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目的:探讨会阴超声观察康复治疗对产后女性盆底结构的影响。方法:选取2015年4月至2016年4月来慈溪市龙山医院妇保科接受治疗的产后女性盆底患者90例,随机将其分为对照组和观察组分别45例,其中观察组患者产后的第6周于该院制定的产后康复中心行个体化的相关盆底康复治疗,治疗疗程为8周;而对照组患者其产后仅需常规的健康教育以及产后相关的保健操。对比分析两组患者的基线资料和临床症状改善率以及在不同状态时的盆膈裂孔的各个径线以及耻骨直肠肌大小。结果:观察组患者的漏尿与松弛的改善率(88.8%,75.1%)明显较对照组患者(42.9%,40.5%)良好,比较具有统计学意义(P<0.05);且在静息状态时,治疗后观察组患者的盆膈裂孔的各个径线均小于对照组患者,组间比较差异有统计学差异(P<0.05),而耻骨直肠肌却无明显差异(P>0.05);且缩肛时,在治疗后观察组患者的盆膈裂孔的各个径线与对照组比较,无明显变化(P>0.05);治疗后观察组患者的盆膈裂孔的各个径线以及BND均小于对照组患者,组间比较差异有统计学差异(P<0.05)。结论:由会阴超声观察康复治疗以后患者盆底结构的各个参数变化情况,可得出盆膈裂孔与耻骨直肠肌及BND可非常全面地反映其盆底结构及其功能的改变,是评价FPFD康复疗效的较为重要的指标,可为临床提供一定的理论影像依据。
Objective: To investigate the effect of perineal ultrasound on the pelvic floor structure of postpartum women. Methods: From April 2015 to April 2016, 90 cases of postpartum women with pelvic floor were treated by Department of Gynecology and Obstetrics of Longshan Hospital, Cixi City. The patients were randomly divided into control group and observation group, with 45 cases in each group. The postpartum Week 6 in the hospital development of postpartum rehabilitation center individualized pelvic rehabilitation treatment, the course of treatment for 8 weeks; while the control group of patients only need postpartum conventional health education and postpartum related exercises. Baseline data and clinical symptom improvement rates were compared between the two groups of patients as well as the diameter of each of the diaphragmatic hiatus and the size of the puborectalis in different states. Results: The improvement rate of leakage and relaxation in the observation group was significantly higher than that in the control group (88.8%, 75.1%) (42.9%, 40.5%), with statistical significance (P <0.05) (P <0.05), but there was no significant difference in the puborectalis muscle (P> 0.05). Moreover, there was no significant difference between the two groups (P> 0.05) In the process of shrinking anus, there was no significant difference in all diameter lines of the diaphragm fissures in the observation group compared with the control group after treatment (P> 0.05). After treatment, the diameters of the diaphragmatic foramina and the BND in the observation group were smaller than those in the control group There were significant differences between groups (P <0.05). CONCLUSIONS: Percutaneous ultrasound changes of pelvic floor structures after rehabilitation show that the changes of pelvic floor and puborectalis and BND can reflect the structure and function of pelvic floor very well. It is an evaluation of FPFD rehabilitation The more important indicators of efficacy, can provide some theoretical basis for clinical imaging.