盆腔操锻炼联合腹部推拿在慢性盆腔痛的护理效果分析

Clinical nursing effect of pelvic exercise combined with abdominal massage on the chronic pelvic pain

目的观察盆腔操锻炼联合腹部推拿对治疗慢性盆腔痛的临床效果。方法选择2013年3月~2014年6月收治的98例慢性盆腔痛患者,按数字表随机法分成对照组和观察组,其中对照组给予常规治疗,观察组在常规治疗的基础上同时进行盆腔操锻炼联合腹部推拿治疗,观察记录两组患者在入院时、治疗7 d后以及治疗14 d后的疼痛指数,并在治疗14 d后对其临床疗效进行评定。结果两组患者在入院时的疼痛指数差异无统计学意义（P〉0.05）;与入院前比较,两组患者治疗7 d后疼痛有明显缓解（P〈0.05）,与对照组比较,差异无统计学意义（P〉0.05）;治疗14d后观察组疼痛明显减轻,与对照组比较,差异有统计学意义（P〈0.05）。治疗14 d后,观察组总有效率为87.76%（43/49）,高于对照组总有效率为69.39%（34/49）,差异有统计学意义（χ2=4.91,P〈0.05）。结论盆腔操锻炼联合腹部推拿能有效改善慢性盆腔痛患者的疼痛程度,疗效满意。

Objective To observe the clinical nursing effect of pelvic exercise combined with abdominal massage on the chronic pelvic pain. Methods 98 patients with chronic pelvic pain in our hospital from March 2013 to June 2014 were analyzed, and divided into control group and observation group randomly. The patients of control group were given conventional treatment and nursing care, while the patients of observation group were on pelvic exercise combined with abdominal massage on the basis of routine treatment and nursing care. Then the pain indexes and clinical efficacy rates were observed and recorded in the two groups at the time of admission/7 days later and 14 days later to evaluate the nursing effects. Results The pain index NRS score of the observation group was not significantly different from that of the control group at the time of admission/ 7 d later（P〈0.05）, but was significantly less than that of the control group after 14 d treatment and nursing care（P〈0.05）; All patients＇ pain sense relieved after 7 days treatment and nursing care; And after 14 d treatment and nursing care, the clinical efficacy rate of the observation group was 87.76%（43/49）, which was significantly different from that（69.39%） of the control group（χ2= 4.91,P〈0.05）. Conclusion Pelvic exercise combined with abdominal massage can be effective in relieving the patients＇ chronic pelvic pain with satisfied curative effect.