Abstract:

Objective  To investigate the clinical effect of sling exercise training(SET) combined with pelvic floor function exercise in the treatment of postpartum pelvic organ prolapse(POP) in primipara.

Methods  A total of 100 primiparas who underwent vaginal delivery for the first time and underwent in physical examination at 42 d after delivery were selected and divided into control group(electric stimulation biofeedback therapy+Kegel exercise, n=50) and experimental group(electric stimulation biofeedback therapy+Kegel exercise+SET, n=50) according to the random number table method. The POP-Q stage, pelvic floor muscle strength grading, transverse abdominis thickness and clinical efficacy were compared between two groups at different time points.

Results  Before the first treatment, there was no significant difference in POP-Q stage and pelvic floor muscle strength between two groups(P＞0.05). Before the 10th treatment and after the 15th treatment, there were significant differences in POP-Q stage and pelvic floor muscle strength between two groups(P＜0.05). The thickness of the transversus abdominis in both groups showed an increasing trend, and the increase of the experimental group was greater than that of the control group; the differences of interaction were statistically significant between groups, time points, and time points between groups(P＜0.05). The clinical efficacy of the two groups was better than that of the control group, and the total effective rate was significantly higher than that of the control group(P＜0.05).

Conclusion  SET combined with pelvic floor function exercise in the treatment of postpartum POP in primipara can effectively improve symptoms, restore pelvic floor muscle strength faster and better, increase the thickness of transverse abdominis, and improve clinical efficacy.

Key words: pelvic organ prolapse, sling exercise training, pelvic floor function exercise