盆底肌锻炼对分娩方式及产后盆底功能的影响  

The Effect of Pelvic Floor Muscle Training in Late Pregnancy on Delivery Mode and Postpartum Pelvic Floor Function

作　　者：谭云欢[1] 崔璐[1] 林晓丽 洪丹丹 TAN Yunhuan;CUI Lu;LIN Xiaoli;HONG Dandan(Department of Obstetrics and Gynecology,Shenzhen Third People's Hospital,Shenzhen Guangdong 518000,China)

机构地区：[1]深圳市第三人民医院妇产科

出　　处：《中国卫生标准管理》2019年第13期157-159,共3页China Health Standard Management

基　　金：深圳市福田区卫生公益性科研项目(FTWS2018023)

摘　　要：目的探究孕晚期盆底肌锻炼对分娩方式及产后盆底功能的影响.方法将2017年1月-2018年12月的规律产检的患者98例作为研究对象.应用随机数字表的方式,将其平均分为试验组与对照组.试验组孕妇及家属知情的情况下,在孕30周对产妇进行盆底肌锻炼,并分别于孕34周、36周进行复习学习;对照组孕妇仅进行常规定期体检;对分娩后的孕妇进行盆底肌力的评估并进行分娩情况观察.结果经研究,试验组孕妇的盆底肌力3级及4级以上的患者数量多于对照组,且试验组孕妇的自然分娩率为79.59%,高于对照组的67.22%,差异具有统计学意义(P<0.05).结论对孕晚期孕妇进行盆底肌锻炼,有利于优化产妇的分娩方式,提升产妇的盆底功能,锻炼效果显著.Objective To investigate the effects of pelvic floor muscle training in the third trimester on the mode of delivery and postpartum pelvic floor function. Methods 98 cases of regular obstetric examination from January 2017 to December 2018 were selected as the study subjects. Random number table was used to divide them into experimental group and control group. The pregnant women and their relatives in the experimental group were informed to exercise pelvic floor muscles at 30 weeks of gestation, and reviewed at 34 and 36 weeks of gestation respectively. The pregnant women in the control group were only given regular physical examination. The pelvic floor muscle strength of pregnant women after delivery was evaluated and the delivery was observed. Results After the study, the number of patients with pelvic floor muscle strength of grade 3 and above in the experimental group was significantly higher than that of the control group, and the natural delivery rate of the experimental group was 79.59%, significantly higher than that of the control group (67.22%), the difference was statistically significant (P < 0.05). Conclusion The pelvic floor muscle exercise for pregnant women in the third trimester is beneficial to optimize the delivery mode of the mother and improve the pelvic floor function of the mother. The exercise effect is remarkable.

关 键 词：孕晚期 盆底肌锻炼 分娩方式 产后盆底功能 盆底肌力 自然分娩率 

分 类 号：R544[医药卫生—心血管疾病]