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| The effect of pelvic floor function rehabilitation on pelvic floor function and vaginal relaxation in parturients with vaginal relaxation |
| Qingdao municipal hospital, Shandong Province, 266011 |
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Abstract Objective: To analyze the improving effect of pelvic floor function rehabilitation on pelvic floor function and vaginal relaxation of parturients. Methods: The clinical data of 100 parturients with vaginal relaxation on the 42th day after delivery were collected from January 2018 to December 2018, which included the control group (parturients were given routine treatment) and the observation group (parturients were given pelvic floor rehabilitation). The clinical efficacy of parturients was compared between the two groups. Results: After treatment, the levels of TGFβ1, IGF1 of parturients in the observation group was significant higher than those of parturients in the control group, and the level of endothelin 1 (ET 1) was significant lower than that of parturients in the control group(P<0.05). The pelvic floor muscle function of parturients in the observation group was significant higher than that of parturients in the control group (P<0.05), which included there were 8 parturients with grade I pelvic floor function, 18 parturients with grade II+III pelvic floor function, 24 parturients with grade IV or V pelvic floor function in the observation group, and there were 18 parturients with grade I pelvic floor function, 20 parturients with grade II+III pelvic floor function, and 11 parturients with grade IV+V pelvic floor function in the control group. There was significant difference in the vaginal relaxation degree of parturients between the two groups (P<0.05), which included 19 parturients with mild vaginal relaxation, 20 parturients with moderate vaginal relaxation, 11 arturients with severe vaginal relaxation in the observation group, and 10 arturients with mild vaginal relaxation, 18 cases of arturients with moderate vaginal relaxation and 22 arturients with severe vaginal relaxation in the control group. With in 6 and 12 months after treatment, the scores of pelvic floor dysfunction (PED I20) of arturients in the observation group were 5.1±1.4 points and 4.3±1.2 points, which were significant lower than those (9.2±4.0 points and 8.9±3.2 points) of arturients in the control group (P<0.05). The total satisfaction of arturients in the observation group was 94.0%, which was significant higher than that (72.0%) of arturients in the control group (P<0.05). Conclusion: Pelvic floor rehabilitation can increase the levels of TGFβ1 and IGF1, reduce the level of ET1, can effectively promote the recovery of pelvic floor muscle strength, alleviate vaginal relaxation and improve the satisfaction of arturients.
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