產后盆底康復儀聯合盆底肌訓練對盆底肌肉張力及盆底功能的影響

熊素平　孫玉婷

【摘要】 目的：分析產后盆底康復儀聯合盆底肌訓練對盆底肌肉張力及盆底功能的影響。方法：選擇2018年3月-2019年12月筆者所在醫院收治的80例產后盆底功能障礙產婦作為研究對象，按照隨機分組方式分為觀察組和對照組，每組40例。對照組采用盆底肌訓練治療，觀察組采用盆底康復儀聯合盆底肌訓練治療。觀察兩組治療后盆底肌肉張力及盆底功能恢復情況，對比兩組治療優良率。結果：兩組治療前盆底肌肉張力評分分別為（1.85±0.35）和（1.88±0.30）分，差異無統計學意義（P>0.05）。觀察組治療后盆底肌肉張力評分為（4.45±0.22）分，顯著高于對照組的（3.01±0.18）分，差異有統計學意義（P<0.05）;觀察組治療后尿失禁、陰道松弛及子宮脫垂發生率分別為2.50%、5.00%、2.50%，均低于對照組的15.00%、20.00%、15.00%，差異均有統計學意義（P<0.05）;觀察組治療后優良率為95.00%，對照組治療后優良率為80.00%，觀察組優良率明顯高于對照組，差異有統計學意義（P<0.05）。結論：采用盆底康復儀聯合盆底肌訓練治療，對于產婦產后盆底肌肉張力及盆底功能的恢復具有積極作用，臨床治療價值較高，應于臨床中推廣。

【關鍵詞】 盆底康復儀 盆底肌訓練 盆底肌肉張力 盆底功能

doi：10.14033/j.cnki.cfmr.2020.16.009 文獻標識碼 B 文章編號 1674-6805（2020）16-00-03

Effects of Pelvic Floor Rehabilitation Instrument Combined with Pelvic Floor Muscle Training on Pelvic Floor Muscle Tension and Pelvic Floor Function/XIONG Suping， SUN Yuting. //Chinese and Foreign Medical Research， 2020， 18（16）： -27

[Abstract] Objective： To analyze the effects of pelvic floor rehabilitation instrument combined with pelvic floor muscle training on pelvic floor muscle tension and pelvic floor function. Method： From March 2018 to December 2019， 80 women with postpartum pelvic floor dysfunction in our hospital were selected as study subjects， which were divided into the observation group and the control group according to the way of random grouping， 40 women in each group. The control group was given pelvic floor muscle training treatment， and the observation group was given pelvic floor rehabilitation instrument combined with pelvic floor muscle training. The pelvic floor muscle tension and recovery of pelvic floor function of the two groups were observed， and the excellent and good rate of treatment of the two groups was compared. Result： The scores of pelvic floor muscle tension of the two groups before treatment were （1.85±0.35） and （1.88±0.30） points， respectively， and the difference was not statistically significant （P>0.05）. After treatment， the score of pelvic floor muscle tension of the observation group was （4.45±0.22） points， which was higher than （3.01±0.18） points of the control group， and the difference was statistically significant （P<0.05）. And the incidences of urinary incontinence， vaginal relaxation and uterine prolapse after treatment in the observation group were 2.50%， 5.00% and 2.50%， respectively， which were lower than 15.00%， 20.00% and 15.00% of the control group， and the differences were statistically significant （P<0.05）. The excellent and good rate after treatment in the observation group was 95.00%， and the excellent and good rate after treatment in the control group was 80.00%， and the excellent and good rate in the observation group was significantly higher than that of the control group， and the difference was statistically significant （P<0.05）. Conclusion： The use of pelvic floor rehabilitation instrument combined with pelvic floor muscle training has a positive effect on postpartum pelvic floor muscle tension and recovery of pelvic floor function. The clinical treatment value is high， and should be widely promoted in the clinical.

[Key words] Pelvic floor rehabilitation instrument Pelvic floor muscle training Pelvic floor muscle tension Pelvic floor function

First-authors address： Fuyong Peoples Hospital， Baoan District， Shenzhen City， Shenzhen 518103， China

女性盆底功能障礙是臨床上比較常見的一種婦科疾病，在產后具有很高的發病率[1]。盆底功能障礙可導致患者出現尿失禁、陰道松弛及子宮脫垂等，對產后的身心健康和生活質量均造成極大的影響，是產后比較嚴重的并發癥[2-3]。為找到治療女性盆底功能障礙的有效方法，本文通過對80例產后盆底功能障礙產婦進行對比分析，探討產后盆底康復儀聯合盆底肌訓練對盆底肌肉張力和盆底功能的影響，具體內容如下。

1 資料與方法

1.1 一般資料

選取2018年3月-2019年12月80例產后盆底功能障礙產婦作為本次研究對象。納入標準：無臟器疾病;肌力等級均低于3級。排除標準：治療中斷或轉院。采用隨機分組方式分為對照組和觀察組，每組40例。觀察……