盆底康复操联合电刺激疗法在产后康复中的应用价值研究

Study on the Application Value of Pelvic Floor Rehabilitation Exercise Combined with Electrical Stimulation Therapy in Postpartum Rehabilitation

目的探讨盆底康复操联合电刺激疗法在产后康复中的应用效果.方法选择2021年3月—2022年4月我院收治的106例足月分娩产妇为研究对象,按随机数字表法分为两组,各53例.对照组采用常规康复训练,观察组采用盆底康复操联合电刺激疗法,均持续干预4周.对比两组恶露排出情况、子宫复旧情况、盆底肌力及并发症发生情况.结果观察组产后24、72 h血性恶露总量分别为(218.53±53.78)mL、(348.15±62.58)mL,均多于对照组的(187.75±47.01)mL、(321.25±54.79)mL,血性恶露持续时间(4.54±1.02)d、恶露排净时间(21.19±3.13)d均短于对照组的(6.11±1.32)d、(25.33±4.09)d,组间差异有统计学意义(P<0.05).观察组干预后子宫底高度(5.93±0.96)cm低于对照组的(7.35±1.01)cm,子宫三径之和(14.89±1.21)cm短于对照组的(16.65±1.27)cm,子宫体积(651.88±80.36)cm^(3)小于对照组的(724.11±98.29)cm^(3),组间差异有统计学意义(P<0.05).观察组干预后盆底肌力分级情况优于对照组,并发症发生率3.77%低于对照组的18.87%,组间差异有统计学意义(P<0.05).结论盆底康复操联合电刺激疗法能够加快产妇产后恶露排出及子宫复旧,改善盆底功能,减少产后并发症的发生,增强产后康复效果,值得临床推广.

Objective To explore the application effect of pelvic floor rehabilitation exercise combined with electrical stimulation therapy in postpartum rehabilitation.Methods From March 2021 to April 2022,106 full-term parturients in the hospital were selected as the research objects and divided into two groups according to the random number table,53 cases in each group.The control group was given routine rehabilitation training,and the observation group was given pelvic floor rehabilitation exercise combined with electric stimulation therapy,both groups continued to intervene for 4 weeks.The discharge of lochia,uterine involution,pelvic floor muscle strength and complications were compared between the two groups.Results The total amount of blood lochia 24 h and 72 h after delivery in the observation group was(218.53±53.78)mL and(348.15±62.58)mL,respectively,which were more than(187.75±47.01)mL and(321.25±54.79)mL in the control group,the duration of blood lochia and the time of lochia excretion in the observation group were(4.54±1.02)d and(21.19±3.13)d,respectively,which were shorter than(6.11±1.32)d and(25.33±4.09)d in the control group,and the differences between the groups were statistically significant(P<0.05).After intervention,the height of the uterine floor in the observation group was(5.93±0.96)cm,which was lower than(7.35±1.01)cm in the control group,and the sum of the three diameterof the uterus was(14.89±1.21)cm,which was shorter than(16.65±1.27)cm in the control group,the uterine volume was(651.88±80.36)cm^(3),which was smaller than(724.11±98.29)cm^(3)of the control group,and the differences between the groups were statistically significant(P<0.05).The grading of pelvic floor muscle strength in the observation group after intervention was better than that in the control group,and the complication rate was 3.77%,which was lower than 18.87%in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Pelvic floor rehabilitation exercise combined with electrical stimulation therapy can accelerate postpartum lochia discharge and uterine involution,improve pelvic floor function,reduce postpartum complications,and enhance postpartum rehabilitation effect,which is worth clinical promotion.