孕中期盆底肌肉锻炼计划对围生期结局及产后尿失禁的影响

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摘要目的探讨孕中期盆底肌肉锻炼计划对围生期结局及产后尿失禁的影响。方法回顾性分析2017年1月~2018年1月于海口市妇幼保健院分娩的98例产妇的临床资料，根据其开始盆底肌肉锻炼的时间分为对照组（49例）和观察组（49例），分别于产后7 d与孕20周开始行盆底肌肉锻炼。比较两组产妇产程时间、分娩结局、产后子宫脱垂、压力性尿失禁情况及盆底肌力、阴道肌力[阴道静息压（VRP）、阴道收缩压（VSP）]、盆底功能障碍调查表（PFDI-20）和盆底障碍影响问卷（PFIQ-7）评分。结果观察组第一、二、三产程均短于对照组，剖宫产率低于对照组（P < 0.05）；产后42 d，观察组子宫脱垂、压力性尿失禁发生率，PFDI-20和PFIO-7评分均显著低于对照组（P < 0.05），盆底肌力≥Ⅲ级人数、VRP和VSP均显著高于对照组（P < 0.05）。结论孕中期行盆底肌肉锻炼可以有效缩短产程时间，提高顺产率，有助于恢复盆底和阴道肌力，减少子宫脱垂和压力性尿失禁的发生。

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	韩曼琳林和先▲ 邢少宁

关键词 ：盆底肌肉锻炼, 孕中期, 分娩结局, 产后尿失禁

Abstract：Objective To explore the effect of pelvic floor muscle exercise program on perinatal outcomes and postpartum urinary incontinence during the second trimester of pregnancy. Methods Clinical data of 98 parturients delivered in Haikou Maternal and Child Health Hospital from January 2017 to January 2018 was retrospectively analyzed. According to the time of pelvic floor muscle exercises, they were divided into control group (49 cases) and observation group (49 cases), pelvic floor muscle exercises were performed at 7 days postpartum and 20 weeks postpartum respectively. The duration of labor, delivery outcome, postpartum uterine prolapse, stress urinary incontinence, vagina muscle strength [vaginal resting pressure(VRP) and vaginal systolic pressure(VSP)] and pelvic floor, PFDI-20 and PFIO-7 scores of the two groups were compared. Results The first, second and third stages of labor were shorter than those of the control group, and the number cesarean section rate in the observation group was lower than that in the control group (P < 0.05). At 42 d postpartum, the incidence of uterine prolapse and stress urinary incontinence, scores of PFDI-20 and PFIO-7 in the observation group were significantly lower than those in the control group (P < 0.05), and the number of pelvic floor muscle strength (greater than or equal to Ⅲ grade), VRP and VSP were significantly higher than those in the control group (P < 0.05). Conclusion Pelvic floor muscle exercise during the second trimester of pregnancy can effectively shorten the duration of labor, improve the birth rate, help to restore pelvic floor, vaginal muscle strength, and reduce the occurrence of uterine prolapse and stress urinary incontinence.

Key words： Pelvic floor muscle training Mid-pregnancy Delivery outcome Postpartum urinary incontinence

基金资助:海南省医药卫生科技计划项目（16A200137）。

通讯作者: ▲通讯作者

引用本文:

韩曼琳林和先▲ 邢少宁. 孕中期盆底肌肉锻炼计划对围生期结局及产后尿失禁的影响[J]. 中国医药导报, 2019, 16(18): 90-93.
HAN Manlin LIN Hexian▲ XING Shaoning. Effect of maternal pelvic floor muscle training plan on perinatal outcomes and postpartum urinary incontinence. 中国医药导报, 2019, 16(18): 90-93.

