产后早期行盆底肌功能锻炼防治女性产后尿失禁的效果

目的:探讨产后早期行盆底肌功能锻炼治疗女性产后尿失禁的临床疗效。方法:选择159例初产妇为观察对象,采用完全随机的方法将其分为两组,观察组74例,产后早期行盆底肌功能锻炼,对照组85例,产后进行产科常规健康指导,两组患者产后6周及12周进行随访,评价盆底肌张力评分及产后尿失禁的发生率。结果:两组6周时两项指标比较无统计学差异;12周时观察组较6周时比较,尿失禁发生率降低,盆底肌张力强度评分增加(P<0.01);12周时对照组较6周时比较,两项指标无统计学差异。12周时观察组盆底肌张力强度评分明显高于对照组(P<0.05),PPUI的发生率也较对照组低(P<0.05)。结论:临床医师应鼓励孕妇在产后早期行盆底肌功能锻炼,减少术后尿失禁的比率,提高远期生活质量。

The clinical effect of pelvic floor muscle training in prevention and treatment of female urinary incontinence in the early postpartum period

Objective:To discuss the clinical effect of pelvic floor muscle training in prevention and treatment of female postpartum urinary incontinence(PPUI)in the early postpartum period.Methods:All 159 cases of healthy postpartum women were randomly divided into two groups.In the early postpartum period,74 cases of observation group were received intensive pelvic floor muscle exercise,85 cases of control group were received the customary information.Pelvic floor muscle strength was measured and the incidence of PPUI at the 6th and the 12th week after delivery was analyzed.Results:At baseline(6 weeks postpartum) there was no significant difference in the number of women with urinary incontinence between the two groups At the 12 weeks postpartum,the incidence of PPUI reduced and the score of pelvic floor muscle strength were higher in the observation group,there was significant difference(P<0.01),but there was no significant difference in the control group.12 weeks later,the rate of PPUI was lower than the control group(P<0.05),and the score of pelvic floor muscle tension strength in the observation group was higher than the control group(P<0.05).Conclusion:We should encourage pregnant women to participate pelvic floor muscle training in the early postpartum period,in order to reduce the ratio of PPUI and improve long-term quality of life.