Study on the application of postpartum rehabilitation therapy in improving maternal pelvic floor function
产后康复治疗在改善产妇盆底功能的应用研究

摘要

目的 研究探讨产后康复治疗在改善产妇盆底功能的应用。方法 研究共纳入本院2021年1月-2022年1月186例自然分娩和剖宫产产后6周回院复查的产妇，随机分为常规组和专业康复组，平均每组93例。两组产妇在孕周、年龄、胎次和分娩方式等方面无明显差异。常规组接受产后评估和常规出院指导，而康复组在此基础上增加了盆底肌训练、电刺激疗法和生物反馈法等康复治疗措施。结果 两组随访至产后至12个月显示产后康复组在改善女性盆底肌肉损伤的健康状况、阴道前后壁膨出、子宫脱垂、压力性尿失禁、性功能障碍以及盆底部疼痛的并发症总发生率也显著低于常规组（P<0.05），且FS⁃FI生活质量评分高于常规组（P<0.05）。结论 产后康复治疗能有效改善产后盆底功能障碍产妇的生活质量，减少并发症的发生，对促进产妇的盆底康复具有积极意义。

Abstract

Objective: To study and explore the application of postpartum rehabilitation therapy in improving maternal pelvic floor function.
Methods: A total of 186 pregnant women who returned to the hospital for review 6 weeks after natural delivery and cesarean section from January 2021 to January 2022 were randomly divided into a routine group and a professional rehabilitation group, with an average of 93 cases in each group. There were no significant differences in gestational age, age, parity, and mode of delivery between the two groups. The routine group received postpartum assessment and routine discharge guidance, while the rehabilitation group added rehabilitation treatment measures such as pelvic floor muscle training, electrical stimulation therapy, and biofeedback method on this basis.
Results: Follow-up of the two groups up to 12 months after delivery showed that the total incidence of complications such as health status improvement of pelvic floor muscle injury, anterior and posterior vaginal prolapse, uterine prolapse, stress urinary incontinence, sexual dysfunction, and pelvic floor pain in the postpartum rehabilitation group was significantly lower than that in the routine group (P<0.05), and the FS⁃FI quality of life score was higher than that in the routine group (P<0.05).
Conclusion  : Postpartum rehabilitation therapy can effectively improve the quality of life of postpartum women with pelvic floor dysfunction and reduce the incidence of complications. It is of positive significance for promoting pelvic floor rehabilitation of pregnant women.