electrical stimulation and biofeedback combined with Kegel training. The prevalence of PFD and curative effect were analyzed. Results After the combined therapy, the cure rates of stress urinary incontinence （SUI）, pelvic organ prolapse （POP）, chronic pelvic pain and female sexual function were significantly higher in the observation group than in the control group （X2 value was 16.00, 5.37, 5.02 and 4.50, respectively, all P 〈 0.05 ）. Compared with the control group, the improvement of contraction force of muscle fiber I and II was more obvious in the observation group, and the difference was statistically significant （2 value was 5.38 and 21. 13, respectively, both P 〈 0.05）. Conclusion Combined rehabilitation therapy for pelvic muscle can enhance the curative effect significantly on patients with PFD. It effectively improves the strength of muscle fiber I and II, and it has important clinical value.
出处
《中国妇幼健康研究》
2016年第2期226-227,272,共3页
Chinese Journal of Woman and Child Health Research
关键词
盆底肌
盆底功能障碍
盆底康复联合治疗
疗效评估
pelvic floor muscle
pelvic floor dysfunction （PFD）
pelvic rehabilitation combined therapy
curative effect assessment
