盆底康复锻炼对产妇盆底肌肉肌电活动及盆底功能的影响

摘要

Objective:To explore the effects of postpartum pelvic floor rehabilitation exercise on myoelectric activi-ty and pelvic floor function in pelvic floor muscle.Methods:A total of 140 cases of puerpera in our hospital were collected and divided into the rehabilitation group (83 cases with biological electrical stimulation and biofeedback therapy)and control group (5 7 cases not willing to accept the postpartum pelvic floor rehabilitation therapy).Pelvic floor electrical physiological indexes and pelvic organ prolapse quantitative index (POP-Q)in the two groups were compared at 6th week and 3rd month postpartum.Results:At 6th week after delivery,there was no significant difference in the mean value of the muscle potential between the pelvic floor type I and type Ⅱ muscle fiber in the re-habilitation group compared to the control group (P>0.05).At 3rd month after delivery,the mean type I and type Ⅱ potential of pelvic floor type I and type Ⅱ muscle fiber in the rehabilitation group was significantly higher than that in the control group,and the difference between the two groups was statistically significant(P<0.05).The fatigue values of the pelvic floor type I and type Ⅱ muscle fibers in the rehabilitation group were significantly lower than those in the control group,and the difference was statistically significant (P<0.05).After 3 months,the C dis-tance and D distance in the rehabilitation group were significantly greater than those in the control group,and the difference was statistically significant(P<0.05).After 3 months,the scores of PFIQ-7 and PISQ-12 in the rehabil-itation group were significantly higher than those in the control group,and the difference was statistically significant (P<0.05).Conclusion:Postpartum pelvic floor rehabilitation exercise has positive effects on pelvic floor muscle myoelectric activity,and pelvic floor function recovery.%目的:探讨产后盆底康复锻炼对盆底肌肉肌电活动、盆底功能的影响.方法:选取140例产妇,根据是否于产后6周接受盆底康复锻炼分为康复组83例(给予生物电刺激+生物反馈治疗)、对照组57例(患者不愿意接受产后盆底功能康复治疗),对比2组产妇产后6周及3个月时的盆底肌电生理指标、盆腔器官脱垂定量(POP-Q)分度.结果:产后6周时,康复组盆底Ⅰ类、Ⅱ类肌纤维的肌电位均值与对照组比较差异无统计学意义;产后3个月,康复组盆底Ⅰ类、Ⅱ类肌纤维的肌电位均值均显著高于对照组(均P<0.05),康复组的盆底Ⅰ类、Ⅱ类肌纤维的疲劳值均显著小于对照组(均P<0.05);产后3个月,康复组的C点距离、D点距离均显著大于对照组(均P<0.05);产后3个月,康复组的PFIQ-7、PISQ-12评分均显著高于对照组(均P<0.05).结论:产后盆底康复锻炼对盆底肌肉肌电活动、盆底功能恢复具有积极作用.