盆底肌锻炼对产妇分娩结局及产后盆底肌张力恢复的影响

Effect of Pelvic Floor Muscle Training on Delivery Outcomes and Postpartum Recovery of Pelvic Floor Muscle Tension

目的:观察持续性盆底肌锻炼对产妇分娩方式、产程以及产后盆底肌张力的影响。方法:选取2014年2月至2015年11月到我院进行定期产检的孕妇,随机分为对照组和观察组。观察组(131例孕妇)由专职护士指导盆底肌锻炼,并定期随访;未进行盆底肌锻炼的132例孕妇作为对照组。分析盆底肌锻炼对产妇分娩结局及产后盆底肌张力恢复的情况。结果:2组在首诊时的盆底肌张力以及剖宫产率方面,差异无统计学意义(P>0.05);观察组第二产程平均时间短于对照组,差异有统计学意义(P<0.05),而2组在第一、第三产程时间比较,差异无统计学意义(P>0.05);产后6周、12周时,观察组盆底肌张力均优于对照组(P<0.05)。结论:孕妇进行持续性盆底肌锻炼可以有效缩短第二产程时间、有利于产后盆底肌张力的恢复。

Objective： To investigate the effects of regular pelvic floor muscle training on delivelT mode, progress of labor and postpartum recovelT of pelvic floor muscle tension. Methods ： Pregnant women who received routine examination in our hospital from Feb 2014 to Nov 2015 were selected and were randomly divided into control group （132 cases） and observation group （131 cases）. The observation group received pelvic floor muscle training directed by a full-time nurse, while the control group did not receive pelvic floor muscle training. The effects of pelvic floor muscle training on delivelT mode, progress of labor and postpartum tension of pelvic floor muscle were analyzed. Results： There were no significant difference in pelvic floor muscle tension at first diagnosis and cesarean rate （P〉0.05）. The average time of the second stage of labor in the observation group was significant shorter than that in the control group （P〈0.05）, while the differences in first stage and third stage of labor were not statistically significant （P〉0.05）. The pelvic floor muscle tension in the observation group was better than that in the control group at 6 weeks and 12 weeks postpartum （P〈 0.05）. Conclusion： Regular pelvic floor muscle training in pregnant women can effectively shorten the second stage of labor and promote the postpartum recovelT of pelvic floor muscle tension.