阴道哑铃治疗产后盆底肌力异常疗效观察

目的探讨早期阴道哑铃治疗产后盆底肌力异常的临床效果。方法 213例盆底肌力异常患者根据治疗方法分为对照组、Kegel组和阴道哑铃组,每组71例,治疗3个月后检查3组患者盆底肌力。结果 3组患者治疗前盆底肌力比较差异无统计学意义(H=0.000,P=1.000)。治疗3个月后3组患者盆底肌力均有所改善,差异均有统计学意义(对照组:Z=-2.867,P=0.004;Kegel组:Z=-4.339,P=0.000;阴道哑铃组:Z=-6.959,P=0.000)。治疗3个月后,Kegel组与对照组患者盆底肌力比较差异无统计学意义(Z=3.196,P=0.074);阴道哑铃组患者盆底肌力改善显著优于Kegel组和对照组,差异均有统计学意义(阴道哑铃组与Kegel组比较:Z=7.648,P=0.006;阴道哑铃组与对照组比较:Z=21.179,P=0.000)。结论阴道哑铃训练治疗可以显著改善产妇产后盆底肌力。

Effect of vaginal dumbbell on postpartum pelvic floor muscle strength dysfunction

Objective To observe the effect of vaginal dumbbell on postpartum pelvic floor muscle strength dysfunction. Methods A total of 213 patients with pelvic floor muscle strength dysfunction were divided into control group, Kegel group and vaginal dumbbell group ,71 patients in each group. Three months after treatment ,the pelvic floor muscle strength of patients was examined. Results There was no significant difference in pelvic floor muscle strength among the three groups be- fore treatment （ H = 0. 000, P = 1. 000 ）. Three months after treatment, the pelvic floor muscle strength of patients was improved in the three groups （ control group ： Z = - 2. 867, P = 0. 004 ; Kegel group ： Z = - 4. 339, P = 0. 000 ; vaginal dumbbell group ： Z = -6. 959, P = 0. 000）. Three months after treatment, there was no significant difference in pelvic floor muscle strength between Kegel group and control group（ Z = 3. 196 ,P = O. 074 ）, but the improvement of pelvic floor muscle strength in vaginal dumbbell group was more than that in Kegel group and control group （ vaginal dumbbell group compared with Kegel group ： Z = 7. 648 ,P = O. 006; vaginal dumbbell group compared with control group： Z = 21. 179, P = 0. 000）. Conclusion Vaginal dumbbell treatment can significantly improve the postpartum pelvic floor muscle strength.