盆底康复操对自然分娩产妇产后盆底肌肌力与情绪状态的改善作用研究

The effect of pelvic floor rehabilitation exercise on postpartum pelvic floor muscle strength and emotional state of parturients undergoing natural delivery

目的探析盆底康复操对自然分娩产妇产后盆底肌肌力与情绪状态的改善作用。方法选取2019年7月1日—2020年6月30日期间在沈阳市妇幼保健院分娩的82例自然分娩产妇为研究对象,依据随机数字表法将其分为观察组和对照组(每组41例)。对照组产妇接受常规产后护理,观察组在对照组基础上加用盆底康复操锻炼,观察记录2组护理前后生活质量评分、护理前后负性情绪评分和产妇产后盆底肌肌力情况,并进行分析对比。结果护理前2组的生活质量评分差异不明显(P>0.05),护理后2组生活质量评分均提高,且观察组高于对照组(P<0.05)。护理前2组的焦虑、抑郁评分差异不明显(P>0.05),护理后2组评分均降低,且观察组低于对照组(P<0.05)。护理后观察组产妇中Ⅳ~Ⅴ级盆底肌肌力占比明显高于对照组(P<0.05)。结论盆底康复操对改善自然分娩产妇产后的盆底肌肌力,提高其生活质量并缓解负性情绪作用明显,值得推广使用。

Objective To explore the effect of pelvic floor rehabilitation exercise on postpartum pelvic floor muscle strength and emotional state of parturients undergoing natural delivery.Methods A total of 82 parturients who delivered naturally in Shenyang Maternal and Child Health Hospital from July 1,2019 to June 30,2020 were selected as the research subject.According to the random number table method,they were divided into observation group and control group(41 cases in each group).The control group received routine postpartum nursing measures,and the observation group used pelvic floor rehabilitation exercise on the basis of the control group.The scores of quality of life before and after nursing,negative emotion before and after nursing and postpartum pelvic floor muscle strength of the two groups were observed and recorded,analyzed and compared.Results There was no significant difference in quality of life scores between the observation group and the control group before nursing(P>0.05).After nursing,the quality of life scores of the two groups were improved,and the scores of the observation group were much higher than those of the control group(P<0.05).There was no significant difference in anxiety and depression scores between the observation group and the control group before nursing(P>0.05).After nursing,the scores of the two groups decreased,and the scores of the observation group were much lower than those of the control group(P<0.05).After nursing,the proportion of grade4-5pelvic floor muscle strength in the observation group was significantly higher than that in the control group,and the postpartum pelvic floor muscle strength was better(P<0.05).Conclusion The pelvic floor rehabilitation exercise has an obvious effect on improving the postpartum pelvic floor muscle strength,improving their quality of life and alleviating their negative emotions,which is worthy of popularization and use.