中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2013年
25期
55-57
,共3页
盆底功能%康复治疗%产妇%压力性尿失禁%盆腔器官脱垂
盆底功能%康複治療%產婦%壓力性尿失禁%盆腔器官脫垂
분저공능%강복치료%산부%압력성뇨실금%분강기관탈수
Pelvic floor function%Rehabilitation%Parturient%Stress urinary incontinence%Pelvic organ prolapse
目的：评价产后盆底康复仪联合盆底肌训练治疗对盆底肌肉张力的影响及对盆底功能的作用。方法：选择垦利县人民医院2012年1~3月收治的150例住院足月妊娠产后6周的产妇进入研究，随机分成两组。盆底康复治疗组80例，对照组70例。治疗组采用法国PHEN IX盆底康复治疗仪进行盆底康复治疗，主要包括盆底肌力评估和电刺激治疗一个疗程加盆底肌训练（也称Kegel运动）；观察组采用普通产后康复教育。通过盆腔肌肉电生理诊断、压力性尿失禁、POP-Q诊断盆腔器官脱垂情况指标。两组分别于产后6周、6个月、12个月评价盆底功能康复治疗的临床效果。结果：产后6个月、12个月盆底肌肉张力治疗组均高于对照组。产后6个月治疗组及对照组压力性尿失禁发生率分别为2.50%（2/80）和12.86%（9/70），差异有统计学意义（P<0.05）；产后12个月治疗组及对照组压力性尿失禁发生率分别为3.75%（3/80）和14.29%（10/70），差异有统计学意义（P<0.05）。产后12个月治疗组及对照组POP-QⅠ度脱垂发生率分别为26.25%（21/80）和42.86%（30/70），差异有统计学意义（P<0.05）。结论：产后采用法国PHEN IX盆底康复治疗仪盆底康复治疗加Kegel运动，可有效加强盆底肌肉支持功能，减少尿失禁及盆腔器官脱垂的发生率。
目的：評價產後盆底康複儀聯閤盆底肌訓練治療對盆底肌肉張力的影響及對盆底功能的作用。方法：選擇墾利縣人民醫院2012年1~3月收治的150例住院足月妊娠產後6週的產婦進入研究，隨機分成兩組。盆底康複治療組80例，對照組70例。治療組採用法國PHEN IX盆底康複治療儀進行盆底康複治療，主要包括盆底肌力評估和電刺激治療一箇療程加盆底肌訓練（也稱Kegel運動）；觀察組採用普通產後康複教育。通過盆腔肌肉電生理診斷、壓力性尿失禁、POP-Q診斷盆腔器官脫垂情況指標。兩組分彆于產後6週、6箇月、12箇月評價盆底功能康複治療的臨床效果。結果：產後6箇月、12箇月盆底肌肉張力治療組均高于對照組。產後6箇月治療組及對照組壓力性尿失禁髮生率分彆為2.50%（2/80）和12.86%（9/70），差異有統計學意義（P<0.05）；產後12箇月治療組及對照組壓力性尿失禁髮生率分彆為3.75%（3/80）和14.29%（10/70），差異有統計學意義（P<0.05）。產後12箇月治療組及對照組POP-QⅠ度脫垂髮生率分彆為26.25%（21/80）和42.86%（30/70），差異有統計學意義（P<0.05）。結論：產後採用法國PHEN IX盆底康複治療儀盆底康複治療加Kegel運動，可有效加彊盆底肌肉支持功能，減少尿失禁及盆腔器官脫垂的髮生率。
목적：평개산후분저강복의연합분저기훈련치료대분저기육장력적영향급대분저공능적작용。방법：선택은리현인민의원2012년1~3월수치적150례주원족월임신산후6주적산부진입연구，수궤분성량조。분저강복치료조80례，대조조70례。치료조채용법국PHEN IX분저강복치료의진행분저강복치료，주요포괄분저기력평고화전자격치료일개료정가분저기훈련（야칭Kegel운동）；관찰조채용보통산후강복교육。통과분강기육전생리진단、압력성뇨실금、POP-Q진단분강기관탈수정황지표。량조분별우산후6주、6개월、12개월평개분저공능강복치료적림상효과。결과：산후6개월、12개월분저기육장력치료조균고우대조조。산후6개월치료조급대조조압력성뇨실금발생솔분별위2.50%（2/80）화12.86%（9/70），차이유통계학의의（P<0.05）；산후12개월치료조급대조조압력성뇨실금발생솔분별위3.75%（3/80）화14.29%（10/70），차이유통계학의의（P<0.05）。산후12개월치료조급대조조POP-QⅠ도탈수발생솔분별위26.25%（21/80）화42.86%（30/70），차이유통계학의의（P<0.05）。결론：산후채용법국PHEN IX분저강복치료의분저강복치료가Kegel운동，가유효가강분저기육지지공능，감소뇨실금급분강기관탈수적발생솔。
Objective:To evaluate the postpartum pelvic floor rehabilitation combined with pelvic floor muscle training in the treatment of pelvic floor muscle tension and on the pelvic floor function.Method:150 patients admitted to hospital full-term pregnancy 6 weeks postpartum women as research object in the People’s hospital of Kenli county from January 2012 to March 2012,they were randomly divided into two groups.Pelvic floor rehabilitation treatment group had 80 cases,control group had 70 cases.The treatment group by French PHEN IX pelvic floor rehabilitation therapy for pelvic floor rehabilitation,including pelvic floor muscle strength evaluation and stimulation of a course of treatment with pelvic floor muscle training(also known as Kegel);the observation group with normal postpartum rehabilitation education.Through the pelvic muscle electrophysiology diagnosis,stress urinary incontinence,POP-Q diagnosis of pelvic organ prolapse index.The clinical effects of the two groups were treated for 6 weeks postpartum,6 months,12 months of pelvic floor functional rehabilitation evaluation.Result:After 6 months,12 months of pelvic floor muscle tension in treatment group were higher than those in the control group.6 months after the treatment group and the control group with stress urinary incontinence was 2.50%(2/80)and 12.86%(9/70),the difference was statistically significant(P<0.05);12 months postpartum treatment group and control group with stress urinary incontinence was 3.75%(3/80)and 14.29%(10/70),the difference was statistically significant(P<0.05).12 months after the treatment group and the control group of POP-QⅠdegree prolapse was 26.25%(21/80)and 42.86%(30/70),the difference was statistically significant(P<0.05).Conclusion:Postpartum by French PHEN IX pelvic floor rehabilitation instrument for pelvic floor rehabilitation treatment plus Kegel,can effectively strengthen the pelvic floor muscles support function,reduce the incidence of urinary incontinence and pelvic organ prolapse.
