ABSTRACT
Recently, pelvic floor muscle training has become popular not only in health magazines but also in women’s magazines, on television and on social networking services. The pelvic floor muscles are difficult to visually confirm movement of in a clothed situation, making it difficult to get a sense of muscle contraction; and, thus, there are many cases of incorrect training leading to pelvic floor dysfunction, including urinary incontinence and pelvic organ prolapse, and significant reduction of quality of life and healthy life expectancy. Therefore, the ability of instructors to teach appropriate pelvic floor muscle training is an important key to the prevention and improvement of pelvic floor dysfunction. The purpose of this review is to understand the functional anatomy and motor function of the pelvic floor muscles and to disseminate evaluation and training practices for preventing and improving pelvic floor dysfunction such as urinary incontinence and pelvic organ prolapse.
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Objective:To explore the effects of nursing intervention with pregnant body mass management combined with role -based health education on stage of labor, pelvic floor function recovery, psychological status changes, maternal and neonatal outcomes in primiparas. Methods:From March 2019 on, pregnant body mass management combined with role -based health education nursing was implemented in the hospital. On basis of the theory, nursing regimens of pregnant body mass management combined with role-based health education we formulated. During the period from August 2018 to February 2019, 120 primiparas who underwent delivery in the hospital were randomly enrolled as control group. During the period from August 2019 to February 2020, 120 primiparas were randomly enrolled as observation group. The duration of labor stages, postpartum pelvic muscle strength, scores of Hamilton Depression Scale (HAMD) and Hamilton Anxiety Scale (HAMA), and delivery outcomes were compared between the two groups. Results:After nursing, the cesarean section rate was 20.83% (25/120) in observation group and 32.50% (39/120) in control group, there was significant difference between the two groups ( χ 2 value was 4.176, P<0.05). The spending time of ending the first, second and third stage of labor was (517.27±8.95), (48.33±5.62), (10.26±1.63) min in observation group and (537.31±7.92), (57.29±5.58), (18.28±1.61) min in control group, there was significant difference between the two groups ( t values were 18.369, 12.393, 38.347, P<0.001). After nursing, normal rate of pelvic floor muscle strength was 68.33% (82/120) in observation group and 54.17% (65/120) in control group, there was significant difference between the two groups ( χ 2 value was 5.074, P<0.05). After nursing, scores of HAMD and HAMA were (4.43±1.02), (5.56±0.87) points in observation group and (6.09±1.15), (6.88±0.93) points in control group, there was significant difference between the two groups ( t values were 11.830, 11.354, P<0.05). After nursing, adverse outcome rates of primiparas and neonates were 3.33% (4/120) and 5.83% (7/120) in observation group, and 10.00% (12/120), 15.83% (19/120) in control group, there was significant difference between the two groups ( χ 2 values were 4.286, 6.211, P<0.05). Conclusions:Pregnant body mass management combined with role-based health education nursing is conducive to shortening labor stages of primiparas, improving postpartum pelvic floor muscle strength and adverse emotions, and thus reducing the occurrence of maternal and neonatal adverse outcomes.
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OBJECTIVE@#To observe the effect of moxibustion on postpartum urodynamics and recovery of pelvic floor function based on the pelvic floor muscle function training.@*METHODS@#A total of 150 puerperal women were randomly divided into an observation group (75 cases, 15 cases dropped off) and a control group (75 cases, 15 cases dropped off). The control group was treated with pelvic floor muscle function training, twice a day. Based on the treatment in the control group, the observation group was treated with @*RESULTS@#Compared before treatment, the levels of FUL, MUCP, BC, Pdet Qmax and SLPP in the observation group after treatment were increased (@*CONCLUSION@#The moxibustion combined with pelvic floor muscle function training could improve postpartum urodynamics and pelvic floor muscle strength.
Subject(s)
Female , Humans , Exercise Therapy , Moxibustion , Pelvic Floor , Postpartum Period , Urinary Incontinence, Stress , UrodynamicsABSTRACT
Objective To evaluate the value of perineal pelvic ultrasonography in assessing the pelvic floor function of the elderly patients after total hysterectomy.Methods The clinical data of 56 cases of cervical cancer treated by hysterectomy in Zhejiang Taizhou Hospital from June 2014 to June 2017 were retrospectively analyzed.The results of perineal pelvic ultrasonography and various kinds of ultrasound examinations before and after surgery were analyzed.Results Among the 56 patients,31 cases(55.4％) were diagnosed as pelvic floor dysfunction after hysterectomy.Post-operation group versus pre-operation group showed that posterior urethrovesical angle in resting state was[(123.5 ± 9.3) ° vs.(90.4 ± 8.6)°,P ＜ 0.05],posterior urethrovesical angle in the Valsalva movement was [(135.7±13.5)° vs.(109.1±10.5)°,P＜0.05],urethral rotation angle was[(60.8±17.0)° vs.(27.0 ± 12.1) °,P ＜ 0.05],bladder neck descent was [(18.9 ± 8.4) mm vs.(12.5 ± 8.2) mm,P ＜ 0.05],bladder neck-symphyseal distance was[(2.7±0.5)cm vs.(2.2±0.2)cm,P＜0.05],with statistically significant differences in above parameters.Moreover,the statistically significant differences between post-operation group versus pre-operation group were found in detrusor wall thickness[(4.4±0.8)mm vs.(3.8±0.6)mm,P＜0.05],in the degree of bladder neck movement[(0.6±0.1)cm vs.(0.4±0.2) cm,P＜0.05],in the residual urinary volume[(13.1 ± 3.0) ml vs.(4.4 ± 1.3) ml,P＜0.05] and in bladder rotation angle[(12.0 ± 2.7)°vs.(4.3 ± 1.5)°,P＜0.05].Conclusions The incidence of pelvic floor dysfunction is higher after hysterectomy in patients with cervical cancer,and pelvic floor function can be accurately evaluated by perineal pelvic ultrasonography,which is worthy of clinical reference.