产后盆底训练对预防女性早期盆底功能障碍的价值研究(1)
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[摘要] 目的：了解产后盆底训练对预防女性早期盆底障碍的临床价值。方法：住院分娩的产妇240名分成研究组(118例)和观察组(122例)。研究组产后42 d采用法国PHENIX盆底肌肉康复系统进行盆底肌肉训练，对照组进行一般产后随访，两组分别以产后42 d及产后3、6个月进行随访，项目包括测定盆底肌肉张力及问卷调查尿失禁的发生情况，并进行POP-Q分度评估。结果：研究组产后3、6个月阴道静息压、阴道收缩压及阴道收缩持续时间均高于对照组，差异有高度统计学意义(P<0.01)；研究组产后3、6个月尿失禁的发生率低于对照组，两组比较差异均有统计学意义(均P<0.05)。两组产后3、6个月随访期间无脏器Ⅲ度脱垂情况发生。结论：产后早期盆底训练可减少尿失禁的发生，改善盆腔脏器脱垂，值得临床推广应用。
[关键词] 产后盆底训练；尿失禁；盆腔脏器脱垂
[中图分类号] R714.6 [文献标识码] A [文章编号] 1673-7210(2011)11(b)-045-03
The value of pelvic training in preventing pelvic dysfunction for postpartum female
WANG Yuanju
Department of Gynecology and Obstetrics, the Central Hospital in He'nan Coal Group Jiaozuo Coal Limited liability Company, He′nan Province, Jiaozuo 454000, China
[Abstract] Objective: To understand the clinical value of the pelvic training to prevent postpartum women from early pelvic obstacles. Methods: 240 cases of inpatient delivery were randomly divided into research group (118 cases) and the observation group (122 cases). Women were trained by the French PHENIX pelvic muscles rehabilitation system at postpartum 42 days in research group, patients in the control group were given general postpartum follow-up. Two groups were follow-up for postpartum in 42 days, postpartum 3 and 6 months, postpartum determination pelvic muscle tension and questionnaire survey about incontinence incidence were studied. POP-Q index were determined pelvic obstacles. Results: Postpartum 3 and 6 months, the VRP, VSP, PT in research group were higher than those in the observation group, there were significant differences between them (all P<0.01). Postpartum 3 and 6 months, the incidence of urinary incontinence in research group were lower than those in the observation group, there were significant differences between them (all P<0.05). There were no viscera Ⅲ degrees prolapse during follow-up in two groups. Conclusion: Early pelvic training can be reduced the occurrence of urinary incontinence and improve the pelvic viscera prolapse, it is worth clinical promotion for postpartum female ......
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