盆底康复仪在足月产妇产后盆底功能改善中的临床效果研究  

Clinical Effect of Pelvic Floor Rehabilitation Instrument in Postpartum Improvement of Pelvic Floor Function in Full-term Parturients

作　　者：王玉美[1] WANG Yumei(Department of Obstetrics,Qufu People's Hospital,Qufu,Shandong,273100,China)

机构地区：[1]曲阜市人民医院产科,山东曲阜273100

出　　处：《中外医疗》2024年第36期50-53,65,共5页China & Foreign Medical Treatment

摘　　要：目的探析为足月产妇展开产后盆底康复治疗措施干预的临床效果。方法随机选取2022年1月—2024年1月曲阜市人民医院产科产检且分娩的足月产妇100例为研究对象,遵循不同的治疗方法分对照组、观察组,各组50例患者。分别给予康复治疗、联合盆底康复仪治疗干预。评价两组初产妇的产后盆底肌肌力、盆底功能[盆底障碍影响简易问卷-7、盆底功能障碍问卷、女性性功能指数]、尿流动力学指标、产后并发症。结果观察组初产妇盆底肌正常率为94.00%(47/50),高于对照组的80.00%(40/50),差异有统计学意义(χ^(2)=4.332,P<0.05);观察组盆底功能的各项指标评分明显优于对照组,差异均有统计学意义(P均<0.05)。观察组干预后的各项尿流动力学指标显著优于对照组,差异均有统计学意义(P均<0.05)。观察组产后并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论为足月产妇展开产后盆底康复治疗干预,对产妇产后正常生活和安全性都有积极保障价值。Objective To explore the clinical effect of postpartum pelvic floor rehabilitation intervention for full-term parturients.Methods A total of 100 full-term pregnant women who underwent obstetric examination and gave birth in Qufu People's Hospital from January 2022 to January 2024 were randomly selected as the research objects.According to different treatment methods,they were divided into control group and observation group,with 50 patients in each group.They were given rehabilitation treatment and combined pelvic floor rehabilitation instrument treatment intervention respectively.The postpartum pelvic floor muscle strength,pelvic floor function[Pelvic Floor Dysfunction Impact Simple Questionnaire-7,Pelvic Floor Dysfunction Questionnaire,Female Sexual Function Index],urodynamic indexes and postpartum complications of the two groups of primipara were evaluated.Results The normal rate of pelvic floor muscle in the observation group was 94.00%(47/50),which was higher than 80.00%(40/50)in the control group,and the difference was statistically significant(χ^(2)=4.332,P<0.05).The scores of pelvic floor function in the observation group were significantly better than those in the control group,and the differences were statistically significant(all P<0.05).The urodynamic indexes of the observation group after intervention were significantly better than those of the control group,and the differences were statistically significant(all P<0.05).The incidence of postpartum complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion Implementing postpartum pelvic floor rehabilitation interventions for full-term primiparous women undergoing vaginal delivery provides significant benefits in ensuring normal postpartum life and enhancing maternal safety.

关 键 词：足月单胎顺产 初产妇 盆底康复治疗 生活质量 盆底功能 

分 类 号：R473.71[医药卫生—护理学]