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目的观察产科因素对产后盆底的影响及盆底康复治疗的近期疗效。方法回顾分析2015年4月—2017年4月在该院产科分娩的101例足月产妇临床资料,按分娩方式不同分2组,阴道分娩组56例,剖宫产组45例,均行盆底肌力、阴道压力、盆腔器官脱垂检查,待筛查出盆底肌力<4级、POP或SUI症状患者后均行盆底康复治疗,比较产后盆底检测情况及近期疗效。结果 101例产妇中筛查出60例患者,治疗后肌电压(13.46±5.17)μV、Ⅰ类肌纤维肌力(4.38±1.01)级、Ⅱ类肌纤维肌力(4.08±1.21)级均比治疗前有所改善(P<0.05)。结论分娩可致产妇产后盆底、阴道肌力减小,增加肌肉疲劳,导致POP及SUI;通过盆底肌康复治疗可提高产后肌力及肌电压,恢复盆底功能。
Objective To observe the effects of obstetric factors on postpartum pelvic floor and pelvic floor rehabilitation. Methods A retrospective analysis of clinical data of 101 full-term mothers giving birth in this hospital from April 2015 to April 2017 was made according to different modes of delivery, including 56 cases in vaginal delivery group and 45 cases in cesarean section, Bottom muscle strength, vaginal pressure, pelvic organ prolapse examination, to be screened pelvic floor muscle strength <4, POP or SUI symptoms were pelvic floor rehabilitation treatment, postpartum pelvic floor detection and the recent efficacy. Results Sixty patients were screened out from 101 maternal women. The postoperative muscular voltage (13.46 ± 5.17) μV, the muscle strength of type Ⅰ myofibers (4.38 ± 1.01) and the muscle strength of type Ⅱ myons (4.08 ± 1.21) Improved (P <0.05). Conclusion Childbirth can result in postpartum pelvic floor, vaginal muscle strength decreased, increased muscle fatigue, resulting in POP and SUI; pelvic floor muscle rehabilitation can increase postpartum muscle strength and muscle voltage, restore pelvic floor function.