围术期持续性盆底训练促进子宫全切后盆底功能恢复的效果研究  

Study of the Effect of Consistent Pelvic Floor Muscle Training in Recovering the Pelvic Function after Hysterectomy

作　　者：苏青雯 杨素芬[1] 李梅[1] 

机构地区：[1]宁波大学医学院附属医院妇二科,浙江宁波315020

出　　处：《解放军护理杂志》2016年第5期26-28,50,共4页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的探讨围术期持续性盆底训练促进子宫全切术后患者盆底功能恢复的效果。方法便利抽样选择2014年1月至2015年5月宁波大学医学院附属医院收治的妇科肿瘤患者128例作为研究对象,将其分为观察组(64例)与对照组(64例),对照组给予常规护理,观察组给予患者围术期盆底肌锻炼的持续性指导,比较其相关盆底功能恢复的指标。结果观察组肛门收缩时间明显短于对照组,肛门静息压、肛门收缩压均高于对照组,尿潴留、尿失禁、膀胱刺激征发生率均低于对照组,术后状态焦虑明显低于对照组,差异均有统计学意义(均P<0.05)。结论围术期持续性盆底训练能促进子宫全切术后患者盆底功能的恢复,有助于降低术后并发症,并缓解患者术后焦虑情绪。Objective To discuss the effect of consistent pelvic floor muscle training in recovering the pel- vic function after hysterectomy. Methods By convenience sampling, 128 patients were selected and equally divided into observation group and control group. The control group received routine nursing, while the observation group was applied with the consistent guidance of pelvic muscle training during perioperative period. The pelvic function recovery indexes were compared. Results The anus contraction time in obser- vation group was significantly shorter than control group, while the anal resting pressure and squeeze pres- sure were higher than control group. The incidence of urinary retention, urinary incontinence, involuntary bladder spasm in observation group were all lower than control group, and the postoperative anxious status was significantly lower than control group （all P〈0.05）. Conclusions Consistent training of pelvic floor muscle in perioperative period is beneficial to recover the pelvic function and can decrease the complications and ease the postoperative anxiety.

关 键 词：子宫切除 盆底肌 功能锻炼 围术期 

分 类 号：R473.71[医药卫生—护理学]