盆底康复操锻炼对减少产后并发症、改善产妇心理状态及盆底肌力的作用  

Effects of pelvic floor rehabilitation exercise on reducing postpartum complications,improving maternal psychological status and pelvic floor muscle strength

作　　者：王文璐 王琦[1] 张岩[1] WANG Wen-Lu;WANG Qi;ZHANG Yan(Qingdao Municipal Hospital, Qingdao, Shandong 266011 , China)

机构地区：[1]青岛市市立医院,山东青岛266011

出　　处：《中国妇幼保健》2018年第9期1954-1956,共3页Maternal and Child Health Care of China

摘　　要：目的探讨盆底康复操锻炼对减少产后并发症、改善产妇心理状态及盆底肌力的作用,提高产妇的生活质量。方法随机选取2017年1-8月青岛市市立医院收治的成功分娩产妇200例,依据治疗方法将产妇分为常规治疗组和常规治疗联合盆底康复操锻炼组(联合治疗组)各100例,对两组产妇的产后并发症、心理状态、盆底肌力进行统计分析。结果联合治疗组产妇的产后并发症发生率11.0%显著低于常规治疗组的27.0%,差异有统计学意义(P<0.05)。和治疗前相比,治疗后两组产妇的SAS评分、SDS评分均显著降低,且联合治疗组产妇的降低幅度显著高于常规治疗组,差异均有统计学意义(P<0.05)。和治疗前相比,两组产妇治疗后的盆底肌力Ⅰ级比例均显著降低,Ⅳ~Ⅴ级比例均显著提升,且联合治疗组产妇的Ⅰ级比例降低幅度、Ⅳ~Ⅴ级比例提升幅度均显著高于常规治疗组,差异均有统计学意义(P<0.05)。结论盆底康复操锻炼能够有效减少产后并发症、改善产妇心理状态及盆底肌力。Objective To explore the effects of pelvic floor rehabilitation exercise on reducing postpartum complications,improving maternal psychological status and pelvic floor muscle strength,improve the quality of life in postpartum women. Methods From January to August in 2017,200 cases of successful delivery treated in Qingdao Municipal Hospital were randomly selected and divided into conventional treatment group and combined treatment group(conventional treatment combined with pelvic floor rehabilitation exercise）,100 cases in each group. The postpartum complications,psychological states,pelvic floor muscle strength in the two groups were statistically analyzed.Results The incidence rate of postpartum complications in combined treatment group was 11. 0%,which was statistically significantly lower than that in conventional treatment group(27. 0%）(P〈0. 05）. Compared with before treatment,SAS and SDS scores after treatment in the two groups decreased significantly,especially in combined treatment group(P 〈 0. 05）. Compared with before treatment,the proportions of cases with grade Ⅰ pelvic floor muscle strength in the two groups decreased significantly,while the proportions of cases with grade Ⅳ-Ⅴ pelvic floor muscle strength in the two groups increased significantly, especially in combined treatment group(P 〈 0. 05）.Conclusion Pelvic floor rehabilitation exercise can effectively reduce postpartum complications,improve maternal psychological status and pelvic floor muscle strength.

关 键 词：盆底康复操锻炼 产后并发症 心理状态 盆底肌力 

分 类 号：R714.25[医药卫生—妇产科学]