产后盆底功能障碍患者盆底康复训练后康复影响因素分析

Analysis of rehabilitation influencing factors after pelvic floor rehabilitation training in patients with postpartum pelvic floor dysfunction

目的 探究产后盆底功能障碍患者盆底康复训练后康复效果及影响因素。方法 选取2020年3月至2022年3月时间段,于新疆医科大学第一附属医院进行产后盆底功能障碍康复的患者160例,随机分为对照组79例和观察组81例,所有入组的患者均进行康复训练,其中康复效果改善患者为135例,未改善患者为25例。结果 产后盆底功能障碍康复效果、盆底康复训练、临床有效性观察组高于对照组,具有统计学差异(P<0.05)。单因素分析显示,盆底肌力严重程度、尿失禁严重程度、分娩方式、产次、新生儿体质量中具有统计学差异(P<0.05)。多因素Logistic回归分析显示,存在盆底肌力严重程度Ⅰ级、Ⅱ级,尿失禁严重程度Ⅲ级、Ⅳ级,分娩方式自然分娩,产次≥2,新生儿体质量≥3000 g是影响产后盆底功能障碍患者盆底康复训练后康复效果的主要因素。结论 盆底肌力严重程度、尿失禁严重程度、分娩方式、产次、新生儿体质量是影响产后盆底功能障碍患者盆底康复训练后康复效果的主要因素。

Objective To explore the rehabilitation effect and influencing factors after pelvic floor rehabilitation training in patients with postpartum pelvic floor dysfunction.Methods From March 2020 to March 2022,160 patients with postpartum pelvic floor dysfunction were selected in the First Affiliated Hospital of Xinjiang Medical University,randomly divided into 79 patients of control group and 81 patients of observation group.All enrolled patients were subjected to rehabilitation training,among which 135 patients had improved rehabilitation effect and 25 patients with no improvement.Results The rehabilitation effect of postpartum pelvic floor dysfunction,pelvic floor rehabilitation training and clinical effectiveness observation group were higher than the control group,which showed statistical difference(P<0.05).Univariate analysis showed that there were statistical differences in the severity of pelvic floor muscle strength,severity of urinary incontinence,delivery mode,delivery,and neonatal body mass(P<0.05).Multivariate logistic regression analysis showed that the presence of pelvic floor muscle strength severity levels I and II,urinary incontinence severity levels III and IV,natural delivery method,birth frequency≥2,and newborn body weight≥3000 g were the main factors affecting the rehabilitation effect of postpartum pelvic floor dysfunction patients after pelvic floor rehabilitation training.Conclusion The severity of pelvic floor muscle strength,the severity of urinary incontinence,delivery mode,delivery time,and neonatal body quality are the main factors affecting the rehabilitation effect after pelvic floor rehabilitation training of patients with postpartum pelvic floor dysfunction.