不同分娩方式对产后盆底功能的影响及康复治疗效果的评价

摘要

目的：探讨不同分娩方式对产妇产后盆底功能的影响及康复治疗的效果。方法：收治产妇246例，依据分娩方式的不同分为顺产组117例和剖宫产组129例。结果：经康复治疗后，两组产妇肌力均有提高，并且顺产组肌力恢复较剖宫产组更为显著(P＜0.05)；康复治疗后两组产妇的盆底功能障碍性疾病总发生率较治疗前均显著下降(P＜0.05)。结论：顺产和剖宫产两种分娩方式均可造成妇女产后盆底肌肌力下降，产后早期进行盆底肌锻炼+生物反馈+电刺激康复治疗有助于盆底肌功能恢复。%Objective:To investigate the effect of different delivery methods on postpartum pelvic floor function and the effect of rehabilitation treatment.Methods:246 maternal were selected.According to different modes of delivery they were divided into the spontaneous delivery group 117 cases and the cesarean section group in 129 cases.Results:After rehabilitation treatment,two groups of maternal strength were improved,and the spontaneous delivery group was significant(P<0.05);after rehabilitation treatment,the incidence of pelvic floor dysfunction in the two groups was significantly lower than before treatment(P<0.05). Conclusion:Both vaginal delivery and cesarean section of two delivery ways caused the decline of postpartum pelvic floor muscle strength.Early postpartum pelvic floor exercises and biofeedback electrical stimulation and rehabilitation therapy is helpful to the recovery of function of pelvic floor muscles.