摘要
目的 探究经盆底超声分析妊娠、分娩和盆底肌锻炼对产妇盆底功能的影响。方法 回顾性分析收治的150例妊娠、分娩的孕产妇的临床资料,将所有研究对象分为2组,每组75例。对照组仅给予常规妊娠指导及分娩护理,未开展盆底肌锻炼;观察组于妊娠第28周开始予以盆底肌锻炼,2组分别于产后第8周行经盆底超声检查,比较2组盆底结构超声检查结果、盆底功能异常情况。结果 产后第8周,观察组GRRUG盆底肌力分级≥Ⅳ级率为90.7%,高于对照组的69.3%(P<0.05)。2组均未发生盆腔器官脱垂(POP)。观察组压力性尿失禁(SUI)发生率为4.0%,低于对照组的33.3%(P<0.05)。观察组BND、CD、RAD、LHD-d、LHLR-d均低于对照组(P<0.05)。结论 盆底超声观察妊娠期、分娩后行盆底肌功能锻炼,较好的维护盆底结构的功能,有助于提高产后盆底肌力程度,减少SUI发生。
Objective To investigate the effects of pregnancy,childbirth and pelvic floor muscle exercise on pelvic floor function by means of pelvic floor ultrasound examination.Methods The clinical data about 150 pregnant women and puerpera who were admitted in our hospital were retrospectively analyzed,who were divided into observation group and control group,with 75 cases in each group.The subjects in control group were given routine pregnancy guidance and childbirth care,however,the subjects in observation group were given pelvic floor muscle exercise from 28 weeks after pregnancy.The pelvic floor ultrasound examination was performed from 8 weeks after childbirth,and the pelvic floor structure ultrasound results and pelvic floor function abnormalities were observed and compared between the two groups.Results At 8 weeks after childbirth,the GERUG pelvic floor muscle strength rating rate was 90.7%in observation group,which was significantly higher than that(69.3%)in control group(P<0.05).POP was not found in both groups.The incidence rate of SUI in observation group was 4.0%,which was significantly lower than that(33.3%)in control group(P<0.05).Moreover the levels of BND,CD,RAD,LHD-d and LHLR-d in observation group were significantly lower than those in control group(P<0.05).Conclusion The pelvic floor ultrasound examination and pelvic floor muscle exercise after childbirth can effectively maintain the pelvic floor structure function,which is helpful to improve the degree of pelvic floor muscle strength,reduce the incidence of SUI.
作者
彭艳艳
陈舜珏
付丽曼
启明星
郭习娟
邵小柳
PENG Yanyan;CHEN Shunjue;FU Liman(Department of Ultrasound Diagnosis,The Fourth Hospital of Shijiazhuang City,Hebei,Shijiazhuang 050011,China)
出处
《河北医药》
CAS
2019年第19期2986-2989,共4页
Hebei Medical Journal
关键词
盆底超声
妊娠
分娩
盆底肌锻炼
盆底功能
pelvic floor ultrasound
pregnancy
delivery
pelvic floor muscle exercise
pelvic floor function
