摘要
目的:探讨盆底康复干预顺产初产妇的临床效果。方法:选取2022年1—12月贵州中医药大学第一附属医院接收的120例顺产初产妇,按照随机数表法分为两组,各60例。其中对照组采取健康教育及常规盆底肌功能训练,观察组在对照组基础上加用盆底康复治疗。比较两组的盆底肌肌力分级(会阴肌力测试法)、盆底肌功能指标及盆底功能障碍性疾病发生率。结果:干预前,两组盆底肌肌力分级比较,差异无统计学意义(P>0.05);干预后,观察组盆底肌肌力分级优于对照组,差异有统计学意义(P<0.05)。干预前,两组盆底肌功能指标比较,差异无统计学意义(P>0.05);干预后,两组阴道静息压、阴道收缩压均高于干预前,阴道持续收缩时间长于干预前,观察组阴道静息压、阴道收缩压均高于对照组,阴道持续收缩时间长于对照组,差异有统计学意义(P<0.05)。观察组盆底功能障碍性疾病发生率为5.00%,低于对照组的25.00%,差异有统计学意义(P<0.05)。结论:盆底康复应用于顺产初产妇效果显著,能够改善盆底肌功能,降低盆底功能障碍性疾病发生率。
Objective:To explore the clinical effect of pelvic floor rehabilitation intervention in eutocia primipara.Method:A total of 120 cases of eutocia primipara admitted to the First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine from January to December 2022 were selected and divided into two groups according to random number table method,with 60 cases in each group.The control group received health education and routine pelvic floor muscle function training,and the observation group received pelvic floor rehabilitation therapy on the basis of control group.The pelvic floor muscle strength classification(perineal muscle strength test),pelvic floor muscle function index and incidence of pelvic floor dysfunction were compared between the two groups.Result:Before intervention,there was no significant difference between the two groups in pelvic floor muscle strength classification(P>0.05).After intervention,the classification of pelvic floor muscle strength in the observation group was better than that in the control group,and the difference was statistically significant(P<0.05).Before intervention,there were no significant differences in pelvic floor muscle function indexes between the two groups(P>0.05).After intervention,vaginal resting pressure and vaginal systolic pressure in both groups were higher than before intervention,and the duration of vaginal contraction were longer than before intervention,the vaginal resting pressure and vaginal systolic pressure in the observation group were higher than those in the control group,and the duration of vaginal contraction was longer than that in the control group,the differences were statistically significant(P<0.05).The incidence of pelvic floor dysfunction in the observation group was 5.00%,which was lower than 25.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion:The effect of pelvic floor rehabilitation on eutocia primipara is remarkable,it can improve the function of pelvic floor muscle and reduce the i
作者
吴浪涛
邹海燕
韩华平
仇婕
钟林洁
WU Langtao;ZOU Haiyan;HAN Huaping;QIU Jie;ZHONG Linjie(The First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine,Guiyang 550002,China)
出处
《中外医学研究》
2023年第32期156-159,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
基金
2022年度贵州省卫生健康委科学技术基金项目(gzwkj2022-494)。
关键词
顺产
初产妇
盆底康复
盆底肌肌力
盆底肌功能
盆底功能障碍性疾病
Eutocia
Primipara
Pelvic floor rehabilitation
Pelvic floor muscle strength
Pelvic floor muscle function
Pelvic floor dysfunction
