盆底肌功能锻炼对初产妇尿潴留的护理效果研究  

Study on nursing effect of functional exercise of pelvic floor muscle on primipara with urinary retention

作　　者：蒋玉蓉[1] 廖新阳[1] 许士海[1] 谭月坚[1] 宋奇[1] 曾秀坚[1] 

机构地区：[1]深圳市人民医院妇产科爱婴区,518020

出　　处：《齐齐哈尔医学院学报》2015年第4期579-581,共3页Journal of Qiqihar Medical University

基　　金：2013年度深圳市科技计划项目(201302010)

摘　　要：目的：探讨盆底肌肉功能训炼对初产顺产产妇产后排尿率、尿流率、尿道口疼痛等症状的影响。方法选取2013年1月至2014年10月我院产科门诊初产妇600例，随机分为对照组和实验组各300例，对照组在产后给予健康教育督促排尿作为空白对照，实验组在产前60天开始给予指导下的规律功能锻炼，选取顺产产妇作为观察对象，在产后4～6小时观察排尿率和尿道口疼痛症状，1周后监测尿流率，观察膀胱逼尿肌肌力恢复情况，比较两组产妇有无差异。结果对照组193例顺产产妇产后排尿率为71％、出现尿道口疼痛分别为：无痛31例、轻度疼痛113例、疼痛明显49例；实验组211例顺产产妇产后排尿率为93％，出现尿道口疼痛分别为：无痛87例、轻度疼痛99例、疼痛明显25例，实验组明显优于对照组，两组比较有显著统计学意义（ P＜0．01）。结论盆底肌肉功能训炼能显著提高初产顺产产妇产后排尿率、改善尿流率和尿道口疼痛，对初产产妇产后尿潴留的预防起到积极作用。Objective To investigate the function of pelvic floor muscle training refining capacity for early postpartum voiding birth rate , the impact of flow rate , urethral pain and other symptoms .Methods 600 cases of primipara were selected in our hospital obstetric clinic from January 2013-October 2014, who were divided into control and experimental group there are 300 cases for each group , The control group received usual care as the control in the postpartum .The experimental group were given to the guidance of functional training in prenatal 60days,The birth mother were Selected as the object of observation , observed the rate of urination and urethra pain 4 ~6 hours later after birth , monitoring the rate of urine flow and observing the detrusor muscle recovery one week later , compared the differences between two groups of mothers . Results The rate of postpartum urination was 71% in control group , which had 193 cases of birth mother , appearing urethra pain were：31 cases of no pain , 113 cases of mild pain and the serious pain was 49 cases;But the rate of postpartum urination was 93%in experimental group , which had 211 cases of birth mother , appearing urethra pain were：87 cases of no pain , 99cases of mild pain and the serious pain was 25 cases, the experimental group was better than the control group obviously , the two groups was statistically significant （P〈0.01）.Conclusions Pelvic floor muscle function can improve the initial production rate of birth postpartum urination significantly , improves urinary flow rate and urethra pain , and plays an active role in the prevention of postpartum urinary retention for primipara .

关 键 词：盆底肌功能锻炼 初产妇 顺产妇 尿潴留 护理 

分 类 号：R714.64[医药卫生—妇产科学]