实施连续性会阴管理策略对阴道分娩产妇盆底康复的影响.docxVIP

实施连续性会阴管理策略对阴道分娩产妇盆底康复的影响 梁礼莉 闵丽华李洁李宁蔚 (四川省医学科学院middot;四川省人民医院妇产科610072) 【摘要】目的：观察实施连续性会阴管理策略对阴道分娩产妇盆底康复的 影响。方法：选取2014年12月至2015年4月在我院产科门诊进行规律产检的 孕妇101例，随机分为实验组53例和对照组各48例。实验组在孕期、产时及产 后实施连续性的会阴管理策略，参加孕期会阴管理培训，并连续性指导孕产妇在 产前直至产后参与盆底肌训练。对照组采用常规的产前、产时及产后健康指导及 护理。结果：实验组产后42天、3个月盆底各类肌纤维收缩得分均优于对照组， 差异有统计学意义(Plt;0.05)o结论：实施连续性会阴管理策略有利于阴道分娩 产后盆底肌力的恢复。 【关键词】会阴管理策略;阴道分娩；盆底康复 【中图分类号】R71 【文献标识码】A 【文章编号】2095-1752 (2015) 20-0027-02 Effects of continuous perineal management strategy on postpartum pelvic floor rehabilitation Liang Lili, Min Lihua ,Li Jie, Li Ningwei. Sichuan Academy of Medical Sciences amp; Sichuan Provincial Peoplersquo;s Hospital, Chengdu610072,China [Abstract] Objective To observe the?effect of?continuous perineal?management strategy on postpartum pelvic floor rehabilitation of vaginal delivery wome n. Methods Totally 101 pre gnant wome n with regularly pre natal care in our hospital from November 2014 to April 2015 were randomly divided into the experimental?group (53 cases) and the control?group (48 cases).?Both of the groups were give n con ventio nal pre natal,?i ntrapartum an d?postpartum?health guida nee and nursing, while the experimental?group also received continuous perineal?management, includingprenatal perineal?management training and continu ous guida nee of pelvic floor muscle trai ning in the pre natal and post natal period. Results All kinds of?pelvic floor muscle fiber contraction scores at 42 days?a nd 3 mon ths?after delivery in experime ntal?group we re? better tha n that of control group, and the differenee was statistically significant?(Plt;0?05). Conclusions The continuous peri neal man ageme nt strategy ben efits the pelvic floor rehabilitati on after vaginal delivery? [Keywords] Perineal?management strategy; Vaginal delivery?;?Pelvic floor rehabilitati on 随着生物■心理■社会医学模式的形成，产时服务理念也随之发展，助产发展 新趋势：分娩应冋归自然，提倡阴道分娩。在阴道分娩过程中，由于各种原因的 影响可能发生会阴组织的损伤[1],严重吋会伴有产后阴道前后壁膨出、便秘、 压力性尿失禁、性功能障碍等[2]。如何加强对影响阴道分娩孕产妇会阴健康因 素的管理，改善产后盆底康复质量是我们产科临床工作需要解决的问题。本研究 对孕产妇从