摘要
目的分析产后盆底肌功能下降初产妇应用不同盆底肌功能康复训练方法的临床效果。方法便利选取该院2018年6月—2020年6月收治的120例产后盆底肌功能降低初产妇,采用随机数表法分组,各60例。对照组采用Kegel训练法进行盆底肌康复训练,研究组在此基础上应用阴道哑铃进行康复训练,比较两组康复效果。结果研究组产后12周时的盆底Ⅰ类肌纤维肌力分级情况与对照组比较,差异有统计学意义(Z=2.444,P<0.05)。研究组产后12周时盆底Ⅱ类肌纤维肌力患者占比(76.67%)高于对照组(56.67%),Ⅰ级、Ⅱ级肌力占比低于对照组,组间差异有统计学意义(Z=2.261,P<0.05)。两组产后12周的BC、VMCC、RMF比较,差异有统计学意义(t=6.116、5.041、4.523,P<0.05)。结论在Kegel训练基础上,配合阴道哑铃康复训练,能够显著提升初产妇的盆底肌纤维肌力,改善其下尿路功能,加速患者盆底肌功能恢复。
Objective To analyze the clinical effects of different pelvic floor muscle function rehabilitation training methods for primiparas with decreased postpartum pelvic floor muscle function. Methods A total of 120 postpartum primiparas with reduced pelvic floor muscle function were conveniently selected from the hospital from June 2018 to June 2020, and they were grouped by random number table, with 60 cases in each group. The control group used Kegel training method for pelvic floor muscle rehabilitation training, and the research group used vagina dumbbells for rehabilitation training on this basis. The rehabilitation effects of the two groups were compared. Results There was a statistically significant difference between the pelvic floor type Ⅰ muscle fiber and muscle strength classification of the study group at 12 weeks postpartum and the control group(Z=2.444, P<0.05). At 12 weeks postpartum in the study group, the proportion of pelvic floor type Ⅱ muscle fiber muscle strength(76.67%) was higher than that of the control group(56.67%), and the proportion of grade I and grade Ⅱ muscle strength was lower than that of the control group,the difference was statistically significant(Z =2.261, P <0.05). The comparison of BC, VMCC and RMF at 12 weeks postpartum between the two groups was statistically significant(t=6.116, 5.041, 4.523, P<0.05). Conclusion On the basis of Kegel training, combined with vagina dumbbell rehabilitation training, it can significantly enhance the strength of the pelvic floor muscle fibers of the primipara, improve the function of the lower urinary tract, and accelerate the recovery of the patient’s pelvic floor muscle function.
作者
赵曼丹
骆婕
李筠
罗伊琪
陶莹
ZHAO Mandan;LUO Jie;LI Jun;LUO Yiqi;TAO Ying(Department of Obstetrics and Gynecology,the First Affiliated Hospital of Guangdong Pharmaceutical University,Guangzhou,Guangdong Province,510080 China)
出处
《中外医疗》
2021年第23期58-60,73,共4页
China & Foreign Medical Treatment
关键词
盆底肌
功能康复训练
初产妇
肌力分级
功能下降
下尿路功能
Pelvic floor muscles
Functional rehabili tation training
Primipara
Muscle strength classification
Functional decline
Lower urinary tract function