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http://www.yiyaodaobao.com.cn/CN/ 或 http://www.yiyaodaobao.com.cn/CN/Y2019/V16/I18/90

[1] Garc?觔A-S?觔 nE，Rubio-Arias JA，?魨vila-Gand?魨-a V，et al. Effectiveness of pelvic floor muscle training in treating urinary incontinence in women：A current review [J]. Actas Urol Esp，2016，40（5）：271-278.
[2] 陈琴.盆底肌肉功能锻炼治疗女性压力性尿失禁的分析[J].世界最新医学信息文摘，2017，12（37）：23-26.
[3] 刘景超，朱兰.盆底肌肉锻炼（PFMT）在女性压力性尿失禁中的应用进展[J].现代妇产科进展，2018，5（1）：68-71.
[4] Farzinmehr A，Moezy A，Koohpayehzadeh J，et al. A comparative study of whole body vibration training and pelvic floor muscle training on women′s stress urinary incontinence：three- month follow- up [J]. J Family Reprod Health，2015，9（4）：147-154.
[5] 王雪格，刘会范，张道秀，等.女性压力性尿失禁患者盆底肌锻炼方案的构建与实证研究[J].护理学杂志，2016， 31（18）：30-32.
[6] 张芙萍.盆底肌肉锻炼对分娩后产妇尿失禁发生风险及肛门功能的影响[J].结直肠肛门外科，2016，12（2）：171-173.
[7] Orhan C，Akbayrak T，?魻zgül S，et al. Effects of vaginal tampon training added to pelvic floor muscle training in women with stress urinary incontinence：randomized controlled trial [J]. Int Urogynecol J，2018，12（7）：1-11.
[8] 皮周凯，张盘德，周惠嫦，等.阴道压力反馈盆底肌抗阻肌力训练治疗女性压力性尿失禁的疗效观察[J].中国康复理论与实践，2016，22（2）：194-197.
[9] 陆佳红，肖韵悦，张薏，等.电刺激生物反馈疗法联合盆底肌肉功能锻炼康复治疗盆底功能障碍性疾病的临床研究[J].现代妇产科进展，2017，26（2）：133-135.
[10] Fitz FF，Stüpp L，Costa TFD，et al. Outpatient biofeedback in addition to home pelvic floor muscle training for stress urinary incontinence：a randomized controlled trial [J]. Neurourol Urodyn，2017，36（8）：452-455.
[11] 李宁，赵丹，任小红.盆底肌康复训练预防和治疗产后尿失禁的研究进展[J].护理研究，2016，30（31）：3844-3848.
[12] Dornowski M，Sawicki P，Wilczyńska D，et al. Six-week pelvic floor muscle activity （semg） training in pregnant women as prevention of stress urinary incontinence [J]. Med Sci Monit，2018，24（5）：5653-5659.
[13] Beyar N，Groutz A. Pelvic floor muscle training for female stress urinary incontinence：Five years outcomes [J]. Neurourol Urodyn，2015，36（1）：132-135.
[14] Oliveira M，Ferreira M，Azevedo MJ，et al. Pelvic floor muscle training protocol for stress urinary incontinence in women：A systematic review [J]. Rev Assoc Med Bras，2017，63（7）：642-645.
[15] 王秀芳，赵国华，郭玲.生物反馈治疗对压力性尿失禁患者盆底肌力及尿动力学的影响研究[J].中国性科学，2015，24（6）：37-40.
[16] Serati M，Braga A，Di DM，et al. Benefit of pelvic floor muscle therapy in improving sexual function in women with stress urinary incontinence：a pretest-posttest intervention study [J]. J Sex Marital Ther，2015，41（3）：254-261.
[17] Gallo ML，Staskin DR. Cues to action：pelvic floor muscle exercise compliance in women with stress urinary incontinence [J]. Neurourol Urodyn，2015，16（3）：167-177.
[18] Ong TA，Khong SY，Ng KL，et al. Using the vibrance kegel device with pelvic floor muscle exercise for stress urinary incontinence：a randomized controlled pilot study [J]. Urology，2015，86（3）：487-491.
[19] 朱惠欢，陈海燕.产后盆底功能障碍女性应用三维超声评估盆底功能康复治疗效果分析[J].中国医学创新，2018， 15（8）：58-61.
[20] 宋玉莹，周燕飞，谭快玲，等.盆底康复治疗联合中药对女性压力性尿失禁的疗效分析[J].中国妇幼保健，2016， 31（8）：1589-1591.