目的探讨产后盆底康复仪联合盆底肌训练治疗对盆底肌肉张力及盆底功能的影响。方法选取湖南省妇幼保健院收治的130例足月产初产妇作为研究对象,随机分为两组:观察组65例,采用盆底康复治疗仪联合盆底肌训练治疗;对照组65例,采用盆底肌训练治疗。治疗6个月后评价盆底功能康复治疗效果。结果治疗6个月后,两组盆底肌张力评分及尿失禁程度评分差异均具有统计学意义(P<0.01),观察组盆底肌张力评分高于对照组,尿失禁程度评分低于对照组。两组子宫缩复不良、子宫脱垂、痔疮及腰骶痛比较差异具有统计学意义(P<0.01),观察组明显少于对照组;子宫后倾后屈比较差异具有统计学意义(P<0.05),观察组少于对照组;膀胱膨出比较差异无明显统计学意义(P>0.05)。结论盆底康复仪联合盆底肌训练,有利于盆底肌肉张力及盆底功能恢复,能有效降低女性盆底功能障碍性疾病(FPFD)的发生率。

【Objective】To investigate the effect of postpartum pelvic floor rehabilitation combined with pelvic floor muscle training in the treatment of pelvic floor muscle tension,and pelvic floor function.【Methods】The hospital treated 130 cases of full-term nulliparous women as the object of study,Were randomly divided into two groups: 65 cases in observation group,the pelvic floor rehabilitation therapy combined with pelvic floor muscle training therapy; 65 cases in the control group,the treatment of pelvic floor muscle training. To evaluate the efficacy of pelvic floor rehabilitation treatment after 6 months of treatment.【Results】After 6 months of treatment,two groups in the degree of pelvic floor muscle tension score and urinary incontinence score differences were statistically significant(P<0.01),group of pelvic floor muscle tension score were higher than the control group,the degree of urinary incontinence score lower than the control group. Two groups of poor contraction of the uterus,uterine prolapse hemorrhoids and lumbosacral pain,the difference was statistically significant(P<0.01),the observation group was significantly less than that of the control group; uterine retroversion retroflexion the difference was statistically significant(P<0.05),the observation group than control group; cystocele difference was not statistically significant(P>0.05).【Conclusion】Pelvic floor rehabilitation combined with pelvic floor muscle training,is beneficial to the recovery of pelvic floor muscle tension and pelvic floor function,can effectively reduce the female pelvic floor dysfunction(FPFD) incidence.