盆底康复操锻炼在自然分娩产妇中的应用效果  

Application effects of pelvic floor rehabilitation exercise in natural puerperae

作　　者：于玲玲[1] YU Lingling(Obstetric Clinic of the Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450000 Henan,China)

机构地区：[1]郑州大学第二附属医院产科门诊,河南郑州450000

出　　处：《中国民康医学》2022年第8期76-79,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察盆底康复操锻炼在自然分娩产妇中的应用效果。方法:选取106例自然分娩的初产妇为研究对象,按照随机数字表法分为对照组和研究组各53例。对照组采用常规护理,研究组在对照组基础上采用盆底康复操锻炼,比较两组护理后盆底肌力分级、护理前后负性情绪[抑郁自评量表(SDS)、焦虑自评量表(SAS)]评分,以及并发症发生率。结果:护理7 d后,两组盆底肌力分级比较,差异无统计学意义(P>0.05);护理3个月后,研究组盆底肌力分级优于对照组,差异有统计学意义(P<0.05);研究组并发症发生率为9.43%(5/53),低于对照组的37.74%(20/53),差异有统计学意义(P<0.05);护理后,两组SDS、SAS评分均低于护理前,且研究组低于对照组,差异有统计学意义(P<0.05)。结论:自然分娩产妇产后进行盆底康复操锻炼,可有效改善盆底肌力分级情况,缓解焦虑和抑郁情绪,降低并发症发生率,效果优于单纯常规护理。Objective: To observe application effects of pelvic floor rehabilitation exercise in puerperae. Methods: 106 puerperae were selected as the research objects and were divided into control group and study group according to the random number table method, 53 cases in each group. The control group received routine nursing, while the study group was given the pelvic floor rehabilitation exercises on the basis of that of the control group. The pelvic floor muscle strength grading, the negative emotions [self-rating depression scale(SDS), self-rating anxiety scale(SAS)]scores before and after the nursing, and the incidence of complications were compared between the two groups. Results: After 7 days of nursing,there was no significant difference in the pelvic floor muscle strength grading between the two groups(P>0.05). After 3 months of nursing, the pelvic floor muscle strength grading of the study group was better than that of the control group, and the difference was statistically significant(P<0.05). The incidence of complications in the study group was 9.43%(5/53), which was lower than 37.74%(20/53) in the control group, and the difference was statistically significant(P<0.05). Further, after the nursing, the SDS and SAS scores of the two groups were lower than those before the nursing;those of the study group were lower than those of the control group;and the difference was statistically significant(P<0.05). Conclusions: The pelvic floor rehabilitation exercises on the basis of the routine nursing can effectively improve the pelvic floor muscle strength grading, relieve the anxiety and depression emotions, and reduce the incidence of complications. Moreover, it is superior to single routine nursing.

关 键 词：盆底康复操锻炼 自然分娩 产妇 并发症 负性情绪 盆底肌力 

分 类 号：R473.71[医药卫生—护理学]