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目的探讨盆底肌肉训练对女性盆底功能障碍性疾病的康复效果及对血清炎症因子血清C反应蛋白(CRP)、白介素-6(IL-6)炎症因子的影响。方法选取2016年1~6月在郑州圣玛妇产科医院住院分娩并患有女性盆底功能障碍性疾病的患者84例,随机分成研究组(n=42)与对照组(n=42),对照组采用健康教育与产后操锻炼,研究组采用法国PHENIX盆底肌肉康复训练器实施盆底肌肉训练,比较分析两组临床疗效、盆底肌力指标、尿失禁康复情况与性生活质量,以及干预前及干预后的血清CRP与IL-6水平的变化。结果研究组治疗总有效率为92.9%,明显高于对照组治疗总有效率为76.2%(P<0.05)。研究组压力检测指标(产妇阴道静息压与盆底收缩压)、Ⅰ类肌纤维指标(持续收缩压与持续时间)、Ⅱ类肌纤维指标(快速收缩压与收缩个数)均明显优于对照组(P<0.05)。治疗前,两组患者尿失禁与性生活质量情况比较无明显差异(P>0.05);经治疗,研究组产后3个月的尿失禁、性生活质量康复效果均显著优于对照组(P<0.05)。治疗前,两组患者CRP和IL-6水平比较无差异(P>0.05);治疗5周末,研究组患者CRP和IL-6水平均显著低于对照组(P<0.05)。结论盆底肌肉训练对女性盆底功能障碍性疾病的康复效果显著,可以有效促进患者盆底肌力及尿失禁康复,也能提高患者性生活质量,降低患者血清炎症因子水平,值得应用及推广。
Objective To investigate the effect of pelvic floor muscle training on female pelvic floor dysfunction and its effect on serum C-reactive protein (CRP) and interleukin-6 (IL-6) inflammatory cytokines. Methods Eighty-four patients with pelvic floor dysfunction and hospitalized women with pelvic floor dysfunction hospitalized in Zhengzhou Mama Obstetrics and Gynecology Hospital from January to June in 2016 were randomly divided into study group (n = 42) and control group (n = 42) , The control group with health education and postpartum exercise training, the study group using the French PHENIX pelvic floor rehabilitation training device pelvic floor muscle training, comparative analysis of two groups of clinical efficacy, pelvic floor muscle strength indicators, urinary incontinence rehabilitation and quality of life, And the changes of serum CRP and IL-6 levels before and after intervention. Results The total effective rate of the study group was 92.9%, significantly higher than the control group, the total effective rate was 76.2% (P <0.05). The indexes of pressure test (maternal vaginal resting pressure and pelvic floor systolic pressure), type I myofibril index (continuous systolic pressure and duration), type II myofibers (fast systolic pressure and systolic pressure) were significantly higher in the study group than in the control group (P <0.05). Before treatment, there was no significant difference between the two groups in urinary incontinence and sex life quality (P> 0.05). After treatment, urinary incontinence and quality of life in 3 months postpartum in study group were significantly better than those in control group (P < 0.05). Before treatment, CRP and IL-6 levels were no difference between the two groups (P> 0.05). After 5 weeks of treatment, CRP and IL-6 levels in the study group were significantly lower than those in the control group (P <0.05). Conclusions Pelvic floor muscle training has a significant effect on rehabilitation of pelvic floor dysfunction in women, which can effectively promote pelvic floor muscle strength and urinary incontinence rehabilitation. It can also improve the quality of life of patients and reduce the level of serum inflammatory cytokines, which is worthy of application and promotion .