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目的分析产后盆底肌群康复训练对初产妇顺产后尿失禁的防治效果。方法从该院2015年11月—2016年11月接收治疗的初产妇顺产后尿失禁患者中,随机抽取100例并平均分作甲乙两组,每组50例。甲组采取常规药物治疗,乙组则在产后第四周开展盆底肌群康复训练,对比两组患者的临床疗效。结果①治疗前两组患者盆底肌肉功能分级比较差异无统计学意义(P>0.05),治疗2个月后乙组患者的盆底肌肉功能分级情况明显优于甲组,两组对比差异有统计学意义(P<0.05)。②治疗前两组的尿道功能指标比较,差异无统计学意义(P>0.05),治疗2个月后乙组患者的尿道功能指标变化情况优于甲组,两组对比差异有统计学意义(P<0.05)。结论对初产妇阴道自然分娩后尿失禁患者积极实施产后盆底肌群康复训练,能够显著提升其盆底肌收缩功能,改善尿道功能各项指标水平,促进患者盆底功能尽快恢复。
Objective To analyze the preventive and therapeutic effects of postpartum pelvic floor muscle rehabilitation training on primiparous postpartum urinary incontinence. Methods From November 2015 to November 2016 in the hospital primiparae of postpartum patients with postpartum urinary incontinence, 100 patients were randomly selected and divided equally into two groups, 50 cases in each group. Group A to take conventional drug treatment, Group B in the fourth week postpartum pelvic floor muscle rehabilitation training, compared the clinical efficacy of two groups of patients. Results ① There was no significant difference in pelvic floor muscle function classification between the two groups before treatment (P> 0.05). After 2 months of treatment, pelvic floor muscle function classification of group B was obviously better than that of group A. There was significant difference between the two groups Statistical significance (P <0.05). (2) There was no significant difference in urethral function indexes between the two groups before treatment (P> 0.05). The changes of urethral function indexes in group B were better than group A after 2 months of treatment, the difference was statistically significant P <0.05). Conclusions The postpartum pelvic floor muscle rehabilitation training for postpartum spontaneous vaginal incontinence patients in vaginal delivery of primiparous women can significantly improve the contractile function of pelvic floor muscles and improve the indexes of urethral function and promote the recovery of pelvic floor function of patients as soon as possible.