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目的探讨分析盆底肌肉训练联合电刺激对产妇产后盆底肌力及压力性尿失禁的影响。方法选择该院2016年1—11月收治的73名自然分娩产妇,根据产妇治疗意愿不同分为对照组(n=35)与观察组(n=38),对照组只进行盆底肌肉收缩训练,而观察组在对照组的基础上予以电刺激治疗,比较两组产妇盆底肌力改善情况以及压力性尿失禁发生率。结果观察组盆底肌功能恢复总有效率为93.03%,高于对照组71.43%;两组产妇VSP、VRP均较治疗前有所改善,但观察组VSP、VRP值显著优于对照组;观察组发生1例压力性尿失禁,对照组发生5例,其发生率分别为2.63%、14.29%,组间差异有统计学意义。结论自然分娩产妇产后联合进行盆底肌肉训练和电刺激治疗,能够有效地恢复盆底肌功能,同时还可以减少或预防压力性尿失禁发生,对于促进产妇产后康复具有积极的临床意义。
Objective To investigate the effects of pelvic floor muscle training combined with electrical stimulation on postpartum pelvic floor muscle strength and stress urinary incontinence. METHODS: Seventy-three spontaneous labor women in our hospital from January to November 2016 were divided into control group (n = 35) and observation group (n = 38) according to their different treatment intention. The control group received pelvic floor muscle contraction training While the observation group was given electrical stimulation on the basis of the control group. The improvement of pelvic floor muscle strength and incidence of stress urinary incontinence in both groups were compared. Results The total effective rate of pelvic floor muscle function recovery in observation group was 93.03%, which was higher than 71.43% in control group. The VSP and VRP in both groups were improved before treatment, but VSP and VRP in observation group were significantly better than those in control group. One case of stress urinary incontinence occurred in the group, and five cases in the control group, the incidence rates were 2.63% and 14.29% respectively. The differences between the two groups were statistically significant. Conclusions The combination of pelvic floor muscle training and electrical stimulation in postpartum spontaneous labor can restore pelvic floor muscle function effectively and reduce or prevent the occurrence of stress urinary incontinence. It has a positive clinical significance for postpartum rehabilitation.