产后妇女行盆底肌康复训练效果评估.docVIP

产后妇女行盆底肌康复训练效果评估 　【摘要】 目的 评估妇女在产后经过特殊护理干预措施后其盆底肌康复的效果。方法 200例初产妇随机分为两组， 各100例。对照组在产后按照计划接受基础产后健康教育及进行一般康复训练， 而实验组在此基础上， 还需积极完成产后特殊干预（包括专业康复训练和盆底肌的康复治疗）。在产后进行3个月随访， 比较产后妇女盆底肌功能恢复效果。结果 实验组盆底肌力ge;3 级的比率大于对照组， 实验组产妇出现盆腔脏器脱垂及尿失禁比率均小于对照组， 性生活的满意程度明显高于对照组， 差异均具有统计学意义（Plt;0.05）。结论 孕妇产后特殊干预， 包括专业康复训练和盆底肌的康复治疗， 能够提高产妇盆底肌力， 预防产妇日后出现盆底功能障碍。 　【关键词】 产后；康复治疗；盆底功能障碍 　Effect assessment of rehabilitation training of pelvic floor muscle in postpartum woman ZHANG Li， LIANG Gui-ying， LU Yu-shan. Foshan Sanshui District Maternity and Child Care Centers， Foshan 528100， China 　【Abstract】 Objective To evaluate the rehabilitation effect of pelvic floor muscle in postpartum woman after special nursing intervention. Methods A total of 200 primipara were randomly divided into two groups， with 100 cases in each group. The control group received basic postpartum education and normal rehabilitation training， and the experimental group received additional special intervention （including professional rehabilitation training and pelvic floor muscle rehabilitation treatment）. Follow-up was performed in 3 months after delivery， and the comparison was made between the differences of postpartum pelvic floor muscle rehabilitation. Results Compared with the control group， the rates of the pelvic floor muscle strength ge;3 was higher， and pelvic organ prolapse and urinary incontinence were lower in the experimental group. The sexual life satisfaction was significantly higher in the experimental group， and the differences had statistical significance （Plt;0.05）. Conclusion The application of special postpartum intervention， including professional rehabilitation training and pelvic floor muscle rehabilitation treatment， can improve maternal pelvic floor muscle strength， and prevent future pelvic floor dysfunction. 　【Key words】 Postpartum； Rehabilitation treatment； Pelvic floor dysfunction 　临床上盆底功能障碍在经产妇女中较多见， 主要是因为产后盆底的支撑结构受损伤， 表现出子宫脱垂、不同程度尿失禁以及性功能的障碍[1， 2]。有很多报道提出， 妇女产后及时进行系统和专业的盆底康复可改善产后引起的盆底功能障碍。本文主要评