实施连续性会阴管理策略对阴道分娩产妇盆底康复的影响  

Effects of continuous perineal management strategy on postpartum pelvic floor rehabilitation

作　　者：梁礼莉[1] 闵丽华[1] 李洁[1] 李宁蔚[1] 

机构地区：[1]四川省医学科学院四川省人民医院妇产科,四川成都610O72

出　　处：《医药前沿》2015年第20期27-28,共2页Journal of Frontiers of Medicine

摘　　要：目的：观察实施连续性会阴管理策略对阴道分娩产妇盆底康复的影响。方法：选取2014年12月至2015年4月在我院产科门诊进行规律产检的孕妇101例，随机分为实验组53例和对照组48例。实验组在孕期、产时及产后实施连续性的会阴管理策略，参加孕期会阴管理培训，并连续性指导孕产妇在产前直至产后参与盆底肌训练。对照组采用常规的产前、产时及产后健康指导及护理。结果：实验组产后42天、3个月盆底各类肌纤维收缩得分均优于对照组，差异有统计学意义（P〈0．05）。结论：实施连续性会阴管理策略有利于阴道分娩产后盆底肌力的恢复。Objective To observe the effect of continuous perineal management strategy on postpartum pelvic floor rehabilitation of vaginal delivery women. Methods Totally 101 pregnant women with regularly prenatal care in our hospital from November 2014 to April 2015 were randomly divided into the experimental group （53 cases） and the control group （48 cases）. Both of the groups were given conventional prenatal, intrapartum and postpartum health guidance and nursing, while the experimental group also received continuous perineal management, includingprenatal perineal management training and continuous guidance of pelvic floor muscle training in the prenatal and postnatal period. Results All kinds of pelvic floor muscle fiber contraction scores at 42 days and 3 months after delivery in experimental group were better than that of control group, and the difference was statistically significant （P〈0.05）. Conclusions The continuous perineal management strategy benefits the pelvic floor rehabilitation after vaginal delivery.

关 键 词：会阴管理策略 阴道分娩 盆底康复 

分 类 号：R71[医药卫生—妇产科学]