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目的:探讨产后早期行盆底肌功能锻炼治疗女性产后尿失禁的临床疗效。方法:选择159例初产妇为观察对象,采用完全随机的方法将其分为两组,观察组74例,产后早期行盆底肌功能锻炼,对照组85例,产后进行产科常规健康指导,两组患者产后6周及12周进行随访,评价盆底肌张力评分及产后尿失禁的发生率。结果:两组6周时两项指标比较无统计学差异;12周时观察组较6周时比较,尿失禁发生率降低,盆底肌张力强度评分增加(P<0.01);12周时对照组较6周时比较,两项指标无统计学差异。12周时观察组盆底肌张力强度评分明显高于对照组(P<0.05),PPUI的发生率也较对照组低(P<0.05)。结论:临床医师应鼓励孕妇在产后早期行盆底肌功能锻炼,减少术后尿失禁的比率,提高远期生活质量。
Objective: To investigate the clinical effect of postpartum pelvic floor muscle exercise on postpartum urinary incontinence. Methods: 159 cases of primiparous women were selected as the observation object, and randomly divided into two groups. The observation group was 74 cases. The pelvic floor muscle function was exercised in the early postnatal period. The control group received 85 cases of postpartum general obstetric health guidance. Two The patients were followed up for 6 weeks and 12 weeks postpartum to evaluate pelvic floor muscle tone score and the incidence of postpartum urinary incontinence. Results: There was no significant difference between the two groups at 6 weeks. At 12 weeks, the incidence of urinary incontinence and pelvic floor muscle strength increased significantly in observation group compared with 6 weeks (P <0.01) Compared with 6 weeks, there was no significant difference between the two indexes. At 12 weeks, the strength of pelvic floor muscle in observation group was significantly higher than that in control group (P <0.05), and the incidence of PPUI was lower than that in control group (P <0.05). Conclusion: Clinicians should encourage pregnant women to exercise their pelvic floor muscle during the early postnatal period, reduce the rate of postoperative urinary incontinence and improve long-term quality of life.