孕期盆底肌肉锻炼对孕妇产后盆底功能的影响

目的探讨孕期盆底肌肉锻炼对孕妇产后盆底功能恢复的影响。方法选取本院定期产检并分娩的孕妇252例。均为单胎初孕，首诊孕周为16＋～30周。随机分为观察组及对照组，观察组予以盆底肌肉锻炼指导并进行持续的盆底肌肉锻炼至少8周。对照组给予常规孕期健康指导，观察两组孕妇于首诊时、首诊8周后相关盆底功能情况，分娩时第一、二产程时间，剖宫产率以及产后3个月SUI发生的情况。结果首诊8周后，两组的阴道静息压、阴道收缩压及阴道持续收缩时间比较差异有统计学意义（P〈0．05）。两组的第一产程时间及剖宫产率比较差异无统计学意义（P〉0．05）；观察组的第二产程时间明显短于对照组，差异有统计学意义（P〈0．05）。观察组POP—Q分度0度所占比例明显高于对照组，差异有统计学意义（P〈O．05）。两组SUI发生率比较差异有统计学意义（P〈0．05）。结论孕期行盆底肌肉锻炼能提高盆底肌肉张力、缩短第二产程，可以降低产后尿失禁等盆底功能障碍的发生率，改善孕期盆底组织功能，有利于孕妇产后恢复。

Influence of pelvic floor muscle training during pregnancy on postpartum pelvic floor function

Objective To study influence of pelvic floor muscle training during pregnancy on postpartum pelvic floor function. Methods 252 cases of pregnant women in our hospital with regular prenatal and delivery were selected and randomly divided into observation group and control group.All pregnant women were singletons early pregnancy,gestational age at first diagnosis 16-30 weeks.The observation group was given the pelvic floor muscle exercise guidance and persisted pelvic floor muscle exercise at least eight weeks,the control group was given routine prenatal health guidance.The pelvic floor function of two groups in the first option and after of eight weeks,birth first and second time labor,cesarean section rate and postpartum march SUI prevalence was compared respectively. Results After of eight weeks,vaginal resting pressure,vaginal systolic blood pressure and vaginal contraction duration in two groups was compared respectively,with statistical difference（P〈0.05）.The first stage of labor time and cesarean section rate in was compared respectively,with no statistical difference（P〉0.05）.The second stage of labor time in observation group was shorter than that in control group,with statistical difference （P〈0.05）.The proportion of POP-Q indexing 0 degree in observation group was significantly higher than that in control group,with statistical differenee（P〈0.05）.The incidence rate of SUI in two groups was compared,with statistical difference （P〈0.05）. Conclusion The pregnancy pelvic floor muscle training can improve the pelvic floor muscle tension,shorten the second the stages of labor,reduce the incidence rate of postpartum urinary incontinence and other pelvic floor dysfunction,and improve the function of the pelvic floor tissues during pregnancy,is good for postpartum recovery of pregnant women.