护理干预对孕妇产后盆底肌康复的影响分析

Influence of Nursing Intervention on the Rehabilitation of Postpartum Pelvic Floor Muscle

目的观察并探讨产后妇女盆底肌康复经护理干预后的临床恢复效果。方法取80例初产妇为本次研究对象,回顾性分析其临床资料,并将其随机均分成两组,对照组40例产妇接受常规康复训练以及基础健康知识宣教,实验组40例产妇则接受积极的盆底肌康复治疗,并在产后接受专业系统的康复训练。产后随访三月,对比两组盆底肌功能恢复效果。结果经术后随访发现,实验组产妇肌力测定级别不低于3级者比对照组更多,且在盆腔器官脱垂、性生活满意度、尿失禁等方面更优于对照组,经统计学分析发现,组间差异显著(P<0.05)。结论孕妇产后接受系统性、专业化盆底肌康复治疗以及针对性护理有利于盆底肌力的提高,产妇既往存在的尿失禁状况也可得到显著改善,同时有利于预防产妇盆底功能发生障碍性疾病。

Objective To explore the clinical effect of nursing intervention on the rehabilitation of postpartum pelvic floor muscle. Methods Eighty unipara were selected as the research object and divided into two groups randomly, with 40 cases in each group. The control group received the conventional rehabilitation training and basic health education, while the experimental group received the positive pelvic floor muscle rehabilitation and professional systematic rehabilitation after delivery. The functional recovery effects of pelvic floor muscle were compared between two groups at 3 months of followed-up. Results The cases of muscle level ≥ 3 of the experimental group were more than those of the control group, and the difference was statistically significant （P〈0.05）; The experimental group was superior to the control group in the situations of pelvic organ prolapse, sexual satisfaction and urinary incontinence, and the difference was statistically significant （P 〈0.05）. Conclusions Professional, systematic pelvic floor muscle rehabilitation and targeted nursing after delivery are conducive to the improvement of pelvic floor muscle strength. It can improve maternal preexisting incontinence, and prevent the occurrence of maternal pelvic floor disorders.