| 摘要: |
| 目的 应用经会阴超声观察产后盆底功能障碍性患者康复治疗的效果。方法 选择产后盆底功能障碍性患者80例,随机分为康复组(40例)和对照组(40例),对照组患者进行常规健康教育及产后相关保健操锻炼,而康复组患者在产后6周进行为期8周的康复治疗。应用超声对两组患者进行会阴部探查,分别获得产后6周(康复组患者治疗前)和产后14周(康复组治疗结束后)三种状态下(缩肛、静息和瓦氏动作时)盆膈裂孔面积、周长、前后径、左右径的测量值,比较两组各参数之间的差异性。结果 康复组在静息和瓦氏动作时,盆膈裂孔面积、周长、前后径、左右径与对照组比较,均有统计学意义(p＜0.05)；而缩肛时,康复组与对照组盆膈裂孔面积、周长、前后径、左右径各参数比较均未见明显差异(p＞0.05)。结论 产后早期的盆底康复治疗可以缩小盆膈裂孔的径线,促进盆底解剖结构及功能的恢复；会阴超声为临床对产后盆底康复治疗效果的评价提供了可靠依据。 |
| 关键词: 会阴超声 康复治疗 盆膈裂孔 |
| DOI： |
| 投稿时间：2016-11-23修订日期：2017-10-16 |
| 基金项目:深圳市龙岗区科技发展资金项目（YLWS20150515112804137） |
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| Observing the effects of postpartum rehabilitation treatment trough the pelvic diaphragm hiatal by the perineum ultrasound |
| jiangying |
| () |
| Abstract: |
| Objective:To observe the efficacy of rehabilitation treatment in patients who have postpartum pelvic floor dysfunction by the perineum ultrasound. Methods: 80 cases of postpartum pelvic floor dysfunction patients were randomly divided into two equal groups. The control group: given regular heath education and postpartum heath care training. The rehabilitation group: given 8 weeks of rehabilitation care at 6 weeks postpartum. Using the ultrasound to have a perineal examination on the two group patients,then respectively obtain the measured value (including the pelvic hole"s area, perimeter,front and back diameter and the left and right diameter)of 6 weeks postpartum(rehabilitation group patients before treatment)and the 14 weeks postpartum (after the rehabilitation treatment group) ,which were in three different states(shrinkage anal, resting and Valsalva maneuver).Comparing differences between the two sets of parameters. Results:Compared with the control group, in rest and Valsalva maneuver states, the area, perimeter, diameter of the diaphragm, and the diameter of left and right sides of the rehabilitation group were smaller ,which were statistically significant (P< 0.05).However, in the state of shrinkage , the parameters mentioned above between the two groups were no significant difference (P > 0.05). Conclusion:The early postpartum pelvic floor rehabilitation treatment can reduce the diameter line of pelvic diaphragm, enhance the recovery of pelvic anatomy and function. Perineum ultrasound is of great clinical signification and it provides a reliable basis for clinical evaluation of the pelvic floor rehabilitation effects. |
| Key words: The perineum ultrasound Rehabilitation treatment Basin of diaphragmatic hiatus |
