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河南大学第一附属医院产科
纸质出版日期:2022,
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杨晓冬, 张磊, 郭潘红. 盆底康复训练在产后盆底功能障碍性疾病患者中的应用[J]. 保健医学研究与实践, 2022,19(6):125-128.
Yang Xiaodong, Zhang Lei, Guo Panhong. Postpartum pelvic floor rehabilitation training in patients with pelvic floor dysfunction[J]. Health Medicine Research and Practice, 2022,19(6):125-128.
目的 探讨盆底康复训练在产后盆底功能障碍性疾病(PFD)患者中的应用效果。方法 选取开封市某医院2020年1月—2021年9月诊治的60例PFD患者
采用随机数字表法分为对照组与研究组
每组30例。对照组患者采用常规护理
研究组患者在对照组基础上采用产后盆底康复训练
比较2组患者干预前后盆底肌电生理指标、盆底功能受损症状改善情况、血清瘦素及炎症因子水平、产后盆底障碍影响简易问卷7(PFIQ-7)评分和性生活质量评分(PISQ-12)。结果 2组患者干预后I、Ⅱ型肌纤维肌电压高于干预前
且研究组高于对照组
差异均有统计学意义(P<0.05)。研究组干预后腰骶痛、阴道干涩、阴道松弛、尿频尿急患者占比低于对照组
差异均有统计学意义(P<0.05)。2组患者干预后血清瘦素水平及炎症因子水平低于干预前
且研究组低于对照组
差异均有统计学意义(P<0.05)。研究组患者产后2个月及产后6个月PFIQ-7评分低于对照组
PISQ-12评分高于对照组
差异均有统计学意义(P<0.05)。结论 产后盆底康复训练应用于PFD患者
能减轻患者盆底功能受损情况
促进盆底肌力恢复
有助于减轻机体炎症
提高患者生活质量。
Objective To investigate the effect of postpartum pelvic floor rehabilitation training in patients with pelvic floor dysfunction(PFD). Methods A total of 60 PFD patients treated in a hospital in Kaifeng City from January 2020 to September 2021 were selected as participants
who were assigned to a control group and an experimental group by random number table method
with 30 cases in each group. The patients in the control group received conventional nursing
and the patients in the experimental group received postpartum pelvic floor rehabilitation training after receiving conventional nursing. The electrophysiological indexes of pelvic floor muscles
the improvement of symptoms of impaired pelvic floor function
serum leptin
inflammatory factors
Pelvic Floor Impact Questionnaire-7(PFIQ-7) scores
and Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire(PISQ-12) scores were compared between the two groups before and after the intervention. Results The muscle voltages of type I and type II muscle fibers in the two groups after intervention were higher than those before the intervention
and the muscle voltages in the experimental group were higher than those in the control group
with statistically significant differences(P<0.05). The proportion of lumbosacral pain
vaginal dryness
vaginal relaxation
urinary frequency
and urinary urgency after the intervention in the experimental group was lower than those in the control group
and the differences were statistically significant(P<0.05). The levels of serum leptin and inflammatory factors in the two groups after the intervention were lower than those before the intervention
with the experimental group lower than the control group
and the differences were statistically significant(P<0.05). The PFIQ-7 score of the patients in the experimental group was lower than that of the control group at 2 months and 6 months after delivery
and the PISQ-12 score was higher than that of the control group at the same time points
the differences were statistically significant(P<0.05). Conclusion The use of postpartum pelvic floor rehabilitation training in patients with PFD can reduce the impairment of pelvic floor function
promote the recovery of pelvic floor muscle strength
alleviate inflammation in the body
and improve the quality of life of patients.
盆底功能障碍性疾病盆底康复训练炎症因子盆底肌电生理指标生活质量
Pelvic floor dysfunctionPelvic floor rehabilitation trainingInflammatory factorsPelvic floor muscle electrophysiological indexesQuality of life
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