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中国临床研究:2020,33(9):1239-1242
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水中分娩联合盆底康复训练对产后盆底功能障碍性疾病的防治效果
(沧州市妇幼保健院产科,河北 沧州 061001)
Effects of pelvic floor rehabilitation training on postpartum PFD of water birth
(Department of Obstetrics, Cangzhou Maternal and Child Health Hospital, Cangzhou, Hebei 061001, China)
摘要
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投稿时间:2019-12-28   网络发布日期:2020-09-20
中文摘要: 目的 研究水中分娩产妇产后采用盆底康复训练对盆底功能障碍性疾病(PFD)的防治效果。方法 选取2018年6月至2019年6月进行分娩的产妇110例,按照分娩方法将产妇分为传统分娩组与水中分娩组,各55例。采用盆底康复训练对水中分娩组与传统分娩组产妇进行治疗。检测盆底肌力与盆底功能障碍问卷(PFDI-20评分)、POP-Q分度、盆底静态张力及阴道动态压力。记录两组产妇产后采用盆底康复训练出现盆底功能障碍性疾病发生率。盆底肌力评价并进行组间比较。结果 水中分娩组会阴损伤情况、产后出血量以及产程时间均低于传统分娩组(P<0.05)。水中分娩组产妇盆底康复训练后盆底肌力受损率、盆底功能障碍性疾病发生率低于传统分娩组(P<0.05)。水中分娩组盆底康复训练后盆低Ⅱ类肌纤维肌电压、盆低Ⅰ类肌纤维肌电压、盆底静态张力、阴道动态压力高于传统分娩组,PFDI-20评分、POP-Q分度低于传统分娩组(P<0.05)。结论 盆底康复训练对水中分娩产妇产后的盆底功能具有显著的防治作用,可减少盆腔器官脱垂、压力性大便失禁及降低压力性尿失禁发生率。
Abstract:Objective To study the effects of pelvic floor rehabilitation training on the prevention and treatment of pelvic floor dysfunction disease (PFD) in women with water birth. Methods A total of 110 women delivered from June 2018 to June 2019 were selected and divided into the traditional delivery group and the water birth group(n=55, each).After the pelvic floor rehabilitation training was performed in two groups, the pelvic floor muscle strength, pelvic floor distress inventory (PFDI-20), pelvic organ prolapse quantification (POP-Q) score, pelvic floor static tension and vaginal dynamic pressure were measured.The incidence of PFD and pelvic floor muscle strength were observed and evaluated between two groups. Results Compared with those in traditional delivery group, perineal injury, postpartum hemorrhage, duration of labor, incidences of pelvic floor muscle damage and PFD, scores of PFDI-20 and POP-Q significantly decreased in water birth group (all P<0.05).In water birth group, pelvic floor type Ⅰ and Ⅱ muscle fiber voltage, pelvic floor static tension and vaginal dynamic pressure were significantly higher than those in traditional delivery group(P<0.05). Conclusion In puerpera with water birth, pelvic floor rehabilitation training has a remarkable preventive and therapeutic effect on postpartum pelvic floor dysfunction disease and reduce the incidence of pelvic organ prolapse, stress fecal incontinence and stress urinary incontinence.
文章编号:     中图分类号:    文献标志码:B
基金项目:河北省医学科学研究课题计划(20191247)
引用文本:
郭丽芳,邢忠兴,吴金梅,卢娜,梁文娟.水中分娩联合盆底康复训练对产后盆底功能障碍性疾病的防治效果[J].中国临床研究,2020,33(9):1239-1242.

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