盆底康复在盆腔脏器脱垂患者术后康复中的应用效果  

Application Effect of Pelvic Floor Rehabilitation in Postoperative Rehabilitation of Patients with Pelvic Organ Prolapse

作　　者：杨媚[1] 戴巧平[1] 李青茜 Yang Mei;Dai Qiaoping;Li Qingxi(Zhuhai Maternal and Child Health Hospital,Zhuhai 519000,Guangdong Province,China)

机构地区：[1]珠海市妇幼保健院,广东珠海519000

出　　处：《中国社区医师》2024年第26期127-129,共3页Chinese Community Doctors

摘　　要：目的:分析盆底康复在盆腔脏器脱垂患者术后康复中的应用效果。方法:选取2020年1月—2024年2月于珠海市妇幼保健院妇科行手术治疗的盆腔脏器脱垂患者394例作为观察样本,随机分为参照组(n=198)、观察组(n=196)。参照组实施常规康复治疗,观察组在参照组基础上实施盆底康复。比较两组康复效果。结果:与参照组相比,观察组康复总有效率更高(P<0.05)。干预后,两组盆底肌力、盆底肌最大收缩力均改善,且相较于参照组,观察组改善幅度更大(P<0.05)。干预后,两组盆底功能障碍问卷、国际尿失禁咨询委员会尿失禁问卷简表评分均下降,且观察组低于参照组(P<0.05)。干预后,两组焦虑、抑郁评分均下降,且观察组低于参照组(P<0.05)。观察组盆底功能及盆底脏器脱垂改善时间短于参照组(P<0.05)。结论:盆底康复在盆腔脏器脱垂患者术后康复中的应用效果显著,可积极改善患者盆底肌力与症状,减轻负性情绪,促进盆底功能恢复。Objective:To analyze the application effect of pelvic floor rehabilitation in postoperative rehabilitation of patients with pelvic organ prolapse.Methods:Three hundred and ninety-four patients with pelvic organ prolapse who underwent surgical treatment in the Department of Gynecology of Zhuhai Maternal and Child Health Hospital from January 2020 to February 2024 were selected as observation samples and randomly divided into the reference group(n=198)and the observation group(n=196).The reference group implemented conventional rehabilitation treatment,and the observation group implemented pelvic floor rehabilitation on the basis of the control group.The rehabilitation effects of the two groups were compared.Results:Compared with the reference group,the total effective rate of rehabilitation was higher in the observation group(P<0.05);after the intervention,pelvic floor muscle strength and maximum contraction force of pelvic floor muscles were improved in both groups,and the improvement was greater in the observation group compared with the reference group(P<0.05);after the intervention,the scores of pelvic floor dysfunction questionnaire and International Advisory Committee on Urinary Incontinence Urinary Incontinence Questionnaire Short Form decreased in both groups,and the observation group was lower than the reference group(P<0.05);after the intervention,the scores of anxiety and depression decreased in both groups,and the observation group was lower than the reference group(P<0.05);and the time of improvement of pelvic floor function and pelvic floor organ prolapse was shorter in the observation group than in the reference group(P<0.05).Conclusion:The application of pelvic floor rehabilitation in the postoperative rehabilitation of patients with pelvic organ prolapse is remarkable,which can actively improve the patients'pelvic floor muscle strength and symptoms,reduce the negative emotions,and promote the recovery of pelvic floor function.

关 键 词：盆底康复 盆腔脏器脱垂 盆底肌力 

分 类 号：R711.2[医药卫生—妇产科学]