盆底康复治疗对不同分娩方式产后盆底障碍的近期疗效

摘要

目的 观察盆底康复治疗对不同分娩方式产后盆底障碍的近期疗效.方法 选择病例226例,根据分娩方式分为顺产组(n=173)、剖宫产组(n=34)、器械助产组(n=19).观察各组经盆底康复治疗后尿失禁、盆腔器官脱垂和盆底肌力情况.结果 与治疗前相比,顺产组和剖宫产组经盆底康复治疗后产妇盆腔器官脱垂、尿失禁情况均显著降低(P＜0.05),3组产妇盆底肌力均较治疗前显著提高(P＜0.05),其中顺产组提高程度显著高于剖宫产组和器械助产组(P＜0.05).结论 不同分娩方式的产妇经盆底康复治疗后盆底肌力均得到有效提高,并能减少产后尿失禁或盆腔器官脱垂的症状.但是对于器械助产发生PDF的产妇应强化疗程.%Objective To investigate the efficacy of pelvic floor rehabilitation on pelvic floor dysfunction of women with different delivery modes. Methods From January 2014 to August 2015, a total of 226 patients with pelvic floor dysfunction in our hospital were divided into normal labor group (n=173), cesarean section group (n=34) and instrumental delivery group (n=19). Observed the urinary incontinence, pelvic organ prolapse and pelvic floor muscle strength situation in all groups after treatment of pelvic floor rehabilitation. Results Compared with the previous treatment, the pelvic floor rehabilitation maternal pelvic organ prolapse and urinary incontinence cases were significantly lower in normal labor group and cesarean section group after group after treatment (P＜0.05), and the maternal pelvic floor muscle strength increased significantly in three groups (P＜0.05), which improve the degree of natural labor group was significantly higher than cesarean group and instrumental delivery group (P＜0.05). Conclusion pelvic floor rehabilitation in treatment of pelvic floor dysfunction may have obvious short-term effect for the women with different delivery modes. And it can reduce the symptoms of postpartum incontinence or pelvic organ prolapse, however, for the occurrence of PDF midwifery equipment, women should strengthen the course of treatment.