3种盆底康复训练治疗产后盆底肌力的疗效分析

目的 探讨3种盆底康复训练方式对产后妇女盆底肌力的影响.方法 选择2014年1月至11月在安徽医科大学第二附属医院妇产科足月妊娠分娩的初产妇120例,产后第42天经与产妇详细讲述治疗方法后,征求产妇意见进行分组.A组行盆底电刺激生物反馈联合家庭阴道哑铃治疗;B组行家庭阴道哑铃治疗;C组行盆底肌锻炼即Kegel运动.治疗3个月后检查3组患者盆底肌力.结果 治疗3个月后3组初产妇盆底肌力Dmax和H60s均有所改善,差异均有统计学意义(P＜0.001).治疗3个月后,A组与B组,A组与C组,B组与C组初产妇盆底肌力Dmax和H60s均差比较,差异有统计学意义(P＜0.001).结论 电刺激联合生物反馈辅以阴道哑铃治疗可以显著改善产妇产后盆底肌力.

Difference of pelvic floor rehabilitation training in postpartum pelvic floor muscle strength

Objective To analyse the effect of pelvis muscle training on postpartum pelvic floor muscle strength. Methods A total of 120 primiparas in 42 days after childbirth in this hospital from January 2014 to November 2014 were divided into 3 groups after detailed treatment and soliciting their opinions. Group A received electrical stimulation biofeedback therapy on the basis of vaginal dumbbell training. Group B received vaginal dumbbell training. Group C received traditional Kegel's training. Three months after treatment, the pelvic floor muscle strength of the patients was examined. Results Three month after treatment, the pelvic floor muscle strength of primiparas was im-proved in three groups(P＜0. 001). The improvement of pelvic floor muscle strength in group A was more than that in group B and C; the difference in group B and C also had statistical significance ( ＜0. 001). Conclusion Electrical stimulation and biofeedback combined with vaginal dumbbell exercise can significantly improve the postpartum pelvic floor muscle strength of primiparas.