产后康复护理对自然分娩产妇产后盆底功能恢复的影响  

Influence of Postpartum Rehabilitation Nursing on Postpartum Pelvic Floor Function Recovery of Natural Delivery Puerpera

作　　者：倪美兰 NI Meilan(Department of Obstetrics,Xiamen Maternal and Child Health Hospital(Women's and Children's Hospital Affiliated to Xiamen University),Xiamen Fujian,361001,China)

机构地区：[1]厦门市妇幼保健院(厦门大学附属妇女儿童医院)产科,福建厦门361001

出　　处：《反射疗法与康复医学》2021年第9期125-128,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的探讨产后康复护理对自然分娩产妇产后盆底功能恢复的影响.方法选取2020年1—9月在本院建档自然分娩的134例产妇为研究对象,采用随机排列法分为对照组和研究组,各67例.对照组采用产后常规护理,研究组在对照组基础上采用产后康复护理,即给予产妇盆底肌训练联合生物反馈电刺激干预.比较两组护理前后抑郁情绪、盆底肌力、性生活质量以及并发症发生率.结果研究组护理前的抑郁评分、盆底肌力和性生活质量评分与对照组相比,组间差异无统计学意义(P>0.05).两组护理后的抑郁评分均低于本组护理前,Ⅰ类肌纤维持续收缩压和Ⅱ类肌纤维快速收缩压均高于本组护理前,性生活质量各项评分均高于本组护理前,且研究组护理后的抑郁评分低于对照组,Ⅰ类肌纤维持续收缩压和Ⅱ类肌纤维快速收缩压均高于对照组,性生活质量各项评分均高于对照组,组间差异有统计学意义(P<0.05).研究组并发症发生率8.96%低于对照组的22.39%,差异有统计学意义(P<0.05).结论对自然分娩产妇实施产后康复护理,可以有效疏导其抑郁情绪,提高其盆底肌力,在减少并发症的同时,还可以改善其性生活质量,临床护理效果显著.Objective To explore the effect of postpartum rehabilitation nursing on postpartum pelvic floor function recovery of natural delivery puerpera.Methods A total of 134 puerperae who were registered in the hospital for natural delivery from January to September 2020 were selected as the research objects,and randomly divided into a control group and a study group,with 67 cases in each group.The control group received routine postpartum nursing,and the study group received postpartum rehabilitation nursing based on the control group,that is,maternal pelvic floor muscle training combined with biofeedback electrical stimulation intervention.Depressed mood,pelvic floor muscle strength,quality of sexual life before and after nursing and the incidence of complications were compared between the two groups.Results Compared with the control group,the depression score,pelvic floor muscle strength and sexual life quality score before nursing in the study group had no statistical significance(P>0.05).The depression scores in the two groups after nursing were lower than those in the same group before nursing,the continuous systolic blood pressure of class I muscle fibers and the rapid systolic blood pressure of class II muscle fibers were higher than those before nursing in this group,and the scores of sexual life quality were higher than those before nursing in this group,in addition,the depression score of the study group after nursing was lower than that of the control group,the continuous systolic blood pressure of class I muscle fibers and the rapid systolic blood pressure of class II muscle fibers were higher than those of the control group,and the scores of sexual life quality were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).The incidence of complications in the study group was 8.96%,which was lower than 22.39%in the control group,and the difference was statistically significant(P<0.05).Conclusion Postpartum rehabilitation nursing for natural delivery

关 键 词：产妇 自然分娩 盆底肌训练 生物反馈电刺激 盆底肌力 性生活质量 

分 类 号：R473[医药卫生—护理学]