产褥期核心肌群稳定性训练对自然分娩初产妇盆底康复的影响研究

Study on effect of core muscle stability exercise during puerperium on pelvic floor rehabilitation of primipara after natural delivery

目的探讨核心肌群稳定性训练对自然分娩初产妇盆底康复的影响。方法选取71例产妇,按照随机数字表法分为观察组36例、对照组35例。对照组住院期间接受常规的产后护理,观察组在对照组的基础上在产褥期接受核心肌群稳定性训练,包括膈式呼吸、直腿抬高、臀桥训练、腰部运动、鸟狗训练,接受运动监督。采用盆底肌电分值、膀胱颈活动度等指标评价干预效果。结果干预后,快肌(Ⅱ类)纤维肌电分值、慢肌(Ⅰ类)纤维肌电分值及盆底肌电总分值观察组分别为(78.11±12.09)、(52.44±17.67)、(63.18±9.55),对照组分别为(43.77±23.40)、(34.29±19.53)、(42.74±13.22),观察组均高于对照组,两组间差异具有统计学意义(P<0.001)。观察组膀胱颈活动度(1.59±0.76),低于对照组的(2.43±0.89),差异有统计学意义(P<0.05)。结论核心肌群稳定性训练能够提高产妇盆底肌收缩力,降低膀胱颈活动度,促进盆底肌康复。

Objective To study the effect of core muscle stability exercise on pelvic floor rehabilitation of primipara after natural delivery.Method Choose 71 parturients into observation group(n=36)and control group(n=35)by random number table.Parturients in control group receive routine postpartum nursing.Parturients in observation group receive core muscle stability exercise during puerperium based on routine postpartum nursing,including diaphragm breathing,straight leg raising,glute bridge exercise,waist exercise and bird-dog exercise with supervision.Evaluate the intervention effect by pelvic floor electromyography and bladder neck mobility.Result Electromyography of fast muscle(typeⅡ)fibre,electromyography of slow muscle(typeⅠ)fibre and pelvic floor total electromyography are(78.11±12.09),(52.44±17.67)and(63.18±9.55)in observation group and(43.77±23.40),(34.29±19.53)and(42.74±13.22)in control group after intervention.The values are higher in observation group than in control group and the difference is significant(P<0.001).The bladder neck mobility is(1.59±0.76)in observation group,which is lower than(2.43±0.89)in control group,the difference is significant(P<0.05).Conclusion Core muscle stability exercise can improve contractility of parturients’pelvic floor muscle,reduce their bladder neck mobility and improve pelvic floor rehabilitation.