经阴分娩产妇早期盆底肌训练的康复效果分析

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1、经阴分娩产妇早期盆底肌训练的康复效果分析伍丽艳丁红梅罗文清陈瑞珍(广东省云浮市人民医院妇产科广东云浮527300)【中图分类号】R714.3【文献标识码】A【文章编号】1672-5085(2012)11-0184-03【摘要】目的研究经阴分娩产妇早期盆底肌训练的康复效果对改善女性盆底肌群功能缺陷的提供可靠治疗依据。方法选取木院2010年6月至20□年12月共100例经阴道分娩的初产妇，随机分成治疗组对照组，每组50例,治疗组遵循自愿原则，于产后红色恶露清除，会阴切口己拆线且不感疼痛即可以进行训练，对照组按传统方法,42天后才开始训练,100名

2、产妇训练3个月后均作盆底肌功能测试。结果治疗组与对照组对比，盆底肌肌力明显增高，两组相比差异有显著性(PV0.05),尿失禁阳性率均低于训练前(PV0.05),有显著差异性。结论经阴分娩产妇早期盆底肌训练的康复效果优于传统方法训练，有效降低压力性尿失禁等优异的疗效。【关键词】早期盆底肌训练阴道分娩尿失禁Theanalysisofrehabilitationeffectofpelvicfloormuscletrainingonpuerperabyvaginaldeliveryinearlierperiod[Abstract]Objective:

3、Toresearchtherehabilitationeffectofpelvicfloormuscletrainingonpuerperabyvaginaldeliveryinearlierperiod,andtoprovidesafetreatmentfoundationfortheimprovementinfemalewithfunctionaldefectsofpelvicfloormuscle.Methods:thecaseof100puerperasbyvaginaldeliveryinourhospitalfromJun.201

4、0toDec.2011wereselectedtoStudy,randomizedfortestgroupandcontrolgroup.Eachgroupwith50case.Followingvoluntaryprinciple,thetestgroupweredonewithpelvicfloormuscletraining,afterpost-natallochiawascleanandtheperinealincisionwasclearedwithnopain.Thecontrolgroupweredonewithpelvicfl

5、oormuscletrainingafter42daysintraditionalmethod.Allofthe100puerperasweredonewiththefunctiontestofpelvicfloormuscleaftertrainingforthreemonths・Results:themusclestrengthofpelvicfloormuscleofthetestgroupwasincreasedmorethanthecontrolgroup.Resultsshowedthattherewassignificantdi

6、ffereneebetweenthetestgroupandthecontrolgroup(P<0.05)oThepositiverateofurinaryincontinenceinalltwogroupswaslowerthanbeforetraining’andtherewassignificantdifference(PV0.05).Conclusion:therehabilitationeffectofpelvicfloormuscletrainingonpuerperabyvaginaldeliveryinearlierperio

7、dwasbetterthantherehabilitationeffectintraditionalmethod.TheearliertrainingcoulddecreasedefficientlythehappenofStressurinaryincontinenee.【Keywords]earlierperiodpelvicfloormuscletrainingvaginaldeliveryUrinaryincontinence盆腔器官脫垂(pelvicorganprolaps巳POP)是中老年妇女常见的盆底功能障碍性疾病，发病率在多产

8、妇中高达50%,且随着年龄的增长逐年上升，严重影响患者的生命质量⑴。妊娠和分娩是绝人部分女性的人生必经历程•妊娠中晚期，巨大的子宫向下向后压迫膀胱和直肠，容易导致尿