不同產(chǎn)后盆底康復(fù)治療時機(jī)對產(chǎn)后盆底功能障礙患者盆底功能、尿失禁的影響

周春

【摘要】 目的：探究產(chǎn)后盆底功能障礙患者不同產(chǎn)后盆底康復(fù)治療時機(jī)對其盆底功能、尿失禁的影響。方法：回顧性分析81例產(chǎn)后盆底功能障礙患者的臨床資料，其中43例在產(chǎn)后6～8周行產(chǎn)后盆底康復(fù)治療，設(shè)置為甲組，38例在產(chǎn)后>8周行產(chǎn)后盆底康復(fù)治療，設(shè)置為乙組。比較治療前后兩組盆底肌力、尿失禁情況。結(jié)果：治療后兩組盆底肌力Ⅲ～Ⅳ級占比均升高，且均高于治療前，差異均有統(tǒng)計(jì)學(xué)意義（P<0.05），但兩組間比較差異無統(tǒng)計(jì)學(xué)意義（P>0.05）;治療后兩組尿失禁發(fā)生率均降低，均低于治療前，差異均有統(tǒng)計(jì)學(xué)意義（P<0.05），但兩組間比較差異無統(tǒng)計(jì)學(xué)意義（P>0.05）。結(jié)論：產(chǎn)后早期不同時機(jī)開展盆底康復(fù)治療均能改善盆底功能障礙患者盆底功能、減少尿失禁發(fā)生率，可根據(jù)患者情況選擇適當(dāng)時機(jī)。

【關(guān)鍵詞】 產(chǎn)后盆底康復(fù) 治療時機(jī) 盆底功能 尿失禁

doi：10.14033/j.cnki.cfmr.2020.16.044 文獻(xiàn)標(biāo)識碼 B 文章編號 1674-6805（2020）16-0-03

Effect of Different Postpartum Pelvic Floor Rehabilitation Treatment on Pelvic Floor Function and Urinary Incontinence in Patients with Postpartum Pelvic Floor Dysfunction/ZHOU Chun. //Chinese and Foreign Medical Research， 2020， 18（16）： -112

[Abstract] Objective： To investigate the effects of different postpartum pelvic floor rehabilitation treatments on pelvic floor function and urinary incontinence in patients with postpartum pelvic floor dysfunction. Method： Retrospective analysis of 81 cases of postpartum pelvic floor dysfunction patients with clinical data， 43 cases of postpartum pelvic floor rehabilitation after 6-8 weeks postpartum， set to group A， 38 cases of postpartum pelvic floor rehabilitation after postpartum >8 weeks， set to group B. The pelvic floor muscle strength and urinary incontinence were compared before and after treatment. Result： After treatment， the proportion of pelvic floor muscle strength Ⅲ-Ⅳ were increased in both groups， which were statistically higher than those before treatment （P<0.05）， but there was no significant difference between the two groups （P>0.05）. The incidence of urinary incontinence were decreased in both two groups， which were statistically lower than those before treatment （P<0.05）， but there was no significant difference between the two groups （P>0.05）. Conclusion： Pelvic floor rehabilitation at different timings in the early postpartum period can improve the pelvic floor function and reduce the rate of the urinary incontinence in patients with pelvic floor dysfunction. The appropriate timing can be selected according to the patients condition.

[Key words] Postpartum pelvic floor rehabilitation Treatment timing Pelvic floor function Urinary incontinence

First-authors address： The First Peoples Hospital of Jiangxia District of Wuhan City， Wuhan 430200， China

盆底功能障礙為女性常見疾病，流行病學(xué)資料指出妊娠、分娩是導(dǎo)致盆底功能障礙的主要原因[1-2]。產(chǎn)后盆底功能障礙不僅會影響女性性生活質(zhì)量，還可能導(dǎo)致尿失禁、子宮脫垂等問題[3-4]。因此，產(chǎn)后盆底康復(fù)治療對于恢復(fù)盆底功能、保障患者身心健康尤為重要。但當(dāng)前臨床上關(guān)于產(chǎn)后盆底康復(fù)治療時機(jī)并無定論。為此，本研究將對其進(jìn)行分析，現(xiàn)報(bào)道如下。

1 資料與方法

1.1 一般資料

回顧性分析2017年7月-2018年1筆者所在醫(yī)院81例產(chǎn)后盆底功能障礙患者的臨床資料，納入標(biāo)準(zhǔn)：符合《婦產(chǎn)科學(xué)》中盆底功能障礙診斷標(biāo)準(zhǔn)[5]，經(jīng)手法檢測Ⅰ～Ⅱ類肌纖維肌力≤3級，單胎足月妊娠，陰道分娩，惡露干凈，子宮附件正常。排除……