个体化指导孕产妇盆底肌锻炼的临床效果探讨

目的探讨个体化指导孕产妇盆底肌功能锻炼对降低产后压力性尿失禁(SUI)发生率的临床效果。方法选择该院行规范产前检查并住院经阴道分娩的初产妇776例随机分为观察组(n=388)与对照组(n=388),观察组于孕20周~42d由专人每天个体化指导孕产妇进行盆底肌功能锻炼,对照组孕产妇仅进行孕期检查及产后健康教育。产后42d观察比较两组SUI发生率及盆底肌肉收缩力情况。结果观察组的SUI发生率及盆底肌力明显优于对照组,两组比较差异有统计学意义(P<0.05)。结论个体化指导孕产妇盆底肌功能锻炼,能明显降低产后SUI的发生率,促进孕产妇盆底组织功能恢复,值得临床推广。

Clinical Effect of Pelvic Floor Muscle Training Under Individualized Instruc- tion for Pregnant Women

Objective To explore the effect of pelvic floor muscle training （PFMT）of pregnant women under individualized instruction on stress urinary incontinence （SUI）after childbirth. Methods 776 pregnant women who accepted standard prenatal examination and hospital primiparae vaginal delivery in our hospital from Mar. 2009 to Mar. 2011 were randomly divided into observation group and control group, with 388 cases in each group. The observation group was treated with pelvic floor muscle training under individual guidance for pelvic floor muscle exercise from 20 weeks of gestation to 42 days after delivery. The control group was given postpartum health education. The SUI rate and pelvic floor muscle contraction force were observed and compared between the two groups 42 days after delivery. Results The SUI rate of the observation group was significantly lower than that of the control group（P〈0.05）. The pelvic floor muscle force of the observation group was superior to the control group（P〈0.05）. The differences were statistically significant. Conclusion Pelvic floor muscle training （PFMT）of pregnant women under individualized instruction can significantly reduce the SUI rate and promote the recovery of pelvic floor tissue function and which is worthy of clinical application.