盆底肌康复训练联合延续护理对妊娠期高血压疾病患者产后盆底肌功能恢复的影响  

The Effect of Pelvic Floor Muscle Rehabilitation Training Combined with Continuation Care on Postpartum Pelvic Floor Muscle Function Recovery in Patients with Hypertensive Disorders of Pregnancy

作　　者：谢春珠 柯亚玲 陈惠兰[3] XIE Chunzhu;KE Yaling;CHEN Huilan(Department of Obstetrics and Gynecology,Anxi County Hutou Hospital,Anxi 362411,China;Department of Obstetrics and Gynecology,Anxi County Maternal and Child Health Hospital,Anxi 362400,China;Department of Obstetrics and Gynecology,Quanzhou First Hospital,Quanzhou 362000,China)

机构地区：[1]安溪县湖头医院妇产科,安溪362411 [2]安溪县妇幼保健院妇产科,安溪362400 [3]泉州市第一医院妇产科,泉州362000

出　　处：《中国医药指南》2024年第25期177-179,共3页Guide of China Medicine

摘　　要：目的探究盆底肌康复训练联合延续护理对妊娠期高血压疾病患者产后盆底肌功能恢复的影响。方法纳入安溪县湖头医院2022年1月至2023年6月收治的108例妊娠期高血压疾病患者,采用密闭信封法分为对照组(54例)、研究组(54例)。对照组实施常规护理,研究组结合盆底肌康复训练联合延续护理。干预前及干预3个月,检测两组Ⅰ类及Ⅱ类肌纤维盆底肌电值与疲劳度,检测两组阴道收缩压、静息压水平及阴道收缩持续时间,对比女性性功能评估量表(BISF-W)。结果干预3个月,研究组Ⅰ类、Ⅱ类肌纤维盆底肌电值分别为(16.63±2.48)μV、(20.71±2.52)μV,高于对照组(P<0.001),Ⅰ类、Ⅱ类肌纤维疲劳度分别为(6.27±1.36)%、(6.53±1.23)%,小于对照组(P<0.001);研究组阴道肌张力水平高于对照组(P<0.001);研究组BISF-W评分低于对照组(P<0.001)。结论盆底肌康复训练联合延续护理在妊娠期高血压疾病患者产后盆底肌功能恢复中有积极作用,能够改善患者盆底肌功能,提高阴道紧缩度与性功能。Objective To investigate the effect of pelvic floor muscle rehabilitation training combined with continuity of care on the recovery of pelvic floor muscle function after delivery in patients with hypertensive disorders of pregnancy.Methods A total of 108 patients with hypertensive disorders of pregnancy admitted to Anxi County Hutou Hospital from January 2022 to June 2023 were included,and were divided into the control group(54 cases)and the study group(54 cases)using the closed envelope method.Routine care was implemented in the control group and combined with pelvic floor muscle rehabilitation training combined with continuation care in the study group.Before the intervention and 3 months after the intervention,the pelvic floor electromyographic values and fatigue of classⅠand classⅡmuscle fibres of the two groups were detected,the levels of vaginal systolic pressure,resting pressure and the duration of vaginal contraction were detected in the two groups,and the bielefeld interpersonal sexual dysfunction questionnaire for women(BISF-W)was compared.Results At 3 months of intervention,the EMG values of classⅠand classⅡmuscle fibres in the study group were(16.63±2.48)μV and(20.71±2.52)μV,respectively,which were higher than those in the control group(P<0.001),and the fatigue of classⅠand classⅡmuscle fibres were(6.27±1.36)%and(6.53±1.23)%,respectively,which were smaller than those in the control group(P<0.001);the level of vaginal muscle tone in the study group was higher than that in the control group(P<0.001);and the BISF-W score in the study group was lower than that in the control group(P<0.001).Conclusions Pelvic floor muscle rehabilitation training combined with continuity of care has a positive effect on the recovery of pelvic floor muscle function after delivery in patients with hypertensive disorders of pregnancy,which can improve the patients'pelvic floor muscle function,vaginal tightness and sexual function.

关 键 词：盆底肌 康复训练 延续护理 妊娠期高血压疾病 

分 类 号：R714.252[医药卫生—妇产科学] R473.71[医药卫生—临床医学]