摘要
目的 观察盆底康复治疗良性妇科疾病行全子宫切除术患者的临床效果,进一步提升患者术后的康复质量。方法 选取2020年1月至2021年12月于本院就诊的110例良性妇科疾病行全子宫切除术的患者作为此次研究对象,按治疗措施的不同分为对照组、观察组,每组55例。对照组采用常规治疗,观察组采用盆底康复治疗,对比两组的治疗成果。结果 观察组患者的盆底肌张力、盆底肌纤维的肌力指标优于对照组(P <0.05)。在1 h尿垫试验量、盆底肌持续收缩时间、残余尿量以及尿失禁频率对比中,观察组均优于对照组(P <0.05)。盆底肌疲劳度对比,术后1周两组对比差异无统计学意义,但是术后6个月复查中,观察组优于对照组(P <0.05)。观察组患者在盆底不适、盆底功能以及盆腔泌尿功能量表评分方面优于对照组(P <0.05)。结论 针对良性妇科疾病行全子宫切除术患者实施盆底康复治疗的效果良好,有助于改善患者的盆底肌张力以及盆底肌疲劳度,降低尿失禁发生率。
Objective To observe the clinical effect of pelvic floor rehabilitation in patients with benign gynecological diseases undergoing total hysterectomy,so as to further improve the postoperative rehabilitation quality of patients.Methods A total of 110 patients with benign gynecological diseases who underwent total hysterectomy from January 2020 to December 2021 were selected as subjects of this study,and were divided into control group and observation group according to different treatment measures,55 cases in each group.The control group was treated with routine treatment,and the observation group was treated with pelvic floor rehabilitation.The effect of the two groups was compared.Results According to the data,pelvic floor muscle tension and muscle strength indexes of pelvic floor muscle fibers in the observation group were better than those in the control group(P<0.05).Comparison of 1-hour pad test volume,pelvic floor muscle continuous contraction time,residual urine volume and urinary incontinence frequency,all results in the observation group were better than those in the control group(P<0.05).The comparison of pelvic floor muscle fatigue showed that there was no significant difference between the two groups 1 week after surgery,but in the review six months after surgery,the observation group was better than the control group,and the long-term efficacy was significant(P<0.05).The observation group was better than the control group in pelvic floor discomfort,pelvic floor function and pelvic urinary function scale scores(P<0.05).Conclusion Pelvic floor rehabilitation in patients undergoing total hysterectomy for benign gynaecological diseases has a good effect,which helps to improve pelvic floor muscle tone and pelvic floor muscle fatigue,and reduce the incidence of urinary incontinence.
作者
吴小美
WU Xiaomei(Department of Gynecology,The First People's Hospital of Yancheng,Yancheng 224000,China)
出处
《中国医药指南》
2023年第14期95-97,共3页
Guide of China Medicine
关键词
盆底康复
妇科疾病
全子宫切除术
术后康复效果
Pelvic floor rehabilitation
Benign gynecological diseases
Total hysterectomy
Postoperative rehabilitation
