Font Size: a A A

The Clinical Significance Of Improving Pelvic Floor Muscles In Different Mode Of Delivery After Physical Rehabilitation Therapy

Posted on:2015-02-27Degree:MasterType:Thesis
Country:ChinaCandidate:S S WangFull Text:PDF
GTID:2284330431496198Subject:Clinical medicine
Abstract/Summary:PDF Full Text Request
Female pelvic floor dysfunction that is a group of pelvic organ prolapse, stressurinary incontinence,and chronic pelvic pain is a high incidence disease of the mainsymptom. It is seriously affecting the women’s health and quality of life, being a widespread concern medical issues and prominent social problems has become awidespread concern about medical issues and prominent social issues. the diseasehas diverse etiology, most scholars agree that pregnancy and childbirth,with relatedfactors are independent risk factors of Female pelvic floor dysfunction, pregnancyand childbirth.s mechanical pressure and change of hormone levels damage pelvicfloor muscle and related support systems, undermining its role in Order of pelvicorgan removal postpartum if not timely and effective recovery of the pelvic floormuscle function, it is easy to form the pelvic floor dysfunction. surgical treatment hasmany shortcomings.non~surgical treatment─electrical stimulation+biofeedback hasbeen widely attention.ObjectiveUsing biofeedback therapy for postpartum muscle strength detected,analyzingthe improving the situation of pelvic floor muscle electrical stimulation+biofeedback. evaluating the therapeutic effect of pelvic floor rehabilitation treatment after maternalpostpartum maternal pelvic floor muscle strength,and thus direct feedback on clinicaland clinical direct guidance.Methods1An object of studySelect the November2012-January20146to8weeks postpartum to review theThird Affiliated Hospital of Zhengzhou University, in line with the study criteriamaternal240cases early enough, the average age (28.42±2.73) years, meangestational age was (39±3.57) weeks, including120cases of vaginal delivery,elective cesarean section120cases.2Research MethodsBy detected by specially trained personnel practices+PHENIX U8throughphysical rehabilitation therapy instrument (Guangzhou Shanshan companies) to detectpelvic floor muscle strength, fatigue, pelvic floor assessment of the dynamic pressureearly postpartum pelvic floor muscle function. Randomly selected vaginal deliveryand elective cesarean section60cases a physical rehabilitation treatment, methods oftreatment using the PHENIX U8physical rehabilitation therapy device electricalstimulation+Kegel exercises combined biofeedback therapy (treatment group), andthe remaining two group of60patients by professionals maternal pelvic floor healtheducation a course of treatment, the method including150to200times the dailyKegel exercises (study group), each group were compared.3Statistical MethodsSPSS17.0statistical software using the data entry and analysis,t test and rank sumtest,as a test to α=0.05leval,Analysis of postpartum pelvic floor muscle function andthe degree of self-repair pelvic floor physical rehabilitation therapy on maternalpelvic floor muscle function to improve the situation, the differences between thedifferent mode of delivery and efficacy. Results1. Two gestational age、height、BMI、birth weight、length,the difference was notstatistically significant (P>0.05).2. Comparing class I and class II muscle fiber’s muscle fiber strength、dynamicpressure、fatigue between elective cesarean section and vaginal delivery,thedifference was not statistically significant (P>0.05).3. Class I and class II muscle fiber’s muscle fiber strength、dynamic pressure、fatigueof elective cesarean section after treatment is better than those before treatment,There was statistically significant(P <0.05).Class I and class II muscle fiber’smuscle fiber strength、dynamic pressure、fatigue of elective cesarean sectionafter education is better than those before education, There was statisticallysignificant(P <0.05).4. Class I and class II muscle fiber’s muscle fiber strength、dynamic pressure、fatigueof vaginal delivery after treatment is better than those before treatment, There wasstatistically significant(P <0.05).Class I and class II muscle fiber’s muscle fiberstrength、dynamic pressure、fatigue of vaginal delivery after education is betterthan those before education, There was statistically significant(P <0.05).5. Class I and class II muscle fiber’s muscle fiber strength、dynamic pressure、fatigueof vaginal delivery after treatment is better than those after treatment, There wasstatistically significant(P <0.05).6. Class I and class II muscle fiber’s muscle fiber strength、dynamic pressure、fatigueof elective cesarean section after treatment is better than those after education,There was statistically significant(P <0.05).7. Comparing the I、II muscle fibers class strength, fatigue, dynamic pressure, thedifference was not statistically significant (P>0.05) between the vaginal deliveryafter cesarean treated and selective treatment group.Type I muscle fibers musclestrength,、 fatigue、 dynamic pressure in the elective cesarean section aftereducation than the vaginal delivery after treatment, the difference was statisticallysignificant(P <0.05),but comparing the II muscle fibers class strength, fatigue,dynamic pressure between the two group,the difference was not statisticallysignificant (P>0.05). Conclutions1.Health education on maternal pelvic floor muscle function recovery is valid,But vaginal delivery early pelvic floor muscle fiber type I muscle recovery was betterthan elective cesarean section is poor.2.Postpartum physical rehabilitation therapy for postpartum pelvic floor musclefunction recovery was effective,can prevent the occurrence of pelvic floordysfunction.
Keywords/Search Tags:pelvic floor dysfunction, biofeedback, different mode of delivery
PDF Full Text Request
Related items