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目的研究对比剖宫产与自然分娩的产后盆底生物反馈。方法选取2015年2月-2016年2月入院剖宫产分娩46 d后的压力性尿失禁(SUI)初产妇136例(对照组),另选取自然分娩46 d后的SUI初产妇136例(观察组)。两组初产妇均接受4周的产后盆底生物反馈+盆底功能锻炼+盆底电刺激治疗,帮助初产妇恢复盆底肌功能,治疗后比较两组初产妇盆底肌综合肌力与盆底功能受损症状发生率。结果自然分娩的产后盆底生物反馈临床疗效较好。观察组与对照组均采用产后盆底生物反馈,观察组最大收缩压为(38.17±7.77)μV,对照组最大收缩压为(36.36±5.23)μV,观察组初产妇的肌力恢复明显优于对照组;经4周产后盆底生物反馈训练后,观察组与对照组初产妇膀胱颈移动度分别为(25.28±2.57)mm和(28.16±4.21)mm,观察组与对照组初产妇的性生活评分分别为(69.21±6.70)分和(62.03±9.32)分,两组差异有统计学意义(P<0.05);两组初产妇SUI恢复的显效、有效、无效比例比较,差异均有统计学意义(P<0.05)。结论观察组自然分娩初产妇应用产后盆底生物反馈治疗之后,盆底肌力恢复较好。
Objective To study the postpartum pelvic floor biofeedback comparing cesarean section with natural delivery. Methods 136 cases of stress incontinence (SUI) primiparous women (control group) were enrolled from February 2015 to February 2016 after cesarean delivery 46 days, and 136 cases of SUI primipara Observation group). Both groups of primipara received four weeks postpartum pelvic floor biological feedback + pelvic floor exercise + pelvic floor electrical stimulation to help primipara recovery pelvic floor muscle function, after treatment, the two groups of primipara pelvic floor muscle strength and pelvic Bottom function impaired symptoms. The results of natural childbirth postpartum pelvic floor biological feedback clinical efficacy is better. Postpartum pelvic floor biofeedback was used in the observation group and the control group. The maximum systolic blood pressure in the observation group was (38.17 ± 7.77) μV, and the maximum systolic blood pressure in the control group was (36.36 ± 5.23) μV. After 4 weeks postpartum pelvic floor biofeedback training, the maternal bladder neck movement in the observation group and the control group were (25.28 ± 2.57) mm and (28.16 ± 4.21) mm, respectively. The maternal sexuality in observation group and control group (69.21 ± 6.70) points and (62.03 ± 9.32) points respectively. There was significant difference between the two groups (P <0.05). There was statistically significant difference in the effective, effective and ineffective SUI recovery between the two groups Significance (P <0.05). Conclusions The postpartum pelvic floor biofeedback in primipara of spontaneous labor in observation group was better than that in control group.