孕产期连续性八段锦训练对产后尿失禁及盆底肌力的影响研究  

Study on the influence of continuous Baduanjin training on postpartum urinary incontinence and pelvic floor muscle strength

作　　者：关翠萍 翟巾帼[1] Guan Chuiping;Zhai Jinguo(School of Nursing,Southern Medical University,Guangzhou Guangdong 510080;Department of Suregry,Guangzhou Red Cross Hospital,Guangzhou Guangdong 510200,P.R.China)

机构地区：[1]南方医科大学护理学院,广东广州510080 [2]广州市红十字会医院外科,广东广州510200

出　　处：《中国计划生育和妇产科》2023年第10期56-59,共4页Chinese Journal of Family Planning & Gynecotokology

基　　金：广东省自然科学基金项目“基于NF-кB/Notch信号通路探讨小檗碱对脓毒症心肌病保护作用机理研究”(项目编号:2018A0303130155);2022年度教学质量与教学改革工程项目(项目编号:ZL2022007)。

摘　　要：目的探讨孕产期连续性八段锦训练对产后患者尿失禁的发生率及盆底肌力的影响。方法选取2019年12月至2021年12月广州市南方医科大学门诊就诊建档管理的初产妇86例,采用随机数字表法将其随机分为干预组(43例)及对照组(43例),对照组予常规的护理措施进行盆底肌康复及健康宣教,干预组在对照组的常规护理基础上联合孕期连续性八段锦训练,在产后42 d时比较两组孕产妇产后尿失禁的发生情况以及盆底肌力的测量情况。结果孕产妇产后42 d,干预组国际尿失禁咨询委员会尿失禁问卷简表中文版(International Consultation on Incontinence Questionnaire Urinary Incontinence Short-Form Chinese,ICI-Q-SF)评分、漏尿次数、漏尿量、对生活的影响程度、尿失禁发生情况明显低于对照组,差异有统计学意义(P<0.05);干预组产妇产后42 d盆底肌力测定I类纤维肌力及II类纤维肌力均高于对照组,差异有统计学意义(P<0.05);干预组孕产妇对使用八段锦的依从性高于对照组对常规运动的依从性,差异有统计学意义(P<0.05)。结论孕产期连续性八段锦训练对于改善产后尿失禁的发生有积极作用,有助于产后产妇盆底肌力改善。Objective To investigate the effects of continuous Baduanjin training during pregnancy and perinatal period on the incidence of urinary incontinence and pelvic floor muscle strength in postpartum patients.Methods From December 2019 to December 2021,a total of 86 primiparas were selected from Nursing College Outpatient Chinic of Southern Medical University in Guangzhou,and divided into intervention group(43 cases)and control group(43 cases)by random number table method.The control group was given routine nursing measures for pelvic floor muscle rehabilitation and health education.The intervention group was combined with the control group on the basis of routine nursing and continuous Baduanjin training during pregnancy.The occurrence of postpartum urinary incontinence and the measurement of pelvic floor muscle strength were compared between the two groups at 42 days postpartum.Results At 42 days postpartum,the scores of ICI Q-SF,the number of urine leakage,the amount of urine leakage,the degree of impact on life and the incidence of urinary incontinence in the intervention group were obviously lower than those in the control group,the differences were statistically significant(P<0.05).The muscle strength of Class I fiber and Class II fiber in the intervention group was higher than that in the control group at 42 days postpartum,and the difference was statistically significant(P<0.05).The compliance of the intervention group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The continuous Baduanjin training during pregnancy and perinatal period has a positive effect on improving the occurrence of postpartum urinary incontinence,which helps to improve the pelvic floor muscle strength of postpartum parturients.

关 键 词：孕产期 八段锦 尿失禁 盆底肌力 

分 类 号：R711.4[医药卫生—妇产科学] R691.6[医药卫生—临床医学]