经阴道分娩高龄二胎产妇产后个体化盆底功能康复方案的构建及应用  

Individualized program for transvaginal delivery of postpartum pelvic floor rehabilitation in older second-birth parturients

作　　者：赵聪颖[1] 彭宪钗 韩淑青[3] 温树彬[1] 孙洁[1] ZHAO Congying;PENG Xianchai;HAN Shuqing(Department of Obstetrics and Gynecology Ultrasonography,The Second Hospital of Hebei Medical University,Hebei,Shijiazhuang 050000,China;不详)

机构地区：[1]河北医科大学第二医院妇产超声诊疗科,石家庄市050000 [2]河北医科大学第二医院产科,石家庄市050000 [3]河北医科大学第二医院整形外科,石家庄市050000

出　　处：《河北医药》2022年第23期3594-3597,3601,共5页Hebei Medical Journal

基　　金：河北省卫生健康委科研基金项目(编号:20221111)。

摘　　要：目的 探讨个体化盆底功能康复在高龄二胎产妇产后盆底功能障碍中的应用效果。方法 选取2020年1月至2021年12月收治的产后盆底功能障碍高龄二胎产妇80例,随机分为研究组和对照组,每组40例。对照组给予常规康复护理方案,研究组实施个体化盆底功能康复。干预前和干预6个月后,比较2组产妇盆底肌生理变化以及盆底功能影响问卷简表(PFIQ-7)和盆底功能障碍问卷(PFDI-20)评分的差异。结果 研究组Ⅰ类和Ⅱ类肌纤维肌力、电压、疲劳值明显优于对照组,研究组Ⅰ类肌纤维持续收缩压、持续时间和Ⅱ类肌纤维快速收缩压、收缩个数明显高于对照组,差异有统计学意义(P<0.05)。研究组PFIQ-7、PFDI-20评分明显低于对照组,子宫脱垂情况明显优于对照组,差异有统计学意义(P<0.05)。结论 个体化盆底功能康复方案可有效提升高龄二胎产妇盆底肌力,提高生活质量。Objective To explore the effects of individualized program for postpartum pelvic floor rehabilitation(PRR)in older second-birth parturients.Methods In this study, the older second-birth parturients with postpartum PRR(n=80) were as subjects, they were assigned as 1∶1 to receive either routine nursing care(control group) or individualized program for PRR(treatment group). This study aims to compare pelvic floor muscle(PFM) functions, the pelvic floor distress inventory-short form 20(PFDI-20) and pelvic floor impact questionnaire-7(PFIQ-7) on day 0 vs month 6 of postintervention.Results After intervention, the pelvic floor of type Ⅰ and type Ⅱ fiber muscle strength, voltage and fatigue were significantly superior in the study group as compared to the control group. The continuous systolic blood pressure(SBP) and duration of type Ⅰ muscle fiber and rapid SBP and numbers of type Ⅱ muscle fiber was significantly higher in the study group as compared to the control group(P<0.05).The scores of PFIQ-7 and PFDI-20 were significantly lower in the study group vs the control group. The proportion of uterine prolapse were significantly superior in the study group vs the control group(P<0.05).Conclusion For older second-birth parturients with postpartum PRR, individualized program is effectively capable of promoting pelvic floor muscle strength and improve their quality-of-life.

关 键 词：高龄 二胎 盆底功能障碍 盆底康复 

分 类 号：R714.46[医药卫生—妇产科学]