中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2015年
11期
4-5
,共2页
早期%盆底肌%训练%阴道分娩%尿失禁
早期%盆底肌%訓練%陰道分娩%尿失禁
조기%분저기%훈련%음도분면%뇨실금
Early%Pelvic lfoor muscle%Training%Vaginal delivery%Urinary incontinence
目的：探讨产后盆底肌训练的康复效果对改善女性盆底肌群功能缺陷的临床效果。方法选取本院2013年1月至2014年1月共100例经阴道分娩的初产妇，随机分成治疗组对照组，每组50例，治疗组遵循自愿原则，于产后红色恶露清除，会阴切口已拆线且不感疼痛即可以进行训练，对照组按传统方法，42 d后才开始训练，100例产妇训练3个月后均作盆底肌功能测试。结果对照组测定患者的盆底综合肌力，基本恢复正常（IV）及完全恢复正常（V）者30%，而治疗后达到82%，P<0.05治疗前后差异有统计学意义（P<0.01）；观察组产后42 d夜尿次数评分为（2.6±0.5），尿失禁阳性率为36.0%，经指导凯格尔运动180 d后复查，夜尿次数评分为（1.3±0.4），尿失禁阳性率为12.0%。对照组产后42 d夜尿次数评分为（2.5±0.6），尿失禁阳性率为36.0%，产后180 d后复查，夜尿次数评分为（2.3±0.5），尿失禁阳性率为28.0%。经统计学χ2检验，两组之间比较有明显差异（P<0.01）；对照组性生活质量处于高水平者为40.0%；观察组患者性生活质量处于高水平78.0%比例明显高于治疗前，差异有统计学意义（P<0.01）。结论早期盆底肌训练的康复效果优于传统方法训练，有效降低压力性尿失禁等优异的疗效。
目的：探討產後盆底肌訓練的康複效果對改善女性盆底肌群功能缺陷的臨床效果。方法選取本院2013年1月至2014年1月共100例經陰道分娩的初產婦，隨機分成治療組對照組，每組50例，治療組遵循自願原則，于產後紅色噁露清除，會陰切口已拆線且不感疼痛即可以進行訓練，對照組按傳統方法，42 d後纔開始訓練，100例產婦訓練3箇月後均作盆底肌功能測試。結果對照組測定患者的盆底綜閤肌力，基本恢複正常（IV）及完全恢複正常（V）者30%，而治療後達到82%，P<0.05治療前後差異有統計學意義（P<0.01）；觀察組產後42 d夜尿次數評分為（2.6±0.5），尿失禁暘性率為36.0%，經指導凱格爾運動180 d後複查，夜尿次數評分為（1.3±0.4），尿失禁暘性率為12.0%。對照組產後42 d夜尿次數評分為（2.5±0.6），尿失禁暘性率為36.0%，產後180 d後複查，夜尿次數評分為（2.3±0.5），尿失禁暘性率為28.0%。經統計學χ2檢驗，兩組之間比較有明顯差異（P<0.01）；對照組性生活質量處于高水平者為40.0%；觀察組患者性生活質量處于高水平78.0%比例明顯高于治療前，差異有統計學意義（P<0.01）。結論早期盆底肌訓練的康複效果優于傳統方法訓練，有效降低壓力性尿失禁等優異的療效。
목적：탐토산후분저기훈련적강복효과대개선녀성분저기군공능결함적림상효과。방법선취본원2013년1월지2014년1월공100례경음도분면적초산부，수궤분성치료조대조조，매조50례，치료조준순자원원칙，우산후홍색악로청제，회음절구이탁선차불감동통즉가이진행훈련，대조조안전통방법，42 d후재개시훈련，100례산부훈련3개월후균작분저기공능측시。결과대조조측정환자적분저종합기력，기본회복정상（IV）급완전회복정상（V）자30%，이치료후체도82%，P<0.05치료전후차이유통계학의의（P<0.01）；관찰조산후42 d야뇨차수평분위（2.6±0.5），뇨실금양성솔위36.0%，경지도개격이운동180 d후복사，야뇨차수평분위（1.3±0.4），뇨실금양성솔위12.0%。대조조산후42 d야뇨차수평분위（2.5±0.6），뇨실금양성솔위36.0%，산후180 d후복사，야뇨차수평분위（2.3±0.5），뇨실금양성솔위28.0%。경통계학χ2검험，량조지간비교유명현차이（P<0.01）；대조조성생활질량처우고수평자위40.0%；관찰조환자성생활질량처우고수평78.0%비례명현고우치료전，차이유통계학의의（P<0.01）。결론조기분저기훈련적강복효과우우전통방법훈련，유효강저압력성뇨실금등우이적료효。
Objective To investigate the clinical effect of postpartum pelvic floor muscle tralning rehabilitation effect on improvement of female pelvic floor muscles function defects.Methods In our hospital from January 2013 to January 2014 a total of 100 cases of primipara with vaginal delivery were randomly divided into treatment group, control group, 50 cases in each group, the treatment group and follow the principle of voluntariness, postpartum lochia elimination in red, perineal incision has stitches and no sense of paln can be tralning, the control group by traditional method, 42 days after the tralning, 100 lying in women after 3 months of tralning for pelvic floor muscle function test.Results In the control group, comprehensive strength determination of pelvic floor, returned to normal(IV)and recovered to normal(V)in 30%, and after treatment reached 82%, P<0.05 were statistically significant difference before and after treatment(P<0.01); observation group 42 days postpartum nocturia frequency score was(2.6±0.5), positive rate urinary incontinence was 36%, with the guidance of Kegel motion after 180 days, the number of nocturia score was(1.3 ±0.4), the positive rate of urinary incontinence was 12%. The control group 42 days postpartum nocturia frequency score was(2.5±0.6), the positive rate of urinary incontinence was 36%, postpartum after 180 days, the number of nocturia score was(2.3±0.5), the positive rate of urinary incontinence was 28%. The statistical χ2 test, there was significant difference between the two groups(P<0.01); the control group of the quality of life at a high level for 40%; observation group of the quality of life of patients with high at 78% was significantly higher than that before treatment, the difference was statistically significant(P<0.01).Conclusion The early rehabilitation tralning is better than the traditional method of pelvic floor muscle tralning, effectively reduce the effect of stress urinary incontinence and other excellent.
