Efficacy analysis of pelvic floor exercise on postpartum pelvic floor dysfunction

Objective To analyze and explore the clinical effect of pelvic floor exercise on postpartum pelvic floor dysfunction. Methods 480 patients who were delivered in our hospital from October 2012 to December 2014 and were definitely diagnosed as pelvic floor dysfunction were selected.They were evenly divided into two groups,observation group and control group in random.In observation group,patients were received with pelvic floor exercise 6 weeks after delivery.PHENIX pelvic floor rehabilitation exercise system equipment was applied for biological feedback and electrical stimulation therapy was also used.Meanwhile,guidance of regular pelvic floor exercise was provided.In control group,guidance of regular pelvic floor exercise and health education were supplied.The therapeutic effect between two groups was observed. Results In observation group,there were 226 effective cases in the treatment of pelvic floor muscle strength accounting for 94.17%,76 effective cases on treating uterine prolapse for 90.48%,and 119 effective cases in urinary incontinence accounting for 95.97%.In control group,they were 182(75.83%),53(60.92%),and 84(70.00%) respectively.Effective rates of pelvic floor muscle strength,uterine prolapse,and urinary incontinence in observation group was remarkably higher than that in control group respectively,with significant difference(P0.05).After treatment,in observation group,pelvic floor muscle strength tested by hand was(4.04 ±0.35),pelvic floor Ⅰ and Ⅱ muscle voltage of myofiber were[(8.08±1.56),(8.11±1.51) μV],and fatigue in Ⅰ and Ⅱ pelvic floor myofiber was(-0.02±0.02)% and(0±0.01)% in turn.In control group,after therapy,pelvic floor muscle strength tested by hand was(3.32±0.41).Muscle voltage of myofiber in pelvic floor Ⅰ and Ⅱ was[(5.05±1.24),(5.42±1.33) μV] respectively.Fatigue of myofiber in pelvic floor Ⅰand Ⅱ was(-0.04±0.02)% and(-0.01±0.02)% in turn.In observation group,every index of pelvic floor muscle strength was remarkably superior to that in control group,with significant difference(P0.05). Conclusion Pelvic floor exercise obtains a remarkable effect on improvement of patients with postpartum pelvic floor dysfunction and is also effective on improving urinary incontinence and uterine prolapse,which is worthy of expansion in clinical.