个体化指导产妇盆底肌锻炼的临床效果观察  

Clinical effect observation for maternal pelvic floor muscle exercise by individual guidance

作　　者：杨素勉[1] 马卫景[2] 王秀粉[2] 冯静[1] 牛凤霞[1] 徐金秀[1] 

机构地区：[1]河北省人民医院,河北石家庄050071 [2]河北省石家庄市第二医院

出　　处：《护士进修杂志》2009年第23期2118-2120,共3页Journal of Nurses Training

基　　金：河北省科学技术厅立项课题(编号:062761217)

摘　　要：目的探讨产妇进行盆底肌肉锻炼(PFMT)促进产后盆底器官功能康复的效果。方法将194例孕产期妇女随机分为观察组和对照组。观察组(98例)在产后第一天进行个体化指导盆底肌锻炼;对照组(96例)只采用产后常规指导。产褥期满(即产后42d)进行盆底组织器官评定。结果产妇42d盆底PC肌张力评分、盆底器官脱垂情况POP-Q分度观察组与对照组差异有显著意义(P<0.01;P<0.05);观察组产妇压力性尿失禁、痔疮的发生率也较对照组明显降低(P<0.01)。结论对产妇进行盆底肌锻炼,能明显促进产后盆底组织器官功能的恢复。Objective To investigate the effect of maternal pelvic floor muscle training （PFMT） for promoting the rehabilitation of post-natal pelvic organ. Method 194 pregnancy women were randomly divided into observation and control group, 98 cases in observer group was given individual guidance for pelvic floor muscle exercise at the first day of post-natal, 96 ease in control group was given postpartum general guidance. The evaluation of pelvic organs was conducted at the end of puerperium （42 days postpartum）. Result The maternal pelvic floor muscle tone PC score at 42 days was checked; there was significant difference in pelvic organ prolapse POP-Q points situation in observation group compared with the control group （P〈0.01 ;P〈0.05） ,The incidence of maternal stress urinary incontinence and hemorrhoids in observer group was significantly lower than that of control group（P〈0.01）. Conclusion The maternal post-natal pelvic floor tissues and organs function will be promoted by pelvic floor muscle exercise.

关 键 词：产妇 盆底肌锻炼 盆底组织器官 压力性尿失禁 

分 类 号：R473.71[医药卫生—护理学]