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盆底功能康复对阴道松弛产妇盆底肌功能、阴道松弛度改善 预览

The effect of pelvic floor function rehabilitation on pelvic floor function and vaginal relaxation in parturients with vaginal relaxation
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摘要 目的:分析盆底康复对阴道松弛产妇盆底肌功能、阴道松弛度的改善作用。方法:收集本院2018年1月—2018年12月收治的产后42d阴道松弛产妇100例临床资料,常规治疗为对照组,盆底康复治疗为观察组,分析治疗临床疗效。结果:治疗后观察组外周血转化生长因子β1(TGFβ1)、胰岛素样生长因子1(IGF 1)水平高于对照组,内皮素1(ET 1)水平低于对照组(P<0.05);盆底肌功能观察组I级8例、II+III级18例、IV+V级24例,对照组I级18例、II+III级20例、IV+V级11例,观察组高于对照组(P<0.05);阴道松弛度观察组轻度19例、中度20例、重度11例,对照组轻度10例、中度18例、重度22例,观察组低于对照组(P<0.05)。治疗后6、12个月盆底功能障碍(PEDI 20)评分观察组(5.1±1.4分、4.3±1.2)低于对照组(9.2±4.0分、8.9±3.2分)(P<0.05)。观察组总满意度(94.0%)高于对照组(72.0%)(P<0.05)。结论:盆底康复治疗可提高阴道松弛产妇TGFβ1、IGF 1水平,降低ET 1水平,有效促进盆底肌力恢复,减轻阴道松弛度,提升患者满意度。 Objective:To analyze the improving effect of pelvic floor function rehabilitation on pelvic floor function and vaginal relaxation of parturients.Methods:The clinical data of 100 parturients with vaginal relaxation on the 42th day after delivery were collected from January 2018 to December 2018,which included the control group(parturients were given routine treatment)and the observation group(parturients were given pelvic floor rehabilitation).The clinical efficacy of parturients was compared between the two groups.Results:After treatment,the levels of TGFβ1,IGF1 of parturients in the observation group was significant higher than those of parturients in the control group,and the level of endothelin 1(ET 1)was significant lower than that of parturients in the control group(P<0.05).The pelvic floor muscle function of parturients in the observation group was significant higher than that of parturients in the control group(P<0.05),which included there were 8 parturients with grade I pelvic floor function,18 parturients with grade II+III pelvic floor function,24 parturients with grade IV or V pelvic floor function in the observation group,and there were 18 parturients with grade I pelvic floor function,20 parturients with grade II+III pelvic floor function,and 11 parturients with grade IV+V pelvic floor function in the control group.There was significant difference in the vaginal relaxation degree of parturients between the two groups(P<0.05),which included 19 parturients with mild vaginal relaxation,20 parturients with moderate vaginal relaxation,11 arturients with severe vaginal relaxation in the observation group,and 10 arturients with mild vaginal relaxation,18 cases of arturients with moderate vaginal relaxation and 22 arturients with severe vaginal relaxation in the control group.With in 6 and 12 months after treatment,the scores of pelvic floor dysfunction(PED I20)of arturients in the observation group were 5.1±1.4 points and 4.3±1.2 points,which were significant lower than those(9.2±4.0 points and 8.9±3.2
作者 李杏 王玉晨 王玉杰 LI Xing;WANG Yuchen;WANG Yujie(Qingdao municipal hospital,Shandong Province,266011)
机构地区 青岛市市立医院
出处 《中国计划生育学杂志》 2019年第9期1239-1242,共4页 Chinese Journal of Family Planning
关键词 阴道松弛产妇 盆底康复 盆底肌功能 满意度 Parturients with vaginal relaxation Pelvic floor rehabilitation Pelvic floor muscle function Satisfaction
作者简介 通信作者:王玉杰,yujie7593@163.com。
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