产后早期盆底肌康复治疗对产妇盆底功能的影响

Effect of Rehabilitation of Pelvic Floor Muscle on Pelvic Floor Function of Puerpera

目的:研究产后早期盆底肌康复治疗在促进产妇产后盆底功能恢复中的应用价值。方法:选取于2017年9月-2019年1月入院的168例产妇,采用随机双盲法将其中84例纳入常规组,另外84例纳入研究组,常规组实施常规康复指导,研究组采用常规康复指导联合产后早期盆底肌康复治疗。比较两组产妇的盆底功能恢复情况、并发症发生情况以及生活质量情况。结果:干预前,两组盆底功能各指标比较,差异均无统计学意义(P>0.05);干预后,研究组盆底功能各指标水平均优于常规组,差异均有统计学意义(P<0.05)。研究组并发症发生率为8.33%,低于常规组的19.05%,差异有统计学意义(P<0.05)。干预前,两组的两项生活质量评分比较,差异均无统计学意义(P>0.05);干预后,研究组的两项生活质量评分均低于常规组,差异均有统计学意义(P<0.05)。结论:在产妇产后早期对其实施盆底肌康复治疗,可以显著改善产妇盆底功能,降低其盆底功能障碍相关并发症发生率,利于产妇产后生活质量的提高。

Objective:To study the application value of early pelvic floor muscle rehabilitation in the pelvic floor function.Method:A total of 168 pregnant women admitted to the hospital from September 2017 to January2019 were selected,of which 84 were included in the routine group and the other 84 were included in the study group by the randomized double-blind method.Routine rehabilitation guidance was implemented in the routine group,and routine rehabilitation guidance combined with pelvic floor muscle rehabilitation in the early postpartum period was adopted in the study group.The pelvic floor function recovery,complications and quality of life were compared between the two groups.Result:Before intervention,there were no statistically significant differences in pelvic floor function between the two groups(P>0.05);after intervention,all indexes of pelvic floor function in the study group were better than those in the conventional group,with statistically significant differences(P<0.05).The complication rate of the study group was 8.33%,which was lower than 19.05%of the conventional group,the difference was statistically significant(P<0.05).Before intervention,there were no statistically significant differences in quality of life scores between the two groups(P>0.05);after intervention,both life quality scores of the study group were lower than those of the conventional group,with statistically significant differences(P<0.05).Conclusion:The implementation of pelvic floor muscle rehabilitation therapy in early postpartum period can significantly improve the pelvic floor function of parturients,reduce the incidence of complications related to pelvic floor dysfunction,and is beneficial to the improvement of postpartum quality of life of parturients.