摘要
Abstract
Objective To investigate the effects of postpartum pelvic floor rehabilitation at different times on urinary incontinence and sexual lifequality.Methods 452 singleton full-term primiparae were collected.Using random number table method,they were divided into a control group (n=150),a postpartum 7 days group (n=151),and a postpartum 42 days group (n=151).The control group was given routine postpartum health education;in addition,the postpartum 7 days group was given pelvic floor rehabilitation 7 days after delivery and the postpartum 42days group 42 days with low-frequency neuromuscular stimulation therapy and biofeedback therapy.The occurrence of UI,the improvement of type Ⅰ and Ⅱ muscle fibers and sexual life quality 3 and 12 months after treatment were compared among the three groups.Results 3 and 12 months after treatment,the incidences of postpartum UI were 5.3％ and 2.0％ in the postpartum 7 days group,were 15.2％ and 10.6％ in the postpartum 42 days group,and were 25.3％ and 20.0％ in the control group (P ＜ 0.05).The strength of type Ⅰand Ⅱ muscle fibers was significantly higher in the the postpartum 7 days group and the postpartum 42 days group than in control group (P ＜ 0.05).The incidence of UI was significantly lower in the postpartum 7 days group than in the postpartum 42 days group (P ＜ 0.05).The strength of type Ⅰ and Ⅱ muscle fibers was significantly higher in the postpartum 7 days group than in postpartum 42 days group (P ＜ 0.05).The scores of postpartum anxiety,communication,body image,sexual attitudes,sexual response,sexual satisfaction were improved significantly more in the postpartum 7 days group and the postpartum 42 days group than in the control group (P ＜ 0.05)and more in the postpartum 7 days group than in the postpartum 42 days group (P ＜ 0.05).Conclusions Early pelvic floor rehabilitation treatment can effectively improve postpartum pelvic floor type Ⅰ and Ⅱ muscle strength,reduce the incidence of UI,and improve the postpartum sexual life quality.Pelvic floor rehabilitation treatment 7 days after delivery is significantly more effective,so it is worth being clinically generalized.关键词
产后盆底康复治疗/尿失禁/性生活质量Key words
Postpartum pelvic floor rehabilitation/Urinary incontinence/Sexual life quality
