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目的探讨产后早期盆底肌力训练的临床效果。方法本研究于2011年2月至2012年8月对住院分娩的初产妇实施早期盆底肌力训练,并与仅进行产后常规健康指导的对照组进行盆底肌张力评分、产后尿失禁的发生率及性生活频率比较。结果在产后12周研究组产妇的盆底肌张力强度评分及产后尿失禁发生率与本组产后6周及同期对照组相比较均有明显差异,且差异具有统计学意义(χ2/t=4.56、3.86、3.95、3.45,P<0.05)。研究组产妇在治疗后其性生活频度较治疗前和同期的对照组明显提高,且差异具有统计学意义(χ2=84.81、92.25、60.88、78.78,P<0.05)。结论产后早期进行盆底肌力训练可以有效提高盆底肌张力强度,降低产后压力性尿失禁发生率,进而能有效促进产后女性性功能的恢复,从而改善产妇的生活质量。
Objective To investigate the clinical effect of pelvic floor muscle training in early postpartum period. Methods In this study, early pelvic floor muscle training was performed in primipara from inpatient delivery from February 2011 to August 2012, and pelvic floor muscle tension score and postpartum urinary incontinence were compared with those in the control group who were only given routine postnatal health guidance Rate and frequency of sexual life comparison. Results The postpartum 12 weeks postpartum maternal pelvic floor muscle tone strength score and the incidence of postpartum urinary incontinence in this group 6 weeks after delivery and the control group were significantly different, and the difference was statistically significant (χ2 / t = 4.56 , 3.86,3.95,3.45, P <0.05). The frequency of their maternal life in the study group was significantly higher than that of the control group before and after treatment (χ2 = 84.81,92.25,60.88,78.78, P <0.05). Conclusion Pelvic floor muscle strength training at the early postnatal period can effectively improve pelvic floor muscle tone strength, reduce the incidence of postpartum stress urinary incontinence, and then can effectively promote the recovery of postpartum female sexual function so as to improve the quality of life of the pregnant women.