不同时机盆底康复护理对产后盆底功能恢复的影响

The Influence of Pelvic Floor Rehabilitation Nursing on Recovery of Postpartum Pelvic Floor Function at Different Times

目的分析不同时机进行产后盆底康复护理对产后盆底功能恢复的影响。方法收集2016-2017年于沈阳市第一人民医院行足月自然分娩的产妇76例，随机分为观察组和对照组各38例。观察组于产后42d内开展盆底康复护理；对照组于产后42d以后开展盆底康复护理，护理内容包括盆底肌肉训练和电刺激治疗，比较两组产妇盆底的肌纤维的强度和耐力。结果经过产后盆底康复护理后，两组对象Ⅰ类及Ⅱ类肌纤维的肌电值和疲劳度差异均有统计学意义（P〈0．05）。结论自然分娩产妇应该在产后42d内进行产后盆底康复护理，这样更有利于盆底肌纤维强度和耐力的恢复。

Objective To analyse the influence of pelvic floor rehabilitation nursing on recovery of postpartum pelvic floor function at different times. Methods A total of 76 cases of full term delivery females were collected from 2016 to 2017 and divide into observation group （38 cases） and control group （38 cases） randomly. The observation group accepted pelvic floor rehabilitation nursing within 42 days, while the control group accepted pelvic floor rehabilitation nursing after 42 days. The nursing included pelvic floor muscle training and electrical stimulation therapy. We compared the strength and endurance of pelvic floor muscle. Results After the postpartum pelvic floor rehabilitation nursing, the EMG and fatigue degree of Class Ⅰ and Class Ⅱ muscle fibers were different significantly （P〈0.05）. Conclusion The natural deliver females should accept postpartum pelvic floor rehabilitation nursing within 42 days after delivery, and it is more advantageous to the recovery of strength and endurance of pelvic floor muscle fibers.