盆底肌肉综合复健方案辅助健康宣教治疗产后盆底功能障碍临床研究..doc

综合盆底肌肉训练方案辅助治疗产后盆底功能障碍临床研究 【摘要】目的:探讨综合盆底肌肉训练方案辅助常规健教治疗产后盆底功能障碍临床效果。方法：研究对象选取我院2013年3月-2014年12月收治产后盆底功能障碍患者120例，采用随机数字表法分为对照组（60例）和干预组（60例），分别在常规健教基础上给予传统盆底肌功能训练方案和综合盆底肌肉训练方案；比较两组患者干预前后盆底肌力、盆底疲劳程度、POP-Q分度、压力性尿失禁及压力性尿失禁+盆腔脏器脱垂发生率等。结果：干预组患者干预后盆底肌力和疲劳度水平均显著优于对照组、干预前，差异有统计学意义（p0.05）；干预组患者干预后POP-Q分度显著优于对照组、干预前，差异有统计学意义（p0.05）；干预组患者压力性尿失禁及压力性尿失禁+盆腔脏器脱垂发生率显著低于对照组，差异有统计学意义（p0.05）。结论：综合盆底肌肉训练方案辅助常规健教治疗产后盆底功能障碍可有效改善盆底肌力，降低盆底疲劳程度，并有助于降低压力性尿失禁和盆腔脏器脱垂发生风险。 【关键词】盆底肌肉；盆底功能障碍；Clinical study of?comprehensive rehabilitation program of pelvic floor muscles assisted with health education in treatment of postpartum pelvic floor dysfunction [Abstract]Objective To investigate the clinical effects of comprehensive rehabilitation program of pelvic floor muscles assisted with health education in treatment of postpartum pelvic floor dysfunction. Methods 120 patients with postpartum pelvic floor dysfunction were chosen in the period from March 2013 to December 2014 in our hospital and randomly divided into two groups including control group (60 cases) with routine pelvic floor muscle function exercise and intervention group (60 cases) with comprehensive rehabilitation program on the basis of health education; the pelvic floor muscle strength, pelvic floor fatigue and POP-Q grading before and after intervention and the incidence of stress urinary incontinence and stress urinary incontinence combined with pelvic organ prolapse of both groups were compared. Results The levels of pelvic floor muscle strength and pelvic floor fatigue degree of intervention group after intervention was significant better than control group and before intervention （p0.05）. The POP-Q grading of intervention group after intervention was significant better than control group and before intervention （p0.05）. The incidence of stress urinary incontinence and stress urinary incontinence combined with pelvic organ prolapse of intervention group was significant better than control group（p0.05）. Conclusion Comprehensive rehab