中国实用妇科与产科杂志2025，Vol.41Issue(2)：245-248,4.DOI:10.19538/j.fk2025020119
两种盆底康复治疗模式对产后盆底肌功能修复的疗效比较
Comparison of the efficacy of two treatment modes of pelvic floor rehabilitation on postpartum pelvic floor muscle function repair
摘要
Abstract
Objective To observe the effect of two different modes of pelvic floor rehabilitation(in hospital and at home)on the repair of postpartum pelvic floor muscle function.Methods A total of 78 women with reduction in postpartum pelvic floor muscle function admitted to Zhuhai People's Hospital from November 2023 to October 2024 were selected as the research subjects.According to the wishes of the subjects,they were divided into control group(n=26)and experimental group(n=52)according to the 1∶2 matching ratio.Both groups received biofeedback electrical stimulation combined with Kegel exercise therapy.The control group underwent routine in-hospital pelvic floor rehabilitation,while the experimental group followed a home-based rehabilitation program.The changes in myoelectric assessment of the surface of the pelvic floor,the changes in muscle strength grading of pelvic floor type Ⅰ and type Ⅱmuscle fibers,the improvement in POP-Q score and the overall satisfaction after treatment were compared between the two groups before and after treatment.Results In the experimental group the myoelectric potential in the rapid contraction stage and the tension contraction stage was significantly higher than before treatment(P＜0.05),and the treatment effect was equivalent to that of the control group(P＞0.05).After treatment,the pelvic floor muscle strength classification of type Ⅰ and type Ⅱ muscle fibers in the experimental group was significantly improved compared with that before treatment(P＜0.05),and the classification of the experimental group was not significantly different from that of the control group(P＞0.05).After treatment,the scores of each point in the experimental group were significantly lower than those before treatment(P＜0.05),which were not inferior to the control group.The experimental group had a higher proportion of"being very satisfied",but there was no significant difference in overall satisfaction between the two groups(P＞0.05).Conclusion Home-based rehabilitation effectively restores postpartum pelvic floor muscle function,yielding results comparable to in-hospital rehabilitation,which is worthy of clinical application.关键词
盆底功能障碍/产后盆底肌功能下降/居家盆底康复治疗模式/院内盆底康复治疗模式/盆底肌力Key words
pelvic floor dysfunction/reduction in postpartum pelvic floor muscle function/home-based pelvic floor rehabilitation mode/in-hospital pelvic floor rehabilitation mode/pelvic floor muscle strength分类
医药卫生引用本文复制引用
蔡雨静,周锶琦,刘祺芳,徐小艳,刘木彪..两种盆底康复治疗模式对产后盆底肌功能修复的疗效比较[J].中国实用妇科与产科杂志,2025,41(2):245-248,4.基金项目
2023年度广东省基础与应用基础研究基金企业联合基金(公共卫生与医药健康领域)重点项目(2023B1515230010) （公共卫生与医药健康领域）
