论文部分内容阅读
目的:探讨产后早期行Kegel训练对盆底功能康复的效果。方法:选取200例2016年1月至2016年8月清远市第二人民医院社区探访的足月妊娠初产妇,产妇分娩方式均为经阴道分娩,随机分为观察组(产妇产后第7天经探访指导进行Kegel训练,n=100)与对照组(产妇产后未进行Kegel训练,n=100),观察两组产妇产后盆底功能康复情况。结果:观察组产妇予Laycock改良牛津评分法肌力≥3级比例显著高于对照组(P<0.05);观察组阴道静息压(VRP)、阴道收缩压(VSP)及收缩持续时间较对照组显著要高(P<0.05);观察组产妇尿失禁及盆器官脱垂发生率较对照组显著要低(P<0.05)。结论:产后早期进行Kegel训练可有效防治压力性尿失禁和盆腔器官脱垂的发生,并提高盆底肌肉张力,对改善阴道松弛状况,提高性生活质量有积极意义。
Objective: To investigate the effect of early postnatal Kegel training on pelvic floor functional rehabilitation. Methods: From January 2016 to August 2016, 200 cases of full-term pregnant primiparous women were interviewed in Community of Second People’s Hospital of Qingyuan City. The mode of delivery was all vaginal delivery and randomly divided into observation group (7 days after delivery Visit and guidance Kegel training, n = 100) and the control group (no post-partum Kegel training, n = 100) were observed postpartum pelvic floor functional rehabilitation of the two groups. Results: The ratio of Muscle strength≥3 in Laycock modified Oxford grading group was significantly higher than that in control group (P <0.05). The vaginal resting pressure (VRP), vaginal systolic pressure (VSP) and duration of contractility in observation group were higher than those in control group (P <0.05). The incidence of urinary incontinence and pelvic organ prolapse in the observation group was significantly lower than that in the control group (P <0.05). Conclusion: Early postnatal Kegel training can effectively prevent stress urinary incontinence and pelvic organ prolapse, and improve pelvic floor muscle tension, to improve vaginal relaxation conditions, improve sexual life quality is of positive significance.