普拉提联合凯格尔盆底康复训练对产后盆底肌功能及性功能的影响

目的探讨普拉提联合凯格尔盆底康复训练对产后盆底肌功能及性功能的影响。方法选取2020年1月至2021年4月苏州高新区人民医院接受产后盆底肌康复治疗的102例患者作为研究对象,依据随机数字表法分为对照组(n=51)和观察组(n=51)。对照组予以凯格尔盆底康复训练干预,观察组予以普拉提联合凯格尔盆底康复训练。比较两组治疗前后的盆底肌功能(肌电位和肌疲劳度),以及盆底障碍影响简易问卷7(PFIQ-7)、盆腔器官脱垂量表(POP-Q)及女性性功能指数量表(FSFI)评分情况。结果观察组干预后的Ⅰ类、Ⅱ类纤维肌电位均高于对照组,肌疲劳度均低于对照组,差异具有统计学意义(P<0.05);观察组干预后的PFIQ-7、POP-Q评分均低于对照组,差异具有统计学意义(P<0.05);观察组干预后的FSFI各维度评分均高于对照组,差异具有统计学意义(P<0.05)。结论普拉提联合凯格尔盆底康复训练可进一步改善产后女性盆底功能,降低盆底功能障碍程度,提升性功能。

The effect of Pilates exercise combined with Kegel pelvic floor rehabilitation training on postpartum pelvic floor muscle function and sexual function

Objective To explore the effect of Pilates exercise combined with Kegel pelvic floor rehabilitation training on postpartum pelvic floor muscle function and sexual function. Methods 102 patients receiving postpartum pelvic floor muscle rehabilitation in People′s Hospital of Suzhou High-tech Zone from January 2020 to April 2021 were selected and divided into control group(n=51) and observation group(n=51) as the research subjects according to random number table method. The control group was given Kegel pelvic floor rehabilitation training intervention, while the observation group was given Pilates exercise combined with Kegel pelvic floor rehabilitation training. The pelvic floor muscle function(myopotential value and muscle fatigue), pelvic floor disorders impact questionnaire 7(PFIQ-7), pelvic organ prolapse questionnaire(POP-Q) and female sexual function index(FSFI) scores of two groups were compared before and after treatment. Results After intervention, the myopotential value of class Ⅰ fiber and class Ⅱ fiber muscle strength in the observation group was higher than that in the control group, and the fatigue degree was lower than that in the control group, with statistical significance(P<0.05);the effect of PFIQ-7 and POP-Q scores in the observation group were lower than those in the control group(P<0.05);The score of FSFI in the observation group was higher than that in the control group(P<0.05). Conclusions Pilates exercise combined with Kegel pelvic floor rehabilitation training can further improve the pelvic floor function of postpartum women, reduce the degree of pelvic floor dysfunction and improve sexual function.