首页|产后盆底康复治疗对足月单胎顺产初产妇的效果

产后盆底康复治疗对足月单胎顺产初产妇的效果

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目的 分析足月单胎顺产初产妇采用产后盆底康复治疗的效果,为足月单胎顺产初产妇产后恢复提供帮助.方法 选取2023年6月—2024年6月滕州市中心人民医院收治的足月单胎顺产的初产妇90例为研究对象,在产妇知情同意下采用随机数字表法分为常规组和康复组,每组45例.常规组采用常规产后恢复治疗及健康训练,康复组在常规组治疗的基础上采用盆底康复治疗.比较6个月后两组产妇产后盆底肌肌力恢复情况、性生活满意率、压力性尿失禁发生率及盆腔器官脱垂发生率.结果 康复组盆底肌肌力恢复有效率为77.78%,高于常规组的55.56%,差异有统计学意义(x2=5.012,P<0.05).康复组压力性尿失禁和盆腔器官脱垂发生率为8.89%和2.22%,均低于常规组的26.67%和22.22%,差异均有统计学意义(P<0.05);康复组性生活满意率为88.89%,明显高于常规组的60.00%,差异有统计学意义(x2=20.150,P<0.05).结论 对足月单胎顺产初产妇采取产后盆底康复治疗可以有效减少盆腔器官脱垂状况发生,提升产妇对性生活的满意率,减少盆底疾病的发生,值得临床推广应用.
The effect of postpartum pelvic floor rehabilitation treatment on full-term single birth natural labour primiparous women
Objective To analyze the effect of postpartum pelvic floor rehabilitation treatment on primiparous women with full-term single birth natural labour,and provide assistance for postpartum recovery of primiparous women with full-term single birth natural labour.Methods Ninety full-term single birth natural labour primiparous women admitted to Tengzhou Central People's Hospital from June 2023 to June 2024 were selected as the research subjects.With the informed consent of the parturients,they were divided into conventional group and rehabilitation group using random number table method,with 45 cases in each group.The conventional group received routine postpartum recovery treatment and health training,while the rehabilitation group received pelvic floor rehabilitation treatment on the basis of the conventional group treatment.The recovery of pelvic floor muscle strength,sexual life satisfaction rate,incidence of stress urinary incontinence,and incidence of pelvic organ prolapse between two groups of postpartum women after 6 months were compared.Results The effective rate of pelvic floor muscle strength recovery in the rehabilitation group was 77.78%,which was higher than 55.56%in the conventional group,and the difference was statistically significant(x2=5.012,P<0.05).The incidence rates of stress urinary incontinence and pelvic organ prolapse in the rehabilitation group were 8.89%and 2.22%,whine were lower than 26.67%and 22.22%in the conventional group,and the differences were statistically significant(P<0.05);the satisfaction rate of sexual life in the rehabilitation group was 88.89%,which was significantly higher than 60.00%in the conventional group,and the difference was statistically significant(x2=20.150,P<0.05).Conclusion Postpartum pelvic floor rehabilitation treatment could effectively reduce the occurrence of pelvic organ prolapse,improve the satisfaction rate of parturients with sexual life,and reduce the incidence of pelvic floor diseases for full-term single birth natural labour primiparous women.It was worth promoting and applying in clinical practice.

Primiparous womenPelvic floor rehabilitation treatmentStress urinary incontinencePelvic organ prolapse

董长敏、杜媛媛、胡宗艳

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滕州市中心人民医院产科,山东 滕州 277599

山东省滕州市张汪中心医院妇产科

山东省滕州市中心人民医院妇产科盆底康复中心

初产妇 盆底康复治疗 压力性尿失禁 盆腔器官脱垂

2024

中国城乡企业卫生
中华预防医学会 天津市职业病防治院

中国城乡企业卫生

影响因子:0.239
ISSN:1003-5052
年,卷(期):2024.39(8)