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目的探讨盆底肌肉锻炼(pelvic floor muscle training,PFMT)对产后盆底功能的影响。方法选取154例孕妇随机分为训练组和对照组,分别于产前、产后6～8周及产后3个月对压力性尿失禁(stress urinary incontinence,SUI)的发生率进行研究。结果训练组产后6～8周与产后3个月SUI发病率比较,差异有统计学意义(P<0.05);产后3个月训练组较对照组SUI发病率低,有显著差异(P<0.01)。结论妊娠和分娩对盆底功能有一定的损伤,产后盆底功能有一定的康复趋势,产后进行PFMT可以有效防治妇女产后SUI的发生及发展。
Objective To investigate the effect of pelvic floor muscle training (PFMT) on postpartum pelvic floor function. Methods 154 pregnant women were randomly divided into training group and control group. The incidence of stress urinary incontinence (SUI) was studied in prenatal period, postnatal period of 6-8 weeks and postpartum period of 3 months. Results The incidence of SUI in training group was significantly lower than that in control group (P <0.01) at 6-8 weeks postpartum and 3 months postpartum (P <0.05) ). Conclusions Pregnancy and childbirth may cause pelvic floor function to some extent. Postpartum pelvic floor function has certain rehabilitation trend. Postpartum PFMT can effectively prevent and treat the occurrence and development of postpartum SUI in women.