产后瑜伽操联合盆底肌功能训练预防产后尿失禁疗效观察

摘要

目的：探讨产后瑜伽操联合盆底肌功能训练法对于预防产后尿失禁的效果。方法选取360例初产妇头位分娩产妇为研究对象，根据随机数字表将患者分为对照组、瑜伽操组、瑜伽操联合盆底肌功能训练组（联合组），各120例，对照组产后行常规健康教育，瑜伽操组产后实施产后瑜伽操训练，联合组产后实施瑜伽操联合盆底肌功能训练法进行干预，对比分析3组产妇产后尿失禁发生率、盆底肌张力良好率、身体恢复情况及生活质量情况。结果瑜伽操组与联合组产妇尿失禁发生率低于对照组(P<0.05)，联合组尿失禁发生率低于瑜伽操组（P<0.05），瑜伽操组与联合组盆底肌张力恢复良好率及满意率高于对照组（P<0.05），其中联合组盆底肌张力恢复良好率及满意率高于瑜伽操组。瑜伽操组与联合组产后12周腰围、臀位、腹部皮皱、体质指数显著少于对照组，联合组腰围、臀位、腹部皮皱、体质指数少于瑜伽操组（P<0.05）。瑜伽操组与联合组干预后生理功能、生理职能、情感职能、社会功能、身体疼痛、活动、精神健康及总体健康评分显著高于对照组（P<0.05）。结论产后瑜伽操联合盆底肌功能训练法能有效预防头位分娩初产妇产后尿失禁的发生，有助于产妇产后身体恢复，提高产妇产后生活质量。%ObjectiveTo explore the effect that postpartum yoga exercise combine with pelvic floor muscle function training was used in preventing incontinence after delivery.Methods360 cases of early maternal head at birth and mothers were divided into the control group (n=120), the yoga group exercise (n=120), yoga exercise combined with pelvic floor muscle function training group (Joint group,n=120). The control group were underwented with routine post-natal health education, the yoga exercise group were implementated with yoga exercise training, the Joint group were implementated with yoga exercise joint implementation of pelvic floor muscle function training. The ostpartum urinary incontinence rate, good rate of pelvic floor muscle tension, body recovery and quality of life situation of three groups were compared. Results Yoga exercise group and the incidence of urinary incontinence maternal combination group than the control group (P<0.05), while the incidence of urinary incontinence is less than the combined group yoga exercise group (P<0.05), yoga exercise group and joint group of the pelvic lfoor muscles Tension good recovery rate and satisfaction rate was higher (P<0.05), in which the joint group of the pelvic lfoor muscle tension a good recovery rate and satisfaction rate in yoga exercise group. Yoga exercise group and the combination group 12 weeks postpartum waist, breech, abdominal skin fold, body mass index was signiifcantly less than the control group, while the combination group waistline, breech, abdominal skin fold, body mass index of less than yoga exercise group (P<0.05) . Yoga exercise group and the combined group after the intervention of physiological functions, physical function, role emotional, social functioning, bodily pain, activity, mental health and overall health score was signiifcantly higher (P<0.05).Conclusion It can be effective for primipara with cephalic delivery that postpartum yoga exercise combine with pelvic floor muscle function training in preventing incontinence after delivery and it can help to improve the quality of life.