分娩后盆底肌群锻炼对于产妇排尿及肛门功能的影响

Influence of Postpartum Pelvic Floor Muscle-group Exercise on Parturients' Urination and Anal Function

为探讨分娩后盆底肌群锻炼对于产妇排尿及肛门功能的影响,将2016年1月至2018年1月于我院分娩的80名产妇随机分为对照组和观察组,各40名,对照组产妇分娩后给予常规产后处理及健康教育,观察组产妇在对照组干预措施基础上接受盆底肌群功能训练。比较2组产妇妊娠晚期及产后尿失禁发生率,以及肛门功能相关指标。结果显示,2组产妇妊娠晚期尿失禁发生率比较差异无统计学意义,P>0.05;观察组产妇产后1个月内、1～3个月尿失禁发生率明显低于对照组,P <0.05。与对照组相比,产后3个月观察组产妇肛管静息压、肛管收缩压、直肠排便压及盆底肌电值均显著升高,P <0.05;直肠静息压显著降低,P <0.05。结果表明,分娩后盆底肌群锻炼能够显著降低产妇产后尿失禁发生率,改善肛门功能,对产妇产后恢复具有积极意义。

This study was to investigate the influence of postpartum pelvic floor muscle-group exercise on parturients'urination and anal function,randomly divided 80parturients in author's hospital(2016-01- 2018-01)into control group(40cases,routine postpartum management and health education)and observation group(40cases,on the basis of control group added with pelvic floor muscle-group exercise),then compared the incidence of urinary incontinence at postpartum and late gravida,as well as the relevant anal function indexes between the two groups.As results,in the incidence of urinary incontinence at late gravida there was no statistical difference between the two groups(P >0.05),but within 1month,and during 1-3 months this incidence of observation group was significantly lower than that of control group(P <0.05);compared with control group at postpartum 3months in observation group parturients'anal rest pressure, anal systolic pressure,rectal defecation pressure and pelvic floor myoelectric value were uplifted significantly( P <0.05),and rectal rest pressure significantly declined(P <0.05).Results show that pelvic floor muscle-group exercise can significantly decline postpartum incidence of urinary incontinence,improve their anal function,which is helpful to postpartum recovery.