国际妇产科学杂志

国际妇产科学杂志 ›› 2012, Vol. 39 ›› Issue (6): 613-615.

• 论著 • 上一篇    下一篇

产后早期盆底肌康复治疗对产妇盆底功能的近期影响

刘湘晖 , 杜 丹 , 黄淑妹   

  1. 510240 广州市海珠区妇幼保健院
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2012-12-15 发布日期:2012-12-15

Short-term Effect of Pelvic Floor Rehabilitation Therapy on the Pelvic Floor Muscle Strength in the Early Postpartum of Women

LIU Xiang-hui，DU Dan，HUANG Shu-mei   

  1. Haizhu Maternity and Children's Hospital，Guangzhou 510240，China
  • Received:1900-01-01 Revised:1900-01-01 Published:2012-12-15 Online:2012-12-15

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摘要： 目的：观察产后早期进行盆底肌电刺激联合生物反馈的康复治疗对不同分娩方式产妇盆底功能的近期影响。方法：选择2009年5月-2010年5月收治产妇200例，治疗组100例与对照组100例，其中每组中分别有择期剖宫产及阴道分娩产妇各50例。治疗组进行盆底肌康复治疗，2组分别于产后6~7周及产后5~6个月应用多功能盆底生物反馈仪进行盆底肌力检测。结果：完成产后6个月随访者171例。经盆底肌电刺激联合生物反馈的康复治疗后，阴道分娩产妇治疗组Ⅰ、Ⅱ类肌纤维肌电活动值均高于对照组，差异有统计学意义（均P＜0.001）；择期剖宫产患者Ⅰ、Ⅱ类肌纤维持续收缩压及ⅡB类肌纤维收缩个数较对照组提高（均P＜0.05）。2种分娩方式产妇产后6个月的盆底肌力治疗组均比对照组增强，尤以阴道分娩组明显。结论：不同分娩方式产妇于产后早期进行盆底肌电刺激联合生物反馈的康复治疗均有助于盆底肌功能恢复，尤其适用于阴道分娩后的产妇。

关键词: 骨盆底, 剖宫产术, 自然分娩, 电刺激疗法, 治疗学, 生物反馈

Abstract: Objective：To observe the short-term effect of electric stimulation-biofeedback pelvic floor rehabilitation therapy on the pelvic floor muscle strength for the women with different delivery modes in the early postpartum. Methods：The 200 pregnant women who had their childbirth in this hospital during May 2009 to May 2010 were selected and were allocated into two groups，treatment group and control group，each group have both selective caesarean section（50 cases）and vaginal delivery（50 cases）. Treatment group conduct pelvic floor rehabilitation therapy. In 6-7 weeks and 5-6 months after childbirth，biofeedback electrical stimulation device was used to evaluate pelvic floor muscle strength. Results：There are 200 pregnant women get into the study ,171 cases in which have accomplish the detection 6 months after childbirth. After electric stimulation-biofeedback pelvic floor rehabilitation therapy，the EMG activity value of pelvic floor typeⅠ，Ⅱ muscle fiber in treatment group is better than control group in puerpera of vaginal delivery，have significant difference between the two groups（P＜0.001）. In puerpera of caesarean section，the contraction strength of typeⅠ，Ⅱ muscle fiber and contraction time of typeⅡA muscle fiber in treatment group is better than control group，have significant difference between the two groups（P＜
0.001）. Whatever any delivery pattern，followed up in 6 months after childbirth，the pelvic floor muscle strength in pelvic floor rehabilitation therapy group is better than the control group，especially for the vaginal delivery group. Conclusions： Whatever any delivery pattern，the function of pelvic floor muscles recover after pelvic floor electric stimulation-biofeedback rehabilitation therapy in the early postpartum，especially for vaginal delivery.

Key words: Pelvic floor, Cesarean section, Natural childbirth, Electric stimulation therapy, Therapeutics, Biofeedback