产后盆底肌肉训练对盆底肌肉张力和尿失禁的影响

目的:评价产后盆底肌肉训练对盆底肌肉张力的影响及对盆底功能的作用.方法:选择144例住院分娩产后6周的产妇,随机分成两组,锻炼组71例于产后第6周进行1疗程盆底肌肉训练(包括生物反馈及电刺激),对照组73例进行一般的产后健康教育;两组均于产后6周及3个月进行一般情况问卷及国际尿失禁问卷简表(ICIQ-SF)调查,并进行...

The Effects of Postpartum Pelvic Floor Muscle Training on Improvement of Pelvic Floor Muscle Strength and Relief of Urinary Incontinence

Objective: To study the effect of postpartum pelvic floor muscle training on pelvic floor muscle strength and pelvic floor function.Methods: A total of 144 puerpera were investigated who were randomly divided into training group(group T,n=71) and control group(group C,n=73).Women in group T attended apelvic floor muscle training program in 6 weeks after delivery including biofeedback and electric stimulation for one course.Women in group C received customary healthy instruction.Questionaires about general state of health and urinary incontinence were carried out among women in the two groups in 6 weeks and 3 months respectively after delivery.The pelvic floor strength was measured and graded according to pelvic organ prolapse quantification system(POP-G).Results: The pelvic floor muscle strength of women in group T was significantly higher than that of women in group C in 3 months after delivery.The differences of incidence rates of stress urinary incontinence and prolapseⅠbetween group T(2.8% and 32.3%) and group C(12.3% and 49.3%) were significant(P<0.05 and P<0.05) in 3 months after delivery.Conclusions: Postpartum pelvic floor muscle training could improve pelvic floor muscle strength and decrease the incidence of stress urinary incontinence.