凯格尔运动在预防产后便秘中的应用效果

Effect of Kegel Exercise on Prevention of Postpartum Constipation

目的探讨凯格尔运动在预防产后便秘中的应用价值。方法采用方便抽样法,选取2018年4月—2019年4月于上海市宝山区中西医结合医院分娩的产妇500例为研究对象,采用随机数字表法将其分为对照组(n=250)和观察组(n=250)。对照组给予常规产后预防便秘指导,观察组在此基础上给予凯格尔运动指导。观察并比较两组产妇产后4周内每周有效排便次数、平均每次有效排便耗时及预防便秘有效率。结果观察组产妇产后第1周、第2周、第3周、第4周每周有效排便次数均多于对照组(P<0.001);平均每次有效排便耗时均少于对照组(P<0.001)。产后第4周,观察组产妇预防便秘有效率优于对照组(P<0.001)。结论凯格尔运动可以有效预防产后便秘,其操作方便、无不良反应,且产妇易于接受,值得临床进一步推广应用。

Objective To investigate the value of Kegel exercise in preventing postpartum constipation.Methods A total of 500 lying-in women who gave birth in Shanghai Baoshan Hospital of Integrated Traditional Chinese and Western Medicine from April 2018 to April 2019 were selected as the subjects by convenience sampling,and divided into the control group(n=250)and the observation group(n=250)according to random number table.The control group was given conventional guidance to prevent postpartum constipation,while the observation group received Kegel exercise guidance on this basis.The lying-in women in both groups were observed and compared for the frequency of effective defecation per week,average defecation time and effective rate of constipation prevention in 4 weeks after delivery.Results The frequency of effective defecation in the first,second,third and fourth week after delivery in the observation group was higher than that in the control group(P<0.001);the defecation time was less than that in the control group(P<0.001).At the fourth week after delivery,the average effective rate of constipation prevention in the observation group was superior to the control group(P<0.001).Conclusion Kegel exercise is effective in the prevention of postpartum constipation,which is easy to carry out and easily accepted by lying-in women without any adverse reaction.Thus,it is worthy of further promotion in clinical practice.