普拉提斯运动疗法在剖宫产产妇术后康复治疗中的应用

Application of Pilates exercise therapy in rehabilitation treatment after cesarean section puerpera

目的 探讨普拉提斯运动疗法在剖宫产产妇术后康复治疗中的应用效果。方法 选择2021年1月至2023年1月在淄博市妇幼保健院产后休养中心进行剖宫产术后康复治疗的94例产妇作为研究对象,按照随机数字表法分为两组,各47例。对照组采用神经肌肉电刺激治疗,观察组在其基础上给予普拉提斯运动疗法,比较两组盆底肌力、盆底肌电位、盆底肌疲劳度及并发症。结果 干预后观察组盆底肌力优于对照组(P <0.05);干预后观察组Ⅰ类、Ⅱ类肌纤维电位高于对照组,Ⅰ类、Ⅱ类肌纤维疲劳度低于对照组(P <0.05);观察组比对照组的并发症总发生率低(P<0.05)。结论 普拉提斯运动疗法在剖宫产产妇术后康复治疗中应用,可增强盆底肌力,缓解盆底肌疲劳,改善盆底肌功能,减少并发症,值得推广。

Objective To explore the application effect of Pilates exercise therapy in the rehabilitation treatment after cesarean section puerpera.Methods A total of 94 puerpera who underwent rehabilitation treatment after cesarean section in the Postpartum Rehabilitation Center,Zibo Maternal and Child Health Hospital from January 2021 to January 2023 were selected as the research objects.According to the random number table method,they were divided into two groups,with 47 cases in each group.The control group was treated with neuromuscular electrical stimulation,and the observation group was treated with Pilates exercise therapy on the basis of neuromuscular electrical stimulation.The pelvic floor muscle strength,pelvic floor muscle potential,pelvic floor muscle fatigue degree,and complications were compared between the two groups.Results After intervention,the pelvic floor muscle strength of the observation group was better than that of the control group(P<0.05).After intervention,the potential of typeⅠand typeⅡmuscle fibers in the observation group was higher than that in the control group,and the fatigue degree of typeⅠand typeⅡmuscle fibers was lower than that in the control group(P<0.05).The total incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusion The application of Pilates exercise therapy in the rehabilitation treatment after cesarean section puerpera can enhance pelvic floor muscle strength,relieve pelvic floor muscle fatigue,improve pelvic floor muscle function,and reduce related complications,which is worthy of promotion.