文章摘要
吴君梅.盆底康复锻炼对产妇盆底肌肉肌电活动及盆底功能的影响[J].中国康复,2018,33(2):126-128
盆底康复锻炼对产妇盆底肌肉肌电活动及盆底功能的影响
Effects of postpartum pelvic floor rehabilitation on muscular myoelectric activity and pelvic floor function in maternal pelvic floor muscle
  
DOI:
中文关键词: 产后  盆底康复锻炼  电生理  盆底功能
英文关键词: postpartum  pelvic floor rehabilitation exercise  electrophysiology  pelvic floor function
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作者单位
吴君梅 郑州市妇幼保健院郑州 450000 
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中文摘要:
  目的:探讨产后盆底康复锻炼对盆底肌肉肌电活动、盆底功能的影响。方法:选取140例产妇,根据是否于产后6周接受盆底康复锻炼分为康复组83例(给予生物电刺激+生物反馈治疗)、对照组57例(患者不愿意接受产后盆底功能康复治疗),对比2组产妇产后6周及3个月时的盆底肌电生理指标、盆腔器官脱垂定量(POP-Q)分度。结果:产后6周时,康复组盆底Ⅰ类、Ⅱ类肌纤维的肌电位均值与对照组比较差异无统计学意义;产后3个月,康复组盆底Ⅰ类、Ⅱ类肌纤维的肌电位均值均显著高于对照组(均P<0.05),康复组的盆底Ⅰ类、Ⅱ类肌纤维的疲劳值均显著小于对照组(均P<0.05);产后3个月,康复组的C点距离、D点距离均显著大于对照组(均P<0.05);产后3个月,康复组的PFIQ-7、PISQ-12评分均显著高于对照组(均P<0.05)。结论:产后盆底康复锻炼对盆底肌肉肌电活动、盆底功能恢复具有积极作用。
英文摘要:
  Objective: To explore the effects of postpartum pelvic floor rehabilitation exercise on myoelectric activity and pelvic floor function in pelvic floor muscle. Methods: A total of 140 cases of puerpera in our hospital were collected and divided into the rehabilitation group (83 cases with biological electrical stimulation and biofeedback therapy) and control group (57 cases not willing to accept the postpartum pelvic floor rehabilitation therapy). Pelvic floor electrical physiological indexes and pelvic organ prolapse quantitative index (POP-Q) in the two groups were compared at 6th week and 3rd month postpartum. Results: At 6th week after delivery, there was no significant difference in the mean value of the muscle potential between the pelvic floor type I and type II muscle fiber in the rehabilitation group compared to the control group (P>0.05). At 3rd month after delivery, the mean type I and type II potential of pelvic floor type I and type II muscle fiber in the rehabilitation group was significantly higher than that in the control group, and the difference between the two groups was statistically significant (P<0.05). The fatigue values of the pelvic floor type I and type II muscle fibers in the rehabilitation group were significantly lower than those in the control group, and the difference was statistically significant (P<0.05). After 3 months, the C distance and D distance in the rehabilitation group were significantly greater than those in the control group, and the difference was statistically significant (P<0.05). After 3 months, the scores of PFIQ-7 and PISQ-12 in the rehabilitation group were significantly higher than those in the control group, and the difference was statistically significant (P<0.05). Conclusion: Postpartum pelvic floor rehabilitation exercise has positive effects on pelvic floor muscle myoelectric activity, and pelvic floor function recovery.
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