摘要
目的探讨康复治疗不同分娩方式产后早期盆底功能的效果。方法选取2013年12月—2016年4月鞍山市妇儿医院妇产科收治的产妇484例，其中顺产209例（顺产组）和选择性剖宫产275例（剖宫产组），所有产妇于产后6周进行盆底肌肉训练，并于康复治疗前后进行盆底功能评估。结果剖宫产组阴道脱垂发生率低于顺产组，差异具有统计学意义（P〈0．05）；两组康复治疗后Glazer评估指标均较治疗前有改善，差异有统计学意义（P〈0．05），但治疗后两组Glazeri评估指标差异无统计学意义P〉0．05）。结论剖宫产可有效降低产妇产后早期出现盆底功能障碍性疾病的风险，康复治疗作为一种有效的盆底功能恢复方法，其治疗效果不受产妇分娩方式的影响。
Objective To study the effect of rehabilitation treatment on early postpartum pelvic floor function of different delivery modes. Methods Four hundred and eighty-four delivery women in Women and Children＇s Hospital of Anshan City from December 2013 to April 2016 were selected, including 209 cases of vaginal delivery （delivery group） and 275 cases of elective cesarean section （cesarean section group）. All delivery women did the pelvic floor muscle training 6 weeks after the birth, and the pelvic floor function was assessed before and after the rehabilitation treatment, Results The incidence of vaginal prolapse in cesarean section group was lower than that of the delivery group, and the difference was statistically significant （P 〈 0.05）. The Glazer evaluation indexes of the two groups after the rehabilitation treatment were improved compared with that before treatment, and the difference was of statistical significance （P 〈 0.05）, while the difference was not statistically significant for the Glazer indexes of the two groups after treatment （P 〉 0.05）. Conclusion Cesarean section can effectively reduce the risk of maternal postpartum pelvic floor dysfi.mction. The effect of rehabilitation treatment, which is an effective method of pelvic floor function recovery, is not affected by maternal delivery mode.
出处
《中国实用乡村医生杂志》
2017年第1期53-55,共3页
Chinese Practical Journal of Rural Doctor
关键词
产后
分娩方式
盆底功能
康复治疗
Postpartum
Delivery Mode
Pelvic Floor Function
Rehabilitation Treatment
