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产后妇女盆底康复的健康管理策略
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Abstract:
女性盆底功能障碍性疾病是指盆底支持组织由于阴道分娩产生的损伤及绝经后退化等因素导致的盆底支持系统薄弱，使患者出现压力性尿失禁、盆腔器官脱垂、慢性盆腔痛、性功能障碍等现象，产后盆底功能障碍作为产科常见并发症，迁延不愈，严重影响患者的生活质量，现有多种非手术干预产后康复治疗方法可以针对性地刺激盆底肌肉，恢复其功能，但各种方法的安全性、有效性、患者依从性及实际应用效果仍需要深入研究。因此，本文综述了目前常见的几种非手术干预疗法，总结了其对产后盆底康复的效果及临床意义，探讨最利于产后妇女盆底康复的管理策略，降低产后妇女发生盆底功能障碍性疾病的概率，保证远期生活质量。
Female pelvic floor dysfunction (PFD) refers to the weakened support system of the pelvic floor caused by vaginal delivery or postmenopausal degeneration, leading to conditions such as stress urinary incontinence, pelvic organ prolapse, chronic pelvic pain, sexual dysfunction. As a common obstetric complication, postpartum pelvic floor dysfunction persists and significantly impacts pa-tients’ quality of life. Various non-surgical rehabilitation methods aim to stimulate the pelvic floor muscles and restore their function; however, further research is needed regarding their safety, ef-fectiveness, patient compliance, and practical application effects. Therefore, this paper reviewed several commonly used non-surgical intervention therapies for postpartum women’s pelvic floor rehabilitation in clinic. We summarized their effects and clinical significance while exploring opti-mal management strategies that can benefit postpartum women’s long-term quality of life by re-ducing the likelihood of developing pelvic floor dysfunction.
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