产后盆底肌康复治疗的实施及价值探究

Implementation and Value Exploration of Postpartum Pelvic Floor Muscle Rehabilitation Training

目的:分析产后产妇做盆底肌康复训练的临床价值。方法:试验对象为笔者所在医院2019年1月-2020年8月在院接受产后盆底肌康复训练者共计100例,经机体状况检查发现皆为患有盆地肌功能障碍者。随机分组,常规组与试验组,每组50例。对照组行常规护理,观察组在常规护理的基础上增加电刺激治疗与按压治疗。比较两组产妇在纤维肌力变化、尿失禁和盆腔脏器脱垂发生情况及患者性生活质量水平。结果:对照组Ⅰ类肌纤维肌力、Ⅱ类肌纤维肌力评分明显低于观察组,两组数据比较差异有统计学意义(P<0.05)。对照组盆腔脱垂、尿失禁等并发症发生率高于观察组(P<0.05)。观察组生活质量评分较对照组更优,数据差异有统计学意义(P<0.05)。结论:存在盆底肌功能障碍的产妇做对应康复训练有利于肌肉功能改善,提升肌肉作用力,降低尿失禁及盆腔脏器脱垂的发生,也有利于促进患者生活质量改善与提高,值得临床推广应用。

Objective:To study the clinical value of pelvic floor muscle rehabilitation training in postpartum women.Method:The subjects were 100 patients who received postpartum pelvic floor muscle rehabilitation training in our hospital from January 2019 to August 2020.Under the control of random grouping method,the patients were divided into the conventional group and the experimental group,with 50 subjects in each group.The control group received routine care;the observation group added electrical stimulation therapy and compression therapy on the basis of routine care.The changes of fibromuscular strength,urinary incontinence,pelvic organ prolapse and sexual quality of life were compared between the two groups.Result:According to the comparison of classⅠ muscle fiber strength and classⅡ muscle fiber muscle strength,the score in the control group was significantly lower than that in the observation group,and the difference between the two groups was statistically significant (P<0.05).The probability of pelvic prolapse,urinary incontinence and other complications in the control group was higher than that in the observation group,and the difference between the two groups was significant (P<0.05).Compared with the control group,the patients in the observation group were significantly better than those in the control group,which showed that the data difference between the two groups after nursing care was significant (P<0.05).Conclusion:There are pelvic floor muscle dysfunction in puerpera.With the help of clinical nursing measures,the corresponding rehabilitation training is conducive to the improvement of muscle function,the improvement of muscle force,the reduction of urinary incontinence and pelvic organ prolapsed.It is worthy of clinical application.