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目的探讨盆底康复器训练联合电刺激治疗自然分娩后产妇尿失禁,以减轻产后盆底功能障碍症状的效果。方法选取在我院行自然分娩且产后有不同程度尿失禁的初产妇60人,分为观察组和对照组各30例,观察组采用盆底康复器(阴道亚玲)训练加盆底肌肉电刺激治疗,对照组只进行电刺激治疗,两组均在家中配合Kegel法训练。在治疗前、治疗后3个月对两组的盆底肌肉张力和产后尿失禁发生率进行比较。结果治疗3个月后观察组尿失禁情况明显好转,优于对照组(P<0.05)。结论盆底康复器训练联合电刺激治疗自然分娩后产妇压力性尿失禁效果显著,能提高盆底肌肉张力,促进产后盆底肌肉康复,减少尿失禁发生。
Objective To investigate the effect of pelvic floor rehabilitation combined with electrical stimulation on maternal urinary incontinence after spontaneous delivery to alleviate the symptoms of postpartum pelvic floor dysfunction. Methods Sixty primipara were selected from our hospital for spontaneous labor and postpartum with varying degrees of urinary incontinence. They were divided into observation group and control group with 30 cases in each group. The pelvic floor rehabilitation device (Vagina Yaling) Stimulation treatment, the control group only for electrical stimulation treatment, both groups at home with Kegel training. Before treatment, 3 months after treatment, pelvic floor muscle tension and postpartum urinary incontinence were compared between the two groups. Results After 3 months of treatment, urinary incontinence in observation group was significantly improved, which was better than that in control group (P <0.05). Conclusions Pelvic floor rehabilitation device combined with electrical stimulation is effective in treating stress urinary incontinence after spontaneous delivery. It can increase pelvic floor muscle tension, promote postpartum pelvic floor muscle rehabilitation and reduce urinary incontinence.