摘要
目的 将产后盆底康复技术作为适宜技术进行推广,评估该适宜技术推广的临床效果。方法 2020年9月—2021年12月吉林省人民医院采用分级培训、线上+线下结合的策略对产后盆底康复技术进行推广,该适宜技术推广至28家医疗机构,辐射地区包括长春市、吉林市、四平市、松原市、白山市及通化市等地区,其中包括医联体单位10家,非医联体单位18家;市级医疗机构8家,县级医疗机构12家,社区卫生服务中心和民营医疗机构8家。调查和分析产妇对该适宜技术的接受率、治疗率及疗效(主客观)等情况。结果 产后盆底康复技术推广后,产妇产后42 d复诊时对盆底康复治疗的知晓率>90.00%;产后42 d进行盆底功能评估,其中开展手测肌力的筛查率为96.80%(637/658),POP-Q评分的筛查率为91.34%(601/658);进行盆底表面肌电评估的筛查率为61.85%(407/658),总体筛查率>60.00%。658例产妇产后42 d复诊,进行盆底康复治疗的203例,占30.85%;评估盆底肌Ⅰ类、Ⅱ类肌纤维的肌力,有效率为72.91%(148/203);主观认为自身症状有改善的有效率为61.58%(125/203)。结论 产后康复技术推广应用较好,为进一步覆盖推广并建立长效管理机制提供了参考依据。
Objective To promote postpartum pelvic floor rehabilitation techniques as appropriate technology, evaluate the clinical effect of promotion of postpartum pelvic floor rehabilitation. Methods From September 2020 to December 2021, postpartum pelvic floor rehabilitation techniques were promoted in Jilin Provincial People’s Hospital based on classified training and combination of online and offline, this appropriate technology was promoted to 28 medical institutions, the coverage areas included Changchun, Jilin, Siping, Songyuan, Baishan, and Tonghua, 10 medical treatment alliances and 18 non-medical treatment alliances were enrolled, including 8 medical institutions at city level, 12 medical institutions at county level, and 8 community healthcare centers and private medical institutions, the acceptance rate, treatment rate, and curative effect(subjective effect and objective effect) were surveyed and analyzed. Results After promotion of postpartum pelvic floor rehabilitation appropriate technology, the awareness rate of pelvic floor rehabilitation at 42 days after delivery was more than 90.00%;pelvic floor function assessment was conducted at 42 days after delivery, the screening rate of manual muscle test was 96.80%(637/658), the screening rate of POP-Q assessment was 91.34%(601/658), the screening rate of pelvic floor surface electromyographic assessment was 61.85%(407/658), the total screening rate was more than 60.00%. A total of 658 postpartum women underwent reexamination at 42 days after delivery, 203 postpartum women were treated by pelvic floor rehabilitation therapy, accounting for 30.85%. The evaluation effective rate of type Ⅰ pelvic floor muscle force and type Ⅱ pelvic floor muscle force was 72.91%(148/203);the effective rate of subjective improvement of symptoms was 61.58%(125/203). Conclusion The application effect of promotion of postpartum pelvic floor rehabilitation appropriate technology is good, which provides a reference basis for further coverage, promotion of postpartum pelvic floor reh
作者
吕小娟
唐佳松
张琳
徐百玲
葛晨蕾
LYU Xiao-Juan;TANG Jia-Song;ZHANG Lin(Jilin Provincial People's Hospital,Changchun,Jilin 130021,China)
出处
《中国妇幼保健》
CAS
2022年第8期1364-1366,共3页
Maternal and Child Health Care of China
基金
吉林省卫生与健康适宜技术推广项目(2020S045)。
关键词
盆底康复技术
适宜技术推广
盆底功能筛查
Pelvic floor rehabilitation technology
Promotion of appropriate technology
Pelvic floor function screening
