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初产妇产后盆底功能锻炼对盆腔器官脱垂影响的临床研究

李引弟 雷侠 晋雅凌 王娟 张利平

中国妇幼健康研究2016,Vol.27Issue(11):1384-1387,4.
中国妇幼健康研究2016,Vol.27Issue(11):1384-1387,4.DOI:10.3969/j.issn.1673-5293.2016.11.030

初产妇产后盆底功能锻炼对盆腔器官脱垂影响的临床研究

Effect of postpartum pelvic floor muscle training on pelvic organ prolapse in primiparous women

李引弟 1雷侠 1晋雅凌 2王娟 1张利平1

作者信息

  • 1. 延安大学附属医院,陕西延安716000
  • 2. 陕西省第四人民医院产科,陕西西安,710000
  • 折叠

摘要

Abstract

Objective To evaluate the effect of pelvic floor muscle training ( PFMT) on prevention and treatment of stage and symptoms of pelvic organ prolapse ( POP) in primiparous postpartum women .Methods A total of 189 primiparous postpartum women were randomly divided into experimental group and control group .Patients in the experimental group participated in a 4-month PFMT starting at 6-8 week after delivery, and those in the control group were not treated .Results No significant differences were found in the POP stage (χ2 =2.372, P=0.640), pelvic organ prolapse quantitation (POP-Q) site (P>0.05) and bladder neck position (P>0.05) at baseline (6 week after delivery) between the experimental group and the control group .No significant change was found between two groups in relative risk of being diagnosed with POP-Q stage II at 6 week and 6 month after delivery (χ2 =2.204, P=0.533;χ2 =2.407,P=0.326).Number of women with symptoms of bulging inside vagina was significantly higher in the control group compared to the PFMT group at 6 month after delivery (χ2 =25.69, P =0.001).Conclusion Postpartum PFMT has no effect on POP in primiparous women.More randomized controlled trials are needed before strong conclusions can be drawn on the effect of PFMT on POP in particular population .

关键词

盆腔器官脱垂/盆底功能锻炼/初产妇/产后

Key words

pelvic organ prolapse ( POP)/pelvic floor muscle training (PFMT)/primiparous women/postpartum

分类

医药卫生

引用本文复制引用

李引弟,雷侠,晋雅凌,王娟,张利平..初产妇产后盆底功能锻炼对盆腔器官脱垂影响的临床研究[J].中国妇幼健康研究,2016,27(11):1384-1387,4.

基金项目

陕西省卫生厅科研资助项目,(编号2014-D27)。 ()

中国妇幼健康研究

1673-5293

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