综合护理方案对PFD患者的盆底肌肉功能恢复的影响

Effect of Comprehensive Rehabilitation Nursing on Recovery of Muscle Function of Pelvic Floor in PFD Patients

为了探讨电刺激、生物反馈、盆底肌肉锻炼三项联合的综合临床治疗方案,对盆底功能障碍性疾病(PFD)患者盆底功能恢复的效果,本研究采用电刺激+生物反馈+盆底肌肉锻炼临床治疗方案,进行女性盆底功能康复护理,并对其进行回顾性分析,以期为女性盆底功能障碍性疾病的治疗和康复提供理论依据。研究选取148例临床病例,根据患者产后至康复护理时间分为早期组(产后6~9周)78例、晚期组(分娩10周以后)70例,对两组患者进行连续康复护理8周,分析和比较两组的康复效果差异。研究表明:治疗前,早期组和晚期组患者的产妇盆底Ⅰ类肌纤维、盆底ⅡA类肌纤维、盆底ⅡB类肌纤维的持续收缩压、持续收缩时间、收缩个数,差异无统计学意义(p>0.05);治疗后,早期组患者的产妇盆底Ⅰ类肌纤维、盆底ⅡA类肌纤维、盆底ⅡB类肌纤维的持续收缩压、持续收缩时间、收缩个数均高于晚期组,差异具有统计学意义(p<0.05);治疗前,早期组和晚期组患者的盆底肌力分级,差异无统计学意义(p>0.05);治疗后,早期组患者的盆底肌力分级优于晚期组,差异具有统计学意义(p<0.05)。研究表明,电刺激+生物反馈+盆底肌肉锻炼是一组有效的PFD康复护理方案,在产后6~9周介入对PFD患者盆底肌肉功能恢复具有一定的优势,恢复效果优于晚期组。

To explore the effect of early rehabilitation nursing on the recovery of pelvic floor function in patients with pelvic floor dysfunction（PFD）.Selected 148 cases of patients with rehabilitation nursing of postpartum pelvic floor function were retrospectively analyzed,according to the rehabilitation nursing of patients with postpartum time divided into early stage group（postnatal 6 weeks to 9 weeks）,78 cases of late stage group（10 weeks after childbirth） in 70 cases,compared two groups of patients,continuous rehabilitation nursing for 8 weeks.The differences of the ratio of rehabilitation the effect of the two groups.Before treatment,the continued contraction of early maternal pelvic floor muscle fiber type,and late groups of patients with pelvic floor muscle fibers,a class Ⅱclass Ⅱ B pelvic floor muscle fiber pressure,sustained contraction time and contraction of the number of no significant difference（p〈0.05）;after treatment,sustained contraction of early pelvic floor muscle fibers,class Ⅰgroup the pelvic floor muscle fibers,a classⅡclassⅡ B pelvic floor muscle fiber pressure,sustained contraction time and contraction number were higher than the late group,the difference was statistically significant（p〈0.05）;before treatment,pelvic floor muscle strength in the early and late groups were graded no significant difference（p〈0.05）;after treatment,early pelvic floor muscle strength were better than that of the late group,the difference was statistically significant（p〈0.05）.Early rehabilitation nursing has certain advantages on the recovery of pelvic floor function in patients with PFD,and the recovery effect is better than that of the latter group.