盆底康复训练对子宫全切术后盆底功能障碍患者的应用效果研究  

Study on the effect of pelvic floor rehabilitation training on patients with pelvic floor dysfunction after total hysterectomy

作　　者：廖丹丹 LIAO Dan-dan(Xiamen Women and Children's Hospital,Xiamen 361000,China)

机构地区：[1]厦门市妇幼保健院,361000

出　　处：《中国现代药物应用》2023年第22期161-164,共4页Chinese Journal of Modern Drug Application

摘　　要：目的探讨盆底康复训练对子宫全切术后盆底功能障碍患者的应用效果。方法80例子宫全切术后盆底功能障碍患者,按照随机双盲法分为观察组和对照组,每组40例。对照组患者给予常规护理,观察组患者实施常规护理联合盆底康复训练。比较两组汉密尔顿焦虑量表评分、汉密尔顿抑郁量表评分、生活质量评分、盆底肌纤维收缩压力、脱垂-尿失禁评分及盆底功能障碍恢复效果。结果干预后,两组汉密尔顿焦虑量表评分和汉密尔顿抑郁量表评分均显著低于干预前,且观察组汉密尔顿焦虑量表评分(10.12±1.94)分和汉密尔顿抑郁量表评分(10.21±1.56)分均显著低于对照组的(13.56±2.23)、(13.57±2.13)分,差异有统计学意义(P<0.05)。干预后,两组物质生活、躯体功能、心理功能及社会功能评分均显著高于干预前,且观察组物质生活评分(92.12±6.94)分、躯体功能评分(93.21±5.23)分、心理功能评分(93.12±4.94)分及社会功能评分(93.21±5.56)分均显著高于对照组的(82.45±6.12)、(83.21±4.12)、(83.45±4.34)、(82.55±5.12)分,差异有统计学意义(P<0.05)。干预后,两组盆底肌纤维收缩压力大于干预前,脱垂-尿失禁评分低于干预前,且观察组盆底肌纤维收缩压力(3.62±0.81)kPa大于对照组的(3.13±0.71)kPa,脱垂-尿失禁评分(14.34±1.52)分低于对照组的(23.41±2.51)分,差异有统计学意义(P<0.05)。观察组盆底功能障碍恢复总有效率100.00%高于对照组的80.00%,差异有统计学意义(P<0.05)。结论对子宫全切术后盆底功能障碍患者实施盆底康复训练效果确切,可有效改善患者的盆底功能和生活质量,减轻患者焦虑和抑郁情绪,值得推广。Objective To discuss the application effect of pelvic floor rehabilitation training on patients with pelvic floor dysfunction after total hysterectomy.Methods A total of 80 patients with pelvic floor dysfunction after total hysterectomy were divided into an observation group and a control group according to random double-blind method,with 40 cases in each group.The control group was given conventional nursing,and the observation group was given conventional nursing combined with pelvic floor rehabilitation training.Both groups were compared in terms of Hamilton anxiety scale score,Hamilton depression scale score,quality of life score,contractile pressure of pelvic floor muscle fibers,prolapse-urinary incontinence score and recovery effect of pelvic floor dysfunction.Results After intervention,the Hamilton anxiety scale score and Hamilton depression scale score in both groups were significantly lower than those before intervention in this group;the Hamilton anxiety scale score of(10.12±1.94)points and Hamilton depression scale score of(10.21±1.56)points in the observation group were significantly lower than those of(13.56±2.23)and(13.57±2.13)points in the control group;the differences were statistically significant(P<0.05).After intervention,the scores of material life,physical function,mental function and social function in both groups were significantly higher than those before intervention in this group;in the observation group,the material life score was(92.12±6.94)points,the physical function score was(93.21±5.23)points,the mental function score was(93.12±4.94)points and the social function score was(93.21±5.56)points,which were significantly higher than those of(82.45±6.12),(83.21±4.12),(83.45±4.34)and(82.55±5.12)points in the control group;the differences were statistically significant(P<0.05).After intervention,the contractile pressure of pelvic floor muscle fibers in both groups was higher than that before intervention in this group,and the prolapse-urinary incontinence score was lower than th

关 键 词：子宫全切术 盆底功能障碍 盆底康复训练 

分 类 号：R473.71[医药卫生—护理学]