盆底康复操对产妇产后盆底肌力与情绪状态的改善作用

Improvement of pelvic floor rehabilitation on postpartum pelvic floor muscle strength and emotional state

目的:探讨盆底康复操对产妇产后盆底肌力与情绪状态的改善作用。方法:选择2017年1~12月于我院进行自然分娩的产妇156例,随机数表法将其分为对照组(接受常规护理与健康指导)与研究组(在对照组的基础上采取盆底康复操干预),每组78例。评价两组产妇产后并发症情况、产后14 W时的盆底肌力,以及出院时与出院14 W时情绪状态的变化。结果:研究组产妇产后并发症发生率2. 56%,低于对照组11. 54%(P <0. 05)。研究组产妇产后14 W时盆底肌力明显优于对照组,研究组Ⅰ级、Ⅱ~Ⅲ级发生率0. 00%、35. 90%低于对照组12. 82%、52. 56%(P <0. 05),Ⅳ~Ⅴ级发生率64. 10%高于对照组34. 62%(P <0. 05或P <0. 01)。出院14 W时研究组SDS与SAS评分均低于对照组(P <0. 01)。结论:盆底康复操对产妇产后盆底肌力与情绪状态具有显著的改善作用,适于临床应用。

Objective： To investigate the improvement of pelvic floor rehabilitation exercise on postpartum pelvic floor muscle strength and emotional state. Methods： 156 cases of natural childbirth pregnant women in our hospital from January 2017 to December 2017 were selected and randomly divided into the control group （receiving routine nursing and health guidance） and the study group （taking pelvic floor rehabilitation intervention on the basis of the treatment of the control group） with 78 cases in each group）. The postpartum complications, the pelvic floor muscle strength at 14 weeks after delivery and the changes of emotional state during discharge and 14 weeks after discharge of the two groups evaluated. Results： The incidence of postpartum complications in the study group was 2.56%, which was lower than that of the control group （11.54% （P〈0.05））. T The pelvic floor muscle strength of the study group was significantly better than that of the control group at 14 weeks after delivery, that is, the incidence of grade I, grade II to III was 0.00% and 35.90%, which was lower than that of the control group 12.82% and 52.56% （P〈0.05）, and the incidence of grade IV to grade V was 64.10%, which was higher than that of the control group 34.62% （P〈0.05）. The scores of SDS and SAS in the study group were lower than those of the control group at 14 weeks after discharge （P〈0.05）. Conclusion： Pelvic floor rehabilitation has a significant role in the improvement of muscle strength and emotional state after delivery, which is suitable for clinical application.