[摘要]目的 探討產(chǎn)后盆底肌訓(xùn)練對(duì)盆底功能的恢復(fù)效果。方法 選取2015年7月16日～2017年6月16日我院收治的400例盆底功能障礙性疾病產(chǎn)婦作為研究對(duì)象，按照抽簽化分組，每組各200例。對(duì)照組采用傳統(tǒng)訓(xùn)練指導(dǎo)，觀察組采用綜合性盆底肌訓(xùn)練，比較兩組患者的盆底功能恢復(fù)情況和不良事件發(fā)生率。結(jié)果 觀察組產(chǎn)婦的盆底Ⅱ類肌纖維疲勞度（-0.01±0.01）%、盆底Ⅰ類肌纖維疲勞度（-0.03±0.01）%、盆腔臟器脫垂（2.00%）、尿失禁發(fā)生率（2.50%）低于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）；盆底Ⅱ類肌纖維肌電壓（8.45±1.35）μV、盆底Ⅰ類肌纖維肌電壓（8.63±1.24）μV、手測(cè)盆底肌力4級(jí)率（78.00%）、手測(cè)盆底肌力5級(jí)率（16.00%）、依從性（99.00%）高于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論 對(duì)產(chǎn)后盆底功能障礙產(chǎn)婦實(shí)施綜合性盆底肌訓(xùn)練，能夠降低尿失禁、盆腔臟器脫垂發(fā)生率，改善肌纖維疲勞度。
　　[關(guān)鍵詞]產(chǎn)后盆底肌訓(xùn)練；Kegel訓(xùn)練法；康復(fù)訓(xùn)練系統(tǒng)治療儀；盆底功能；效果
　　[中圖分類號(hào)] R691.51 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 1674-4721（2018）2（b）-0068-03
　　Effect analysis on the functional recovery of pelvic floor by postpartum pelvic floor muscle training
　　LAI Ting-ting LIANG Gui-ying DU Ai-qi LIU Meng-fei
　　Department of Obstetrics，Sanshui Maternal and Child Health Hospital of Foshan City in Guangdong Province，F(xiàn)oshan 528100，China
　　[Abstract]Objective To explore the recovery effect of postpartum pelvic floor muscle training on pelvic floor function.Methods From July 16，2015 to June 16，2017，400 puerperae with pelvic floor dysfunction in our hospital were evenly divided into two groups by drawing lots，200 cases in each group.The traditional training guidance was applied in control group，and comprehensive pelvic floor muscle training was applied in observation group.The functional recovery of pelvic floor and incidence of adverse events were compared between the two groups.Results In the observation group，the fatigue degree of muscle fiber in grade Ⅱ in pelvic floor was （-0.01±0.01）%，and （-0.03±0.01）% in grade Ⅰ muscle fiber of pelvic floor.The incidence of pelvic organ prolapse （2.00%） and urinary incontinence （2.50%） in the observation group were lower than those in the control group，the difference was statistically significant （P<0.05）.The muscle voltage of grade Ⅰ and Ⅱ muscle fiber of pelvic floor were （8.45±1.35） μV and （8.63±1.24） μV.The rates of muscle strength in levels 4 and 5 by hand checking were 78.00% and 16.00%.The treatment compliance rate was reached 99.00% in the observation group.All these indexes mentioned above were higher than those in the control group，the difference was statistically significant （P<0.05）.Conclusion For puerpera suffering from postpartum pelvic floor dysfunction，implementation of comprehensive pelvic floor muscle training can decrease the incidence of urinary incontinence and pelvic organ prolapse，and improve muscle fiber fatigue.
　　[Key words]Postpartum pelvic floor muscle training；Kegel training method；Therapeutic apparatus of rehabilitation training system；Pelvic floor function；Effect

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