探讨产后盆底肌损伤的发展现状及康复治疗的研究进展

陈丽云

福建中医药大学·福建中医药大学附属第二临床医学院，福建 福州 350005

     摘要：随着我国经济社会发展，公众健康需求已从物质保障向精神健康与疾病预防延伸。在人口老龄化与三孩政策实施的双重背景下，女性生殖健康管理面临新挑战。妊娠带来的盆底肌损伤、大小便失禁、慢性盆腔疼痛、子宫脱垂或排便梗阻等问题却容易被忽视。而产后 6 个月内是盆底功能恢复的关键窗口期，所以产后进行适当的、有针对性的产后康复，不仅能修复盆底肌功能，还可以有效地预防盆底功能障碍性相关疾病的发生，降低其对女性生活的影响。故本文将系统分析产后盆底损伤机制，并对康复技术临床应用进行循证评价，以期为提升女性全生命周期健康管理水平提供参考。

    关键词：产后康复；盆底肌功能障碍；康复治疗；中西医结合

    中图分类号：R4

Exploring the current development status of postpartum pelvic floor muscle injury and research progress in rehabilitation treatment

CHEN Liyun

Fujian University of Traditional Chinese Medicine • Second Affiliated Clinical School of Fujian University of Traditional Chinese Medicine, Fujian Fuzhou 350005

Abstract:With the development of China's economy and society, the demand for public health has extended from material security to mental health and disease prevention. Under the dual background of population aging and the implementation of the three child policy, women's reproductive health management is facing new challenges. The pelvic floor muscle damage, urinary and fecal incontinence, chronic pelvic pain, uterine prolapse or defecation obstruction caused by pregnancy are easily overlooked. The 6-month postpartum period is a critical window for pelvic floor function recovery, so appropriate and targeted postpartum rehabilitation can not only repair pelvic floor muscle function, but also effectively prevent the occurrence of pelvic floor dysfunction related diseases and reduce their impact on women's lives. Therefore, this article will systematically analyze the mechanism of postpartum pelvic floor injury and conduct evidence-based evaluation of the clinical application of rehabilitation techniques, in order to provide reference for improving the overall health management level of women throughout their life cycle.

  Keywords: Postpartum recovery; Pelvic floor muscle dysfunction; Rehabilitation Integrated; Traditional Chinese and Western Medicine