贵州医科大学学报

2011, v.36;No.149(02) 174-176

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产后盆底肌肉训练对盆底肌肉张力和尿失禁的影响
The Effects of Postpartum Pelvic Floor Muscle Training on Improvement of Pelvic Floor Muscle Strength and Relief of Urinary Incontinence

柯玮琳;赵卫华;郭子平;
KE Weilin,ZHAO Weihua,GUO Ziping(Department of Obstetrics,the Second People's Hospital of Shenzhen,Shenzhen 518035,Guangdong,china)

摘要(Abstract):

目的:评价产后盆底肌肉训练对盆底肌肉张力的影响及对盆底功能的作用。方法:选择144例住院分娩产后6周的产妇,随机分成两组,锻炼组71例于产后第6周进行1疗程盆底肌肉训练(包括生物反馈及电刺激),对照组73例进行一般的产后健康教育;两组均于产后6周及3个月进行一般情况问卷及国际尿失禁问卷简表(ICIQ-SF)调查,并进行盆底肌肉张力测定和POP-Q分度。结果:锻炼组产后3个月盆底肌肉张力高于对照组,锻炼组及对照组产后3个月压力性尿失禁发生率分别为2.8%(2/71)和12.3%(9/73),P<0.05;产后3个月POP-QⅠ度脱垂发生率分别为32.3%(23/71)和49.3%(36/73),P<0.05。结论:产后盆底肌肉训练能提高盆底肌肉张力,降低尿失禁发生率。
Objective: To study the effect of postpartum pelvic floor muscle training on pelvic floor muscle strength and pelvic floor function.Methods: A total of 144 puerpera were investigated who were randomly divided into training group(group T,n=71) and control group(group C,n=73).Women in group T attended apelvic floor muscle training program in 6 weeks after delivery including biofeedback and electric stimulation for one course.Women in group C received customary healthy instruction.Questionaires about general state of health and urinary incontinence were carried out among women in the two groups in 6 weeks and 3 months respectively after delivery.The pelvic floor strength was measured and graded according to pelvic organ prolapse quantification system(POP-G).Results: The pelvic floor muscle strength of women in group T was significantly higher than that of women in group C in 3 months after delivery.The differences of incidence rates of stress urinary incontinence and prolapseⅠbetween group T(2.8% and 32.3%) and group C(12.3% and 49.3%) were significant(P<0.05 and P<0.05) in 3 months after delivery.Conclusions: Postpartum pelvic floor muscle training could improve pelvic floor muscle strength and decrease the incidence of stress urinary incontinence.

关键词(KeyWords): 盆底肌肉训练;产妇;压力性尿失禁;盆腔器官脱垂
pelvic floor muscle training;puerpera;urinary incontinence,stress;prolapse

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作者(Author): 柯玮琳;赵卫华;郭子平;
KE Weilin,ZHAO Weihua,GUO Ziping(Department of Obstetrics,the Second People's Hospital of Shenzhen,Shenzhen 518035,Guangdong,china)

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DOI: 10.19367/j.cnki.1000-2707.2011.02.023

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