规范化盆底康复管理对孕产妇盆底肌力、尿失禁和生活质量的影响  

Effects of standardized rehabilitation management of pelvic floor on muscle strength, uracratia and quality of life among pregnant and lying-in women

作　　者：陈晓欢[1] 林润[1] 金调芬[1] 石红[1] 陈璐[1] 朱玲玲[1] CHEN Xiaohuan;LIN Run;JIN Tiaofen;SHI Hong;CHEN Lu;ZHU Lingling(Fujian Provincial Hospital,Fujian 350001 China)

机构地区：[1]福建省立医院

出　　处：《护理研究》2019年第18期3113-3117,共5页Chinese Nursing Research

基　　金：中华护理学会2017—2018年度立项科研课题,编号:ZHKY201714

摘　　要：[目的]探讨规范化盆底康复管理对孕产妇盆底肌力、尿失禁和生活质量的影响。[方法]将符合条件的168例孕产妇按随机数字表法分为两组,均在孕期及产后接受常规盆底康复指导,观察组在此基础上,接受规范化盆底康复管理和指导,观察两组产妇产后42d盆底肌力恢复情况、尿失禁发生率及盆底功能障碍对生活质量的影响。[结果]观察组产妇手测盆底Ⅰ类肌和Ⅱ类肌肌力均优于对照组;观察组产妇Ⅰ类肌纤维、Ⅱ类肌纤维肌电值和Ⅱ类肌纤维疲劳度及总肌电值优于对照组产妇,差异有统计学意义(P<0.05);观察组产妇漏尿次数和漏尿量均少于对照组,差异有统计学意义(P<0.05);观察组产妇尿失禁及盆底功能障碍对生活的影响程度得分低于对照组,差异具有统计学意义(P<0.05)。[结论]规范化盆底康复管理能有效提高孕产妇的盆底肌力,改善尿失禁,提高其生活质量。Objective:To probe into the effects of standardized rehabilitation management of pelvic floor on muscle strength,urinary incontinence and quality of life of pregnant and lying-in women. Methods:A total of 168 women who met screening criteria were randomly divided into two groups,according to the random number table. The two groups both received routine pelvic floor rehabilitation guidance during pregnancy and postpartum. Women in the observation group accepted standardization pelvic floor rehabilitation management and guidance on the basis of above. Pelvic floor muscle recovery,the incidence of urinary incontinence and effects of pelvic floor dysfunction on quality of life were observed after 42 days postpartum among women in both groups. Results:Muscle strengths of type I and Ⅱ muscles of pelvic floor of women in observation group were better than those incontrol group by manual measuring. The electromyographic value of maternal type Ⅰ muscle,Ⅱ muscle fiber and fatigue value of Ⅱ muscle fiber and the total electuomyographic in the observation group were superior to those in the control group,the differences were statistically significant(P<0. 05). The frequency and quantity of urine leakage in the observation group were less than those in the control group,and the difference was statistically significant(P<0. 05). The scores of urinary incontinence and pelvic floor dysfunction among women in the observation group were lower than those of the control group,and the differences were statistically significant(P<0. 05). Conclusions:Standardized pelvic floor rehabilitation management could effectively enhance the muscle strength of pelvic floor,relieve urinary incontinence and improve the quality of life of pregnant and lying-in women.

关 键 词：盆底功能障碍 康复管理 孕妇 产妇 盆底肌力 尿失禁 生活质量 

分 类 号：R473.71[医药卫生—护理学]