【摘要】 目的探讨盆底康复训练操对产妇产后盆底肌力、并发症、心理状态产生的影响。方法从本院2017年5月~2018年5月期间收治产妇中随机选取85例,采用随机数字表法分为对照组(n=42,常规护理)、观察组(n=43,常规护理+盆底康复操训练),观察患者不良情绪、盆底肌肌力改善情况等。结果产后6、14周,观察组产妇盆底肌肌力Ⅰ级所占比例均为0,相比对照组的52.38%、28.57%均显著更低,差异有统计学意义(P <0.05),Ⅳ~Ⅴ级所占比例分别为62.79%、83.72%,相比对照组的0、9.52%均显著更高,差异有统计学意义(P <0.05);干预后14周,观察组患者平均SAS、SDS评分分别为(42.58±8.21)分、(42.18±6.81)分,均显著低于对照组的(52.59±8.47)分、(47.62±6.72)分,差异有统计学意义(P <0.05)。结论产妇产后康复治疗中加强盆底康复操训练,可促进其盆底肌肌力获得有效提高,改善患者焦虑、抑郁情绪,减少并发症,提高总体康复效果。更多还原

【Abstract】 Objective To investigate the effects of pelvic floor rehabilitation exercises on postpartum pelvic floor muscle strength,complications and psychological status. Methods A total of 85 patients were randomly selected from the hospital from May 2017 to May 2018.The patients were randomly allocated the control group(n=42,routine care)and the observation group(n=43,routine care+pelvic floor rehabilitation training),and observe the patient’s bad mood, pelvic floor muscle strength improvement. Results At 6 and 14 weeks postpartum,the proportion of pelvic floor muscle strength I in the observation group was 0,which was significantly lower than that of the control group(52.38%and 28.57%).The difference was statistically significant(P < 0.05).The proportions of IV to V were 62.79% and83.72%,respectively, which were significantly higher than those of the control group,0 and 9.52%,the difference was statistically significant(P < 0.05);14 weeks after the intervention,the average SAS and SDS scores of the observation group were(42.58±8.21)and(42.18±6.81),respectively,which were significantly lower than those of the control group(52.59±8.47)and(47.62±6.72).The difference is statistically significant(P < 0.05). Conclusion Strengthening pelvic floor rehabilitation training in maternal postpartum rehabilitation can promote the effective improvement of pelvic floor muscle strength,improve anxiety and depression,reduce complications and improve overall rehabilitation.更多还原