赖婷婷 梁桂英 杜爱琪 刘梦菲

[摘要]目的 探討产后盆底肌训练对盆底功能的恢复效果。方法 选取2015年7月16日～2017年6月16日我院收治的400例盆底功能障碍性疾病产妇作为研究对象，按照抽签化分组，每组各200例。对照组采用传统训练指导，观察组采用综合性盆底肌训练，比较两组患者的盆底功能恢复情况和不良事件发生率。结果 观察组产妇的盆底Ⅱ类肌纤维疲劳度（-0.01±0.01）%、盆底Ⅰ类肌纤维疲劳度（-0.03±0.01）%、盆腔脏器脱垂（2.00%）、尿失禁发生率（2.50%）低于对照组，差异有统计学意义（P<0.05）；盆底Ⅱ类肌纤维肌电压（8.45±1.35）μV、盆底Ⅰ类肌纤维肌电压（8.63±1.24）μV、手测盆底肌力4级率（78.00%）、手测盆底肌力5级率（16.00%）、依从性（99.00%）高于对照组，差异有统计学意义（P<0.05）。结论 对产后盆底功能障碍产妇实施综合性盆底肌训练，能够降低尿失禁、盆腔脏器脱垂发生率，改善肌纤维疲劳度。

[关键词]产后盆底肌训练；Kegel训练法；康复训练系统治疗仪；盆底功能；效果

[中图分类号] R691.51 [文献标识码] A [文章编号] 1674-4721（2018）2（b）-0068-03

Effect analysis on the functional recovery of pelvic floor by postpartum pelvic floor muscle training

LAI Ting-ting LIANG Gui-ying DU Ai-qi LIU Meng-fei

Department of Obstetrics，Sanshui Maternal and Child Health Hospital of Foshan City in Guangdong Province，Foshan 528100，China

[Abstract]Objective To explore the recovery effect of postpartum pelvic floor muscle training on pelvic floor function.Methods From July 16，2015 to June 16，2017，400 puerperae with pelvic floor dysfunction in our hospital were evenly divided into two groups by drawing lots，200 cases in each group.The traditional training guidance was applied in control group，and comprehensive pelvic floor muscle training was applied in observation group.The functional recovery of pelvic floor and incidence of adverse events were compared between the two groups.Results In the observation group，the fatigue degree of muscle fiber in grade Ⅱ in pelvic floor was （-0.01±0.01）%，and （-0.03±0.01）% in grade Ⅰ muscle fiber of pelvic floor.The incidence of pelvic organ prolapse （2.00%） and urinary incontinence （2.50%） in the observation group were lower than those in the control group，the difference was statistically significant （P<0.05）.The muscle voltage of grade Ⅰ and Ⅱ muscle fiber of pelvic floor were （8.45±1.35） μV and （8.63±1.24） μV.The rates of muscle strength in levels 4 and 5 by hand checking were 78.00% and 16.00%.The treatment compliance rate was reached 99.00% in the observation group.All these indexes mentioned above were higher than those in the control group，the difference was statistically significant （P<0.05）.Conclusion For puerpera suffering from postpartum pelvic floor dysfunction，implementation of comprehensive pelvic floor muscle training can decrease the incidence of urinary incontinence and pelvic organ prolapse，and improve muscle fiber fatigue.

[Key words]Postpartum pelvic floor muscle training；Kegel training method；Therapeutic apparatus of rehabilitation training system；Pelvic floor function；Effect

盆底功能障碍性疾病主要表现为压力性尿失禁、盆腔脏器脱垂、尿失禁等，可因重力活动、体位改变、笑、打喷嚏、咳嗽等动作增加腹部压力，从而导致尿液自主溢出[1]。盆底功能障碍属于产妇常见并发症，发病原因与盆底功能障碍和结构缺损有关，目前已广泛受到学者重视，若干预不及时，可影响产妇婚姻质量和生活质量。随着近年来，医疗技术的进步，治疗方案逐渐多样化，包括手术、电刺激、盆底肌肉训练等，其各存在优劣[2]。本文旨在探讨盆底功能障碍性疾病产妇实施不同治疗方案的临床意义，现报道如下。

1资料与方法

1.1一般资料

选取2015年7月16日～2017年6月16日我院收治的400例盆底功能障碍性疾病产妇作为研究对象，抽签化分组，分为观察组和对照组，每组各200例。观察组产妇均为初产妇，平均年龄（24.86±2.43）岁，平均孕龄（39.86±2.38）周，122例产妇存在排尿障碍，78龄产妇存在子宮脱垂现象；……