隋艳芬 王萍 王亚男

【摘 要】 目的：分析和研究不同產后盆底康复时间对产妇尿失禁和盆底肌的影响作用。方法：选取2016年5月至2018年2月在本医院分娩及接受产后复查的90例产妇，分组法是随机数字表法，每组30例，研究1组产后6～8周接受盆底康复训练，研究2组产后8～10周接受盆底康复训练，研究3组产后10～13周接受盆底康复训练，并将同期产后复查的30例产妇纳入对照组（予以常规产后护理），统计和观察4组产妇干预之前及产后6个月的尿失禁阳性例数、Ⅰ类肌纤维肌力、Ⅱ类肌纤维肌力。结果：研究1组、研究2组、研究3组产妇产后6个月的尿失禁阳性例数显著低于干预之前及对照组，研究1组、研究2组、研究3组产妇产后6个月的Ⅰ类肌纤维肌力、Ⅱ类肌纤维肌力显著高于干预之前及对照组（P<0.05），研究1组、研究2组、研究3组产后6个月的尿失禁阳性例数、Ⅰ类肌纤维肌力、Ⅱ类肌纤维肌力比较（P>0.05）。结论：对产妇在不同产后时间开展盆底康复均可以改善其尿失禁以及盆底肌功能，但产后盆底康复时间对康复效果没有明显影响。

【关键词】 产后;盆底康复;尿失禁;盆底肌

[Abstract] Objective：To analyze and study the effects of different postpartum pelvic floor rehabilitation time on maternal urinary incontinence and pelvic floor muscles. Methods： 90 cases of maternal delivery and postpartum reexamination were selected from May 2016 to February 2018. The grouping method was a random number table method. Each group was enrolled in 30 cases. The study group received pelvic floor rehabilitation training from 6 weeks to 8 weeks after delivery. The study group received pelvic floor rehabilitation training from 8 weeks to 10 weeks after birth. The three groups received pelvic floor rehabilitation training from 10 weeks to 13 weeks postpartum， and 30 cases of postpartum postpartum recurrence were included in the control group （for routine postpartum care）， statistics and attention. The number of positive urinary incontinence， type I muscle fiber strength， and type II muscle fiber strength before and after maternal intervention in 4 groups. Results： The number of positive cases of urinary incontinence in the study group 1 and the study 2 group and the study group 3 was significantly lower than that before the intervention and the control group. The study group 1 and the study group 2 and the study group 3 group had 6 months postpartum. Muscle strength of type I muscle fibers and muscle fibers of type II muscle fibers were significantly higher than those before and after the intervention，P<0.05. The number of urinary incontinence positive cases， type I muscle fiber muscles of study group 1， study group 2， study group 3 postpartum 6 months postpartum Comparison of muscle strength of force and type II muscle fibers，P>0.05. Conclusion： The pelvic floor rehabilitation of maternal at different postpartum time can improve urinary incontinence and pelvic floor muscle function， but postpartum pelvic floor rehabilitation time has no significant effect on rehabilitation.

[Key words]Postpartum; Pelvic floor rehabilitation; Urinary incontinence; Pelvic floor muscle

女性盆底功能障碍是因盆底肌肉出现松弛和受损，其盆腔相关支持结构受到损害或是退化而致，临床诊治中比较常见的包含盆腔脏器脱垂、尿失禁等，对女性的日常生活质量带来不良影响[1]。本研究实施分析的资料是2016年5月至2018年2月在本医院分娩及接受产后复查90例产妇，探究不同产后盆底康复时间对产妇尿失禁和盆底肌的影响作用。

1 资料与方法

1.1 基础资料

本文纳入调查及研究的对象是在本医院分娩及接受产……