摘要
Abstract
Objective To study the influence of cesarean section and vaginal delivery on the pelvic floor function,and to analyze the improvement effect of postpartum pelvic floor electromyography stimulation. Methods 300 women were divided into cesarean section group (n=150) and vaginal delivery group (n=150) according to the mode of delivery,then the difference of incidence of pelvic floor dysfunction disease (PFD) among the two groups were compared,and the differences of the pelvic floor muscle strength and serum levels of RLX,collagen content in the pelvic floor connective tissue between the two groups in the 42 days after delivery were also compared.The women who pelvic floor muscle strength less than 3 level were selected for the treatment of postpartum pelvic floor electromyography stimulation rehabilitation,and the differences of the pelvic floor muscle strength before and after treatment were also compared. Results The incidence of pelvic organ prolapse (POP) and PFD,damage rate of pelvic floor muscle strength of cesarean section group were all less than those of vaginal delivery group.The grade of vaginal cross-sectional muscle strength of cesarean section group was higher than that of vaginal delivery group.The muscle voltage of Ⅰ , Ⅱclass of pelvic floor muscle fibers of cesarean section group were higher than those of vaginal delivery group,while the fatigue degree were lower than that of vaginal delivery group.The serum levels of RLX of cesarean section group was lower than that of vaginal delivery group,and collagen content of cesarean section group was higher than that of vaginal delivery group.The difference between the two groups was statistically significant (P<0.05).After the treatment of postpartum pelvic floor electromyography stimulation rehabilitation,the grade of vaginal cross-sectional muscle strength and the muscle voltage ofⅠ,Ⅱclass of pelvic floor muscle fibers of both cesarean section group and vaginal delivery group were all higher than before treatment,while the serum levels of RLX were lower than before treatment,the difference of before and after treatment was statistically significant (P < 0.05). Conclusion Compared with natural labor,the damage to the pelvic floor function caused by cesarean section is smaller,and postpartum pelvic floor electromyography stimulation can effectively improve the pelvic floor function of patients with PFD.关键词
盆底功能/盆底肌电刺激康复治疗/剖宫产/顺产Key words
Pelvic floor function/Postpartum pelvic floor electromyography stimulation/Cesarean section/Vaginal delivery分类
医药卫生
