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目的探讨盆底康复治疗对藏区妇女子宫脱垂的临床疗效。方法选择2014年5月至2015年5月在中航工业三六三医院就诊的来自于藏区的38例子宫脱垂患者作为研究对象,按分层区组设计随机分为治疗组20例和对照组18例,治疗组行盆底康复治疗,对照组行单纯盆底肌肉锻炼。测定治疗前后的盆底肌Ⅰ类、Ⅱ类肌纤维的肌力值及脱垂分度的变化,评价其效果。结果治疗组治疗后盆底肌Ⅰ类、Ⅱ类肌纤维肌力值及脱垂分度改善情况均优于对照组,差异有统计学意义(P<0.05)。结论藏区妇女子宫脱垂盆底康复治疗效果优于单纯盆底肌肉锻炼,值得临床推广。
Objective To investigate the clinical effect of pelvic floor rehabilitation on uterine prolapse in Tibetan women. Methods From March 2014 to May 2015, 38 cases of uterine prolapse from the Tibetan area in the 3663 Hospital of AVIC were enrolled and divided into treatment group (20 cases) and control group Group of 18 cases, treatment group pelvic floor rehabilitation treatment, control group simple pelvic floor muscle exercise. Determination of pelvic floor muscle before and after treatment Ⅰ, Ⅱ muscle fiber strength and prolapse index change, evaluate the effect. Results The muscle strength and prolapse index of the pelvic floor muscles in the treatment group were better than those in the control group, the difference was statistically significant (P <0.05). Conclusion Tibetan women’s uterine prolapse pelvic floor rehabilitation treatment is better than simple pelvic floor muscle exercise, worthy of clinical promotion.