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目的探讨产后盆底康复时间选择对尿失禁及盆底肌的影响。方法将2016年1月-2017年1月于该院接受产后盆底康复训练的58例产妇作为观察组,同时选取61例于产后6周来院复查产妇作为对照组。对比两组患者的尿失禁阳性率及盆底肌力情况。结果观察组患者在接受盆底康复训练6周后,其尿失禁阳性率下降为了6.90%,与训练前32.76%相比,差异有统计学意义(X~2=12.202,P<0.05);且同时也低于对照组产后6个月的24.59%,差异有统计学意义(P<0.05)。同时在盆底肌力对比方面,观察组产后6个月的Ⅰ类肌纤维肌力明显提高,与该组训练前及对照组相比均差异有统计学意义(t=20.620,P<0.05;t=36.336,P<0.05);在Ⅱ类肌纤维肌力方面,两组产后6个月均高于训练前,且观察组高于对照组,差异有统计学意义(t=2.932,P<0.05;t=18.470,P<0.05;t=18.774,P<0.05)。结论在产后依据产妇的具体状况来采取适当的康复训练措施,对于预防产后尿失禁临床价值显著。
Objective To investigate the effect of postpartum pelvic floor rehabilitation time on urinary incontinence and pelvic floor muscle. Methods 58 cases of postpartum pelvic floor rehabilitation training in our hospital from January 2016 to January 2017 were selected as the observation group. At the same time, 61 cases were selected as the control group after 6 weeks postpartum. Urinary incontinence positive rate and pelvic floor muscle strength were compared between the two groups. Results In the observation group, the positive rate of urinary incontinence decreased to 6.90% after 6 months of pelvic floor rehabilitation training, which was significantly different from that of 32.76% before training (X ~ 2 = 12.202, P <0.05). At the same time, it was also lower than 24.59% of control group 6 months postpartum, the difference was statistically significant (P <0.05). At the same time, in pelvic floor muscle strength comparison, the observation group 6 months postpartum Class I muscle fiber strength was significantly increased, with the group before training and control group were significantly different (t = 20.620, P <0.05; t = 36.336, P <0.05). In the muscle strength of type II myofibers, the postpartum 6 months postpartum in both groups were higher than before training, and the observation group was higher than the control group, the difference was statistically significant (t = 2.932, P <0.05; t = 18.470, P <0.05; t = 18.774, P <0.05). Conclusion Postpartum according to the specific conditions of maternal take appropriate rehabilitation training measures for the prevention of postpartum urinary incontinence clinical value significantly.