国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2012年
13期
1911-1913
,共3页
孕产妇%盆底肌锻炼%功能恢复%压力性尿失禁
孕產婦%盆底肌鍛煉%功能恢複%壓力性尿失禁
잉산부%분저기단련%공능회복%압력성뇨실금
Pregnant womee%Pelvic floor muscle exercise%Recovery of function%Stress urinary incontinence
目的 探讨妊娠分娩前、后全程行盆底肌功能锻炼对女性产后压力性尿失禁的影响.方法 选取孕产妇204例,68例自孕28周开始盆底肌功能锻炼至产后3个月(全程组),68例于产后行盆底肌功能锻炼至3个月(产后组),68例按常规妊娠分娩处理,(对照组).观察阴道分娩前、分娩后3个月盆底肌张力和产后3、6、12个月尿垫试验阳性率.结果 孕28周,各组盆底肌张力对比无统计学差异(P＞0.05 );阴道分娩前,全程组产妇Ⅱ级＜肌张力≤Ⅲ级与Ⅰ级＜肌张力≤Ⅱ级的比率均高于产后组与对照组(P＜0.05),肌张力≤Ⅰ级的明显低于产后组与对照组(P＜ 0.005 );阴道分娩后3个月,全程组产妇Ⅱ级＜肌张力≤Ⅲ级的比率明显高于产后组与对照组(P＜ 0.005),Ⅰ级＜肌张力≤Ⅱ级与肌张力≤Ⅰ级的比率均低于产后组与对照组(P＜ 0.05和尸＜0.005).全程组产后3、6、12个月的尿垫试验阳性率均低于产后组与对照组(全程组:14.7％、7.3％、1.4％,产后组:23.5％、16.1％、7.4％,对照组:39.7％、30.9％、20.6％,P均＜0.005).结论 早期全程行盆底肌功能锻炼能增强盆底肌收缩力,有助于盆底肌功能恢复,预防产后压力性尿失禁.
目的 探討妊娠分娩前、後全程行盆底肌功能鍛煉對女性產後壓力性尿失禁的影響.方法 選取孕產婦204例,68例自孕28週開始盆底肌功能鍛煉至產後3箇月(全程組),68例于產後行盆底肌功能鍛煉至3箇月(產後組),68例按常規妊娠分娩處理,(對照組).觀察陰道分娩前、分娩後3箇月盆底肌張力和產後3、6、12箇月尿墊試驗暘性率.結果 孕28週,各組盆底肌張力對比無統計學差異(P＞0.05 );陰道分娩前,全程組產婦Ⅱ級＜肌張力≤Ⅲ級與Ⅰ級＜肌張力≤Ⅱ級的比率均高于產後組與對照組(P＜0.05),肌張力≤Ⅰ級的明顯低于產後組與對照組(P＜ 0.005 );陰道分娩後3箇月,全程組產婦Ⅱ級＜肌張力≤Ⅲ級的比率明顯高于產後組與對照組(P＜ 0.005),Ⅰ級＜肌張力≤Ⅱ級與肌張力≤Ⅰ級的比率均低于產後組與對照組(P＜ 0.05和尸＜0.005).全程組產後3、6、12箇月的尿墊試驗暘性率均低于產後組與對照組(全程組:14.7％、7.3％、1.4％,產後組:23.5％、16.1％、7.4％,對照組:39.7％、30.9％、20.6％,P均＜0.005).結論 早期全程行盆底肌功能鍛煉能增彊盆底肌收縮力,有助于盆底肌功能恢複,預防產後壓力性尿失禁.
목적 탐토임신분면전、후전정행분저기공능단련대녀성산후압력성뇨실금적영향.방법 선취잉산부204례,68례자잉28주개시분저기공능단련지산후3개월(전정조),68례우산후행분저기공능단련지3개월(산후조),68례안상규임신분면처리,(대조조).관찰음도분면전、분면후3개월분저기장력화산후3、6、12개월뇨점시험양성솔.결과 잉28주,각조분저기장력대비무통계학차이(P＞0.05 );음도분면전,전정조산부Ⅱ급＜기장력≤Ⅲ급여Ⅰ급＜기장력≤Ⅱ급적비솔균고우산후조여대조조(P＜0.05),기장력≤Ⅰ급적명현저우산후조여대조조(P＜ 0.005 );음도분면후3개월,전정조산부Ⅱ급＜기장력≤Ⅲ급적비솔명현고우산후조여대조조(P＜ 0.005),Ⅰ급＜기장력≤Ⅱ급여기장력≤Ⅰ급적비솔균저우산후조여대조조(P＜ 0.05화시＜0.005).전정조산후3、6、12개월적뇨점시험양성솔균저우산후조여대조조(전정조:14.7％、7.3％、1.4％,산후조:23.5％、16.1％、7.4％,대조조:39.7％、30.9％、20.6％,P균＜0.005).결론 조기전정행분저기공능단련능증강분저기수축력,유조우분저기공능회복,예방산후압력성뇨실금.
Objective To explore the effect of pelvic floor muscle exercise on postpartum stress urinary incontinence before and after childbirth.Methods 204 pregnant women were divided into three groups.The first group ( 68women ) started pelvic floor muscle exercises from 28 weeks of gestation to postpartum 3 months ( full-course group ); the second group ( 68 women ) received postpartum pelvic floor muscles exercis for 3 months ( postpartum group ) and thethird group ( 68 women ) received conventional care for childbirth ( control group ).The tension of pelvic floor muscles was observed before and 3 month after vaginal delivery and the positive rate of urine pad tests were observed 3,6,and 12months after childbirth.Results There were no differences among the three groups in muscle tension at 28 weeks ( P ＞ 0.05 ).But after that,the result of the full-course group was different,Ⅱ ＜ muscle tension ≤ Ⅲ of the vagina was obviously higher than postpartum group and full-course group ( P ＜ 0.05 ),muscle tension level less than I was obviously lower in full-course group than in postpartum group and control group ( P＜ 0.005 ); three months after vaginal delivery,Ⅱ ＜ muscle tension level≤ Ⅲ,it was significantly higher than postpartum group and control group ( P＜ 0.005 ),Ⅰ ＜ muscle tension level ≤ Ⅱ,and muscle tension level ≤ Ⅰ were lower than those in postpartum group and control group ( P＜ 0.05 and P＜ 0.005 ).The positive rate of urine pad tests at months 3,6,and 12 months after the childbirth was higher in the full-course group than in the postpartum and the control group ( P ＜ 0.005 ).Results Early pelvic floor muscle exercis during the perinatal period can increase tension of the pelvic floor muscles.It is helpful for the recovery of function of pelvic floor muscles and prevents postpartum stress urinary incontinence.
