围产期体质量管理结合Kegel运动对改善产后盆底功能的效果分析
Analysis of the Effect of Perinatal Body Mass Management Combined with Kegel Exercise on Improving Postpartum Pelvic Floor Function
孙熙莲 1朱静娜 1温浩 1肖璐娜1
作者信息
- 1. 贵州省黔西南州人民医院妇科,贵州兴义 562400
- 折叠
摘要
目的 探究围产期体质量管理结合Kegel运动在改善产后盆底功能方面的价值.方法 随机选取2021年6月—2022年11月在贵州省黔西南州人民医院接受检查的120例围产期孕产妇为研究对象,以随机数表法分为对照组(常规围产期管理)和研究组(围产期体质量管理结合Kegel运动),各60例,观察两组管理效果.结果 产后6周,研究组压力性尿失禁发生率为13.33%,显著低于对照组25.00%,差异有统计学意义(χ2=4.395,P<0.05).研究组盆底Ⅰ、Ⅱ类肌纤维肌力正常率为71.67%、76.67%,显著高于对照组51.67%、50.00%,差异有统计学意义(χ2=8.461、15.315,P均<0.05).研究组盆腔器官脱垂率为10.00%,显著低于对照组31.67%,差异有统计学意义(χ2=14.235,P<0.05).研究组生活质量分值显著低于对照组,差异有统计学意义(P<0.05).研究组盆底障碍影响简易问卷分值为(81.34±9.11)分,显著低于对照组(114.73±11.25)分,差异有统计学意义(t=17.867,P<0.001).结论 围产期体质量管理结合Kegel运动可提升产妇盆底肌力,预防盆底功能障碍的发生,降低疾病对产妇今后生活造成的困扰.
Abstract
Objective To explore the value of perinatal body mass management combined with Kegel exercise in im-proving postpartum pelvic floor function.Methods 120 perinatal pregnant women who were examined at Qianxinan Prefecture People's Hospital of Guizhou Province from June 2021 to November 2022 were randomly selected as the study objects.The patients were divided into a control group(conventional perinatal management)and a research group(perinatal weight management combined with Kegel exercise)using the random number table method,with 60 cases in each group.The management effects of the two groups were observed.Results Six weeks after delivery,the in-cidence of stress urinary incontinence in the study group was 13.33%,which was significantly lower than the control group 25.00%,and the difference was statistically significant(χ2=4.395,P<0.05).The normal rates of pelvic floor typeⅠ and Ⅱ muscle fiber strength in the study group were 71.67%and 76.67%,which were significantly higher than those in the control group 51.67%and 50.00%,and the differences were statistically significant(χ2=8.461,15.315,both P<0.05).The pelvic organ prolapse rate in the study group was 10.00%,which was significantly lower than the 31.67%in the control group,and the difference was statistically significant(χ2=14.235,P<0.05).The scores of the pel-vic floor dysfunction questionnaire in the study group were significantly lower than those in the control group,and the difference was statistically significant(P<0.05).The score of the quality of life in the study group was(81.34±9.11)points,which was significantly lower than the control group(114.73±11.25)points,and the difference was statistically significant(t=17.867,P<0.001).Conclusion Perinatal body weight management combined with Kegel exercise can im-prove maternal pelvic floor muscle strength,prevent the occurrence of pelvic floor dysfunction,and reduce the trouble caused by the disease to maternal future life.
关键词
围产期/体质量管理/Kegel运动/产后盆底功能Key words
Perinatal period/Body mass management/Kegel exercise/Postpartum pelvic floor function引用本文复制引用
基金项目
贵州省卫生健康委科学技术基金课题(gzwkj2021-313)
出版年
2024
NETL
NSTL
维普
万方数据