摘要
目的研究物理疗法对产后盆底功能障碍患者康复效果及盆底肌力的影响。方法选择101例产后盆底功能障碍患者进行本次研究,按照随机数表法分为对照组(51例)和研究组(50例)。对照组采用盆底肌功能锻炼,研究组在对照组基础上采用物理疗法。对比两组治疗疗效、康复指标、盆底肌力改善程度、数字疼痛评分法(NRS)评分、盆底肌力评分、盆腔器官脱垂程度、不良反应发生率。结果与对照组的78.43%相比,研究组总有效率94.00%更高(P<0.05)。与对照组的(1829.70±150.89)min、(118.90±8.06)min、(16.80±2.71)d相比,研究组首次肛门排气时间(1229.47±138.28)min、自行排尿时间(90.98±12.56)min、住院时间(8.50±1.08)d更短(P<0.05)。治疗3、6、12个月后,与对照组相比,研究组盆底肌力改善程度更显著(P<0.05)。两组治疗后NRS评分较治疗前降低、盆底肌力评分较治疗前升高(P<0.05);与对照组的(3.21±0.92)、(2.07±0.15)分相比,研究组治疗后NRS评分(1.26±0.30)分更低,盆底肌力评分(3.80±0.80)分更高(P<0.05)。与对照组相比,研究组治疗后盆腔器官脱垂程度更优(P<0.05)。不良反应发生率,与对照组的19.61%相比,研究组6.00%更低(P<0.05)。结论物理疗法对产后盆底功能障碍患者的康复效果显著,能够有效改善患者的盆底肌功能,改善盆腔器官脱垂,促进盆底康复,安全性高。
Objective To study the effect of physical therapy on rehabilitation and pelvic floor muscle strength of patients with postpartum pelvic floor dysfunction.Methods 101 patients with postpartum pelvic floor dysfunction were selected for this study,and they were divide into a control group(51 cases)and a study group(50 cases)according to the random number table method.The control group received pelvic floor muscle function exercise,and the study group received physical therapy based on the control group.Both groups were compared in terms of treatment efficacy,rehabilitation indicators,improvement of pelvic floor muscle strength,numerical rating scale(NRS)score,pelvic floor muscle strength score,degree of pelvic organ prolapse,and incidence of adverse reactions.Results Compared with 78.43%in the control group,the total effective rate in the study group was higher at 94.00%(P<0.05).In the study group,the time of first anal exhaust was(1229.47±138.28)min,the time of spontaneous urination was(90.98±12.56)min,and the time of hospitalization was(8.50±1.08)d,which were shorter than(1829.70±150.89)min,(118.90±8.06)min,and(16.80±2.71)d in the control group(P<0.05).After 3,6 and 12 months of treatment,the improvement of pelvic floor muscle strength in the study group was more significant than that in the control group(P<0.05).After treatment,NRS score was lower than that before treatment,and the pelvic floor muscle strength score was higher than that before treatment(P<0.05).Compared with(3.21±0.92)and(2.07±0.15)points in the control group,the study group had a lower NRS score of(1.26±0.30)points and a higher pelvic floor muscle strength score of(3.80±0.80)points after treatment(P<0.05).Compared with the control group,the degree of pelvic organ prolapse was better in the study group after treatment(P<0.05).Adverse reaction incidence rate,compared to 19.61%of the control group,research group 6.00%lower(P<0.05).Conclusion Physical therapy has a significant rehabilitation effect on women postpartum with pelvic floor dysfunction,which can effectively improve the pelvic floor muscle function,improve pelvic organ prolapse,promote pelvic floor rehabilitation,and has high safety.
作者
张逢春
周丽英
ZHANG Feng-chun;ZHOU Li-ying(Obstetrics and Gynecology Department,Xiamen University Affiliated First Hospital Siming Branch Hospital,Xiamen 361000,China)
出处
《中国现代药物应用》
2024年第15期148-151,共4页
Chinese Journal of Modern Drug Application
关键词
物理疗法
产后盆底功能障碍
康复效果
盆底肌力
Physical therapy
Postpartum pelvic floor dysfunction
Rehabilitation effect
Pelvic floor muscle strength
作者简介
通讯作者:周丽英。
