文章摘要
产后盆底肌康复治疗对剖宫产与正常分娩产妇的结果分析
Effect of normal vaginal delivery on pelvic floor tissue and analysis of postpartum rehabilitation measures
投稿时间:2022-06-06  修订日期:2022-06-06
DOI:
中文关键词: 阴道分娩  盆底组织  产后康复
英文关键词: vaginal delivery  pelvic floor tissue  postpartum rehabilitation
基金项目:
作者单位邮编
孟凡爱 昌乐县人民医院产科 262400
赵玲 昌乐县人民医院产科 
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中文摘要:
      摘要:目的:分析剖宫产与正常分娩产妇经产后盆底肌康复治疗后的结果。方法:本文前瞻性研究2020年5月—2021年5月接诊且产后6周复诊的80例产妇,依据分娩方式分为两组:阴道分娩组(纳入36例)、剖宫产组(纳入44例),两组产妇均行盆底肌康复治疗。治疗三个月后,评价比较两组盆底功能性障碍如子宫脱垂,阴道脱垂,尿失禁等情况,盆底肌力以及盆底肌电值指标。结果:治疗前,两组盆底功能性障碍无明显差异(P>0.05);治疗后3个月,剖宫产组子宫脱垂、阴道脱垂、尿失禁发生率均低于经阴道分娩组(P<0.05);治疗前,较之剖宫产组,阴道分娩组盆底收缩压要低(P<0.05),差异具统计学意义。经生物反馈刺激治疗3个月后,两组盆底收缩压结果无差异(P>0.05)。治疗前剖宫产组静息压比正常分娩组更低,P<0.05;治疗3个月后,两组静息压均升高,剖宫产组更低(P<0.05)。此外,治疗三个月后,组间盆底收缩压无明显差异(P>0.05)。剖宫产组治疗前、治疗3个月后,盆底肌电值指标(峰值、活力值)均优于阴道分娩组(P<0.05)。结论:较之剖宫产,阴道分娩对产妇盆底组织的影响更大,另外,当对剖宫产、阴道分娩的产妇进行盆底肌康复治疗后,能够有效改善盆底肌功能。
英文摘要:
      Objective: To analyze the results of postpartum pelvic floor muscle rehabilitation for parturients with cesarean section and normal delivery. Methods: This paper prospectively studied 80 parturients who were admitted from May 2020 to May 2021 and followed up for 6 weeks postpartum. According to the mode of delivery, they were divided into two groups: vaginal delivery group (36 cases included), cesarean section group (included) 44 cases). Both groups of parturients received pelvic floor muscle rehabilitation. After three months of treatment, evaluate and compare the two groups of pelvic floor functional disorders such as uterine prolapse, vaginal prolapse, urinary incontinence, pelvic floor muscle strength and pelvic floor electromyography. Results: Before treatment, there was no significant difference in pelvic floor dysfunction between the two groups (P>0.05); 3 months after treatment, the incidence of uterine prolapse, vaginal prolapse and urinary incontinence in the cesarean section group were lower than those of menstrual period The vaginal delivery group (P<0.05). Before treatment, compared with the cesarean section group, the vaginal delivery group had lower pelvic floor systolic blood pressure (P<0.05), and the difference was statistically significant. After 3 months of biofeedback stimulation, there was no difference in pelvic floor systolic blood pressure between the two groups (P>0.05). Before treatment, the resting pressure of the cesarean section group was lower than that of the normal delivery group, P<0.05; after 3 months of treatment, the resting pressure of the two groups increased, and the cesarean section group was lower (P<0.05). In addition, after three months of treatment, there was no significant difference in pelvic floor systolic blood pressure between the groups (P>0.05).Before and after 3 months of treatment in the cesarean section group, the pelvic floor myoelectric values were better than those in the vaginal delivery group (P<0.05); Conclusion: Compared with cesarean section, vaginal delivery has a greater impact on the pelvic floor tissue of the parturient. In addition, when the pelvic floor muscle rehabilitation treatment is carried out for the parturient of cesarean section and vaginal delivery, the function of the pelvic floor muscle can be effectively improved.
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