优质护理辅助凯格尔盆底肌训练在产后患者盆底功能恢复中的应用

Application of high quality nursing assisted Kegel pelvic floor muscle training in pelvic floor function recovery of postpartum patients

目的探讨优质护理辅助凯格尔(Kegel)盆底肌训练对产后盆底功能障碍的作用。方法选取2019年3月至2020年11月上饶市立医院妇产科收治的80例产后盆底功能障碍患者作为研究对象,用随机数字表法将其分为对照组和观察组,各40例。两组患者均接受Kegel盆底肌训练,对照组接受常规护理,观察组接受优质护理辅助Kegel盆底肌训练。比较两组患者干预前后的盆底肌力、盆底肌电情况(前静息阶段、快肌阶段、慢肌阶段、后静息阶段值、持续收缩时间)。结果干预后观察组盆底肌力恢复状况优于对照组,差异有统计学意义(P<0.05)。观察组前静息阶段值低于对照组,快肌阶段、慢肌阶段、后静息阶段值高于对照组,持续收缩时间长于对照组,差异有统计学意义(P<0.05)。结论产后盆底功能障碍者在Kegel盆底肌训练基础上,再接受优质护理,对患者阴道静息压和收缩压有提升效果,阴道持续收缩时间得到延长,可改善盆底功能。

Objective To explore the effect of high-quality nursing assisted Kegel pelvic floor muscle training on the recovery of pelvic floor function in postpartum patients.Methods A total of 80 patients with postpartum pelvic floor dysfunction admitted to the Department of Obstetrics and Gynecology of Shangrao Municipal Hospital from March 2019 to November 2020 were selected as the research objects.They were divided into the control group and the observation group by the random number table method,with 40 cases in each group.The patients in both groups received Kegel pelvic floor muscle training,the control group received routine nursing,and the observation group received high-quality nursing assisted Kegel pelvic floor muscle training.The pelvic floor muscle strength,electromyography of the pelvic floor(value of pre resting stage,fast muscle stage,slow muscle stage,value of post resting stage and continuous contraction time)before and after intervention were compared between the two groups.Results After intervention,the recovery of pelvic floor muscle strength in the observation group was better than that in the control group,and the difference was statistically significant(P<0.05).The value of the pre-resting stage in the observation group was lower than that in the control group,the value of the fast muscle stage,slow muscle stage and post-resting stage in the observation group were higher than those in the control group,and the sustained contraction time was longer than that in the control group,and the differences were statistically significant(P<0.05).Conclusion On the basis of Kegel pelvic floor muscle training,patients with postpartum pelvic floor dysfunction receive high-quality nursing,which can improve the resting pressure and systolic pressure of the vagina,prolong the duration of vaginal contraction,and improve the pelvic floor function.