产前凯格尔运动对降低顺产产妇分娩裂伤的作用观察

Effect of Prenatal Kegel Exercise on Reducing Laceration of Parturients

目的:观察产前凯格尔运动对降低顺产产妇分娩裂伤的作用。方法:选取2021年1月至2023年4月在郑州市妇幼保健院经顺产成功分娩的64例产妇,从中选取常规产前裂伤预防措施的32例产妇纳入对照组,选取在常规措施基础上应用凯格尔运动的32例产妇纳入观察组。比较两组产妇会阴侧切率、会阴裂伤程度等会阴损伤情况指标与其他临床指标。结果:观察组产妇会阴侧切率低于对照组,会阴完整率高于对照组,差异具有统计学意义(P<0.05);观察组产妇会阴裂伤程度轻于对照组,差异具有统计学意义(Z=–2.431,P<0.05);观察组产妇会阴缝合时间、会阴出血量、产后下床活动时间均少于对照组,差异具有统计学意义(P<0.05);观察组产妇产后12 h、24 h、48 h、72 h的视觉模拟评分法(VAS)评分均低于对照组,差异具有统计学意义(P<0.05);观察组产妇产后72 h的会阴肿胀程度轻于对照组,差异具有统计学意义(Z=–2.304,P<0.05);观察组产妇会阴愈合程度优于对照组,差异具有统计学意义(Z=–2.318,P<0.05)。结论:产前凯格尔运动能够降低顺产产妇分娩裂伤的发生率与损伤程度。

Objective To observe the effect of prenatal Kegel exercise on reducing laceration in parturient women.Methods From January 2021 to April 2023,64 parturients who delivered successfully through natural delivery in Zhengzhou Maternal and Child Health Care Hospital were selected,32 parturients with routine prenatal laceration prevention measures were selected to be included in a control group,and 32 parturients with Kegel exercise on the basis of routine measures were selected to be included in an observation group.The indexes of perineal injury,such as lateral incision rate,perineal laceration degree and clinical indexes were compared between the two groups.Results The perineal lateral resection rate in the observation group was lower than that in the control group,and the perineal integrity rate was higher than that in the control group,the differences were statistically significant(P<0.05).The degree of perineal laceration in the observation group was less than that in the control group,and the difference was statistically significant(Z=-2.431,P<0.05).The perineal suturing time,perineal bleeding amount and postpartum activity time in the observation group were less than those in the control group,and the differences were statistically significant(P<0.05).The visual analogue scales(VAS)scores at 12 h,24 h,48 h and 72 h in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The degree of perineal swelling 72 h after delivery in the observation group was less than that in the control group,and the difference was statistically significant(Z=-2.304,P<0.05).The healing degree of perineum in the observation group was better than that in the control group,and the difference was statistically significant(Z=-2.318,P<0.05).Conclusion Prenatal Kegel exercise can reduce the incidence and severity of laceration in vaginal delivery.