J4 ›› 2015, Vol. 14 ›› Issue (8): 32-34.

• 临床医学 • 上一篇    下一篇

盆底康复训练对预防产后压力性尿失禁的疗效观察

  

  1. (新兴县妇幼保健院,广东新兴527400)
  • 收稿日期:2014-05-19 出版日期:2015-08-15 发布日期:2015-08-15
  • 作者简介:伍晓容,副主任医师,主要从事临床妇产科研究.

Clinical Observation of Pelvic Floor Rehabilitation Used in the Prevention of Postpartum Stress Urinary
Incontinence

  1. Xinxing Maternal and Child Health Hospital, Xinxing, Guangdong 527400, China
  • Received:2014-05-19 Online:2015-08-15 Published:2015-08-15

摘要:

目的:临床观察盆底康复训练对预防产妇产后压力性尿失禁的疗效,探讨其应用价值。方法:将新兴县妇幼保健院
2010年1月至2012年12月头胎足月顺产初产妇86例纳入本研究,随机分为观察组与对照组各43例,观察组应用盆底肌肉康
复器进行盆底生物反馈训练及阴道锥体训练进行盆底康复训练,对照组给予常规的产后健康训练,比较两组在产后2个月、9
个月后尿失禁变化情况及盆底肌肉变化情况。结果:观察组康复训练后尿失禁的发生率明显低于对照组,差异有统计学意义
(P <0.05),观察组治疗后盆底肌肉肌力较对照组显著提高,差异有统计学意义(P <0.05);对照组治疗后盆底肌肉肌力较治疗
前无明显变化。结论:应用盆底肌肉康复器进行盆底康复训练能够有效预防产后压力性尿失禁的发生,降低尿失禁的发生率,
有效提高产妇的盆底肌肉肌力,无副作用,安全有效,值得临床应用。

关键词: 盆底康复训练, 产后压力性尿失禁, 疗效观察

Abstract:

Objective: To observe the clinical curative effect of pelvic floor rehabilitation used in the prevention of postpartum stress
urinary incontinence and discuss its application value. Methods: Eighty-six cases of pregnant women in our hospital from January
2010 to December 2012 were divided into observation group and control group, 43 cases in each group. Observation group used pelvic
floor muscle rehabilitation apparatus treatment, while control group used conventional postnatal health training. We compared two
groups in postpartum urinary incontinence and pelvic floor muscle changes after 2 months and 9 months. Results: The incidence of
urinary incontinence of the observation group was obviously lower than that of the control group after rehabilitation training. The
difference had statistical significance(P <0.05). The pelvic floor muscle strength of the observation group improved more than that of
the control group after the treatment. The difference had statistical significance(P <0.05). Conclusion: Application of pelvic floor
muscle rehabilitation apparatus for pelvic floor rehabilitation training can effectively prevent the occurrence of postpartum stress
urinary incontinence. And it can reduce the incidence of urinary incontinence. Furthermore, it has no side effect and is safe and
effective. So it is worthy of further clinical research.

Key words: pelvic floor rehabilitation training, postpartum stress urinary incontinence, clinical observation

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