凯格尔盆底康复治疗对顺产后盆底功能障碍的影响
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史来芳,女,主管护师,主要从事产科康复工作。

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R 719

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Effect of Kegel Pelvic Floor Rehabilitation Treatment on Pelvic Floor Function After Natural Delivery
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    摘要:

    摘 要目的:探讨凯格尔盆底康复治疗对顺产后盆底功能的障碍影响。 方法:选取 2020 年 1 月至 2022 年 6 月在新 乡市中心医院采用顺产方式分娩的 118 例产妇,其中包括采用常规产后康复治疗的 59 例产妇纳入对照组,在常规治疗基础 上采用凯格尔盆底康复治疗的 59 例产妇纳入观察组。比较两组产妇产后盆底肌表层肌电指标、盆底肌力指标、盆底功能指 标,随访 3 个月统计两组产妇产后盆底并发症发生率。 结果:治疗后,观察组产妇前静息期、Ⅱ 类肌测试期、后静息期指 标均低于对照组,Ⅰ 类肌测试期、耐力测试指标均高于对照组,差异具有统计学意义(P < 0.05);治疗后,观察组产妇 Ⅰ、 Ⅱ 类肌的持续收缩压、收缩维持时间均高于对照组,差异具有统计学意义(P < 0.05);治疗后,观察组产妇 1 h 漏尿量、 盆底障碍影响问卷(PFIQ–7)评分均低于对照组,差异具有统计学意义(P < 0.05);观察组产妇产后盆底并发症总发生 率低于对照组,差异具有统计学意义(P < 0.05)。 结论:凯格尔盆底康复治疗能够更好的改善顺产产妇产后盆底功能, 减少产后盆底并发症发生风险。

    Abstract:

    AbstractObjective To explore the effect of Kegel pelvic floor rehabilitation treatment on pelvic floor function after natural delivery. Methods A total of 118 parturients who received natural delivery in Xinxiang Central Hospital from January 2020 to June 2022 were selected, including 59 parturients who received conventional postpartum rehabilitation treatment into a control group, and 59 parturients who received Kegel pelvic floor rehabilitation treatment on the basis of conventional treatment into an observation group. The puerperal surface electromyography indexes, pelvic floor muscle strength indexes and pelvic floor function indexes were compared between the two groups. The incidence of postpartum pelvic floor complications of two groups was analyzed after 3 months of follow-up. Results After treatment, the indexes of pre-resting period, Class Ⅱ muscle test period and postresting period in the observation group were lower than those of the control group, while the indexes of class Ⅰ muscle test period and endurance test were higher than those of the control group, the difference was statistically significant (P < 0.05). After treatment, the sustained systolic blood pressure and systolic maintenance time of class Ⅰ and Ⅱ muscles in the observation group were higher than those of the control group, and the difference was statistically significant (P < 0.05). After treatment, the 1 h urine leakage and PFIQ-7 scores of the observation group were lower than those of the control group, and the difference was statistically significant (P < 0.05). The total incidence of postpartum pelvic floor complications in the observation group was lower than that of the control group, and the difference was statistically significant (P < 0.05). Conclusion Kegel pelvic floor rehabilitation treatment can better improve postpartum pelvic floor function and reduce the risk of postpartum pelvic floor complications.

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  • 收稿日期:2023-03-15
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  • 在线发布日期: 2023-08-03
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