CAJ | 학술논문

目的：观察产后阴道松弛应用盆底功能康复治疗的效果。方法：采用自体对照研究，应用盆底功能康复对我院妇科门诊2012年1月－2013年12月97例产后阴道松弛患者进行治疗，采用盆底康复治疗仪压力治疗头于治疗前、后检测阴道Ⅰ类肌和Ⅱ类肌，并应用自行设计的调查问卷评价治疗前、后患者性生活满意度。结果：治疗前患者盆底Ⅰ类肌和Ⅱ类肌Ⅳ～Ⅴ级构成比例仅为23．71％和20．62％，治疗后Ⅰ类肌和Ⅱ类肌Ⅳ～Ⅴ级构成比例均提高到38.14％，盆底肌力有不同程度提高（ P＜0．05）；治疗后患者阴道静息压、阴道收缩压均较治疗前明显提高，阴道收缩时间较治疗前明显延长（ P＜0．05）。盆底功能康复治疗前无1例对性生活满意，基本满意率仅为12．37％；治疗后12个月，患者性生活满意度为22．68％，基本满意度为48．45％，性生活质量评分较治疗前明显提高（ P＜0．05）。结论：盆底功能康复治疗可显著提高盆底肌力，促进阴道壁组织张力恢复，提高性生活满意度。
목적：관찰산후음도송이응용분저공능강복치료적효과。방법：채용자체대조연구，응용분저공능강복대아원부과문진2012년1월－2013년12월97례산후음도송이환자진행치료，채용분저강복치료의압력치료두우치료전、후검측음도Ⅰ류기화Ⅱ류기，병응용자행설계적조사문권평개치료전、후환자성생활만의도。결과：치료전환자분저Ⅰ류기화Ⅱ류기Ⅳ～Ⅴ급구성비례부위23．71％화20．62％，치료후Ⅰ류기화Ⅱ류기Ⅳ～Ⅴ급구성비례균제고도38.14％，분저기력유불동정도제고（ P＜0．05）；치료후환자음도정식압、음도수축압균교치료전명현제고，음도수축시간교치료전명현연장（ P＜0．05）。분저공능강복치료전무1례대성생활만의，기본만의솔부위12．37％；치료후12개월，환자성생활만의도위22．68％，기본만의도위48．45％，성생활질량평분교치료전명현제고（ P＜0．05）。결론：분저공능강복치료가현저제고분저기력，촉진음도벽조직장력회복，제고성생활만의도。
Objective :To observe the effect of postpartum vaginal relaxation of pelvic floor function application effect of rehabilitation therapy .Methods :Used the comparative study of autologous ,January 2012 to December 2013 97 cases of postpartum vaginal relaxation were treated using function of pelvic floor rehabilitation treatment of outpatient de‐partment in ,by the pelvic floor rehabilitation therapy for the treatment of head pressure determined before and after the treatment of class Ⅰand class Ⅱvaginal muscle muscle ,before and after the application of self‐designed questionnaire and evaluation of the treatment of sexual life in patients with satisfaction .Results:Before treatment in patients with pel‐vic class Ⅰand class Ⅱmuscle muscle Ⅳ ~ Ⅴ grade proportion is only 23 .71% and 20 .62% ,after treatment of classⅠand class Ⅱ muscle muscle Ⅳ ~ Ⅴ grade proportion were increased to 38 .14% ,pelvic floor muscle strength im‐proved in different degrees (P<0 .05);after treatment of patients with vaginal resting pressure ,the vagina is constric‐tive pressure than before treatment improved obviously ,vaginal contraction time than before treatment was significant‐ly prolonged (P<0 .05) .Function of pelvic floor rehabilitation treatment was 1 case for satisfactory sexual life ,basic satisfaction rate was only 12 .37% ;after 12 months of treatment ,sexual life satisfaction of patients was 22.68% ,the basic satisfaction is 48 .45% ,the quality of life score than before treatment significantly increased (P<0.05) .Conclu‐sion:Pelvic floor rehabilitation therapy can significantly improve the pelvic floor muscle strength ,promote the recovery of vaginal wall tissue tension ,improve sexual life satisfaction .