盆底康复治疗仪联合早期功能训练在经阴道分娩初产妇中的应用效果

The application effect of pelvic floor rehabilitation instrument combined with early functional training in transvaginal delivery

目的探究分析在经阴道分娩初产妇中应用盆底康复治疗仪联合早期功能训练的应用效果。方法选取120例经阴道分娩初产妇,遵循随机数字表法将其分为对照组与研究组,各60例。对照组初产妇采用常规康复治疗,研究组初产妇采用盆底康复治疗仪联合早期功能训练。比较两组初产妇产后康复时间,并利用盆底功能障碍量表(PFDI-20)、盆底障碍影响简易问卷(PFIQ-7)及WTO制定的生存质量测定量表简表(WHOQOL-BREF)评估干预前后初产妇盆底功能、生活质量情况。结果研究组初产妇产后泌乳时间、首次排尿时间及恶露时间为(17.07±1.79)h、(8.37±1.05)h、(2.42±0.45)d,均短于对照组(25.46±2.57)h、(11.62±1.69)h、(3.47±0.78)d,差异有统计学意义(P<0.05)。干预前,两组初产妇PFDI-20、PFIQ-7及WHOQOL-BREF评分对比,差异无统计学意义(P>0.05);干预后,研究组初产妇PFDI-20、PFIQ-7评分均低于对照组,WHOQOL-BREF评分高于对照组,差异有统计学意义(P<0.05)。结论在经阴道分娩初产妇中应用盆底康复治疗仪联合早期功能训练的效果确切,能够显著促进产后康复进程,改善其盆底功能,提高其生活质量,具有应用价值。

Objective To explore and analyze the application effect of pelvic floor rehabilitation therapy instrument combined with early functional training in primipara with transvaginal delivery.Methods 120 primiparas who delivered vaginally were selected and divided into control group and study group according to the random number table method,with 60 cases in each group.Primiparas in the control group received routine rehabilitation treatment,while primiparas in the study group received pelvic floor rehabilitation therapy instrument combined with early functional training.The postpartum recovery time of primiparas was compared between the two groups.Pelvic floor Dysfunction Scale(PFDI-20),Pelvic Floor Dysfunction Impact Questionnaire(PFIQ-7)and Quality of life Scale(WHOQOL-BREF)were used to evaluate the pelvic floor function and quality of life of primiparas before and after intervention.Results The postpartum lactation time,first urination time and lochia time of primiparas in the study group were(17.07±1.79)h,(8.37±1.05)h,(2.42±0.45)d,which were shorter than those in the control group(25.46±2.57)h,(11.62±1.69)h,(3.47±0.78)d.The difference was statistically significant(P<0.05).Before intervention,there was no significant difference in PFDI-20,PFIQ-7 and WHOQOL-BREF scores between the two groups(P>0.05).After intervention,the PFDI-20 and PFIQ-7 scores of primiparas in the study group were lower than those in the control group,and the WHOQOL-BREF score was higher than that in the control group,and the differences were statistically significant(P<0.05).Conclusion The application of pelvic floor rehabilitation therapy instrument combined with early functional training in primiparas with vaginal delivery has a definite effect,which can significantly promote postpartum rehabilitation process,improve pelvic floor function,and improve their quality of life,and has application value.