产后盆底康复训练对顺产产妇盆底功能恢复及生活质量的影响

摘要

Objective To investigate the effect of postpartum pelvic floor rehabilitation training on pelvic floor function and quality of life in women with spontaneous delivery. Methods 300 pregnant women in our hospital were selected as the research object from March 2016 to February 2017,all of them were taken at 6 weeks postpartum and randomly divided into observation group and control group,each group of 150 cases. Among them,the observation group received postpartum pelvic floor rehabilitation training,the control group did not give pelvic floor rehabilitation training,only follow-up,respectively.The two groups of pelvic floor function recovery and quality of life changes were compared before and after treatment.Results The pelvic floor systolic pressure and resting pressure in the two groups were significantly increased compared with those before treatment (P<0.01),while the pelvic floor systolic pressure and resting pressure increased significantly in the observation group(P<0.01). The continuous systolic blood pressure of I and II muscle fibers increased significantly(P<0.01)in the two groups after treatment,but increased significantly in the observation group(P<0.01). The two groups after treatment PFDI-20 score decreased significantly compared with before treatment,WHOQOLBREF score increased significantly(P<0.01); compared with the control group,the observation group of PFDI-20 scale and WHOQOL-BREF scale were improved obviously(P<0.01). Conclusion The implementation of pelvic floor rehabilitation training for women with spontaneous delivery is helpful to promote pelvic floor function recovery and improve the quality of life of women,so it is worth popularizing.%目的 探讨产后盆底康复训练对顺产产妇盆底功能恢复情况及生活质量的影响.方法 选取2016年3月至2017年2月顺产产妇300例,所有产妇均于产后6周复诊,采取随机数字表将其分成观察组与对照组两组,每组各150例.其中观察组给予产后盆底康复训练,对照组不予盆底康复训练,分别于治疗前后比较两组盆底功能恢复情况及生活质量变化情况.结果 两组治疗后盆底收缩压、静息压与治疗前比较均明显增加(P<0.01),观察组盆底收缩压、静息压增加更显著(P<0.01).两组治疗后I类与II类肌纤维的持续收缩压均较治疗前明显增加(P<0.01),但观察组增加更明显(P<0.01).两组治疗后PFDI-20量表评分与治疗前比较显著降低,WHOQOL-BREF量表评分显著升高(P<0.01);与对照组比较,观察组PFDI-20量表、WHOQOL-BREF量表评分改善更明显(P<0.01).结论 对顺产产妇产后实施盆底康复训练有助于促进盆底功能恢复,提高产妇生活质量,值得推广应用.