延续性围生期盆底锻炼联合认知行为干预对产后盆底康复的影响

Influence of continuous perinatal pelvic floor exercise combined with cognitive behavioral intervention on pelvic floor rehabilitation

目的探讨延续性围生期盆底锻炼联合认知行为干预对产后盆底康复的影响。方法将2015年1月至2016年1月在该院接受检查和分娩的孕产妇600例随机分为干预组和对照组,各300例。对照组给予常规的孕产期保健服务,干预组在此基础上给予延续性围生期盆底肌肉锻炼联合认知行为干预,产后42 d随访时给予盆底康复情况评估。比较两组孕产妇盆底肌力、阴道动态压力、尿失禁评分情况。结果干预组孕产妇阴道动态压力、盆底肌力明显高于对照组,尿失禁评分低于对照组,差异均有统计学意义(P<0.05)。结论延续性围生期盆底锻炼联合认知行为干预,能积极改善产后盆底功能,减少盆底功能障碍性疾病的发生。

Objective To study the influence of continuous perinatal pelvic floor exercise combined with cognitive behavioral intervention on pelvic floor rehabilitation. Methods The 600 maternal who were inspected and delivered in the hospital from January 2015 to January 2016 were randomly divided into intervention group and control group,300 cases in each group.The control group was given routine maternal health care service,the intervention group was given continuous perinatal pelvic floor exercise combined with cognitive behavioral intervention on this basis,pelvic floor rehebilitation was evaluated after 42 days of postpartum fouow-up. Pelvic floor muscle strength,vaginal dynamic pressure and urinary incontinence score were compared between the two groups.Results The pelvic floor muscle strength and the vaginal dynamic pressure in the intervention group were higher than those in the control group,the urinary incontinence score in the intervention group was lower than that in the control group,the differences were statistically significant(P<0.05). Conclusion Continuous perinatal pelvic floor exercise combined with cognitive behavioral intervention can effectively improve the pelvic floor function and reduce the occurrence of pelvic floor dysfunction diseases.