摘要
目的探讨产后盆底康复护理在产后盆底功能障碍患者中的应用效果。方法选取2020年3月—2022年3月许昌市第二人民医院收治的65例产后盆底功能障碍患者,采用随机数字表法分为观察组(33例)与对照组(32例)。对照组患者采用常规护理干预,观察组患者采用产后盆底康复护理干预。比较2组患者干预前后盆底器官脱垂系统(POP-Q)分级、盆腔肌纤维评分、盆底功能及并发症发生情况等指标。结果干预前,2组患者POP-Q分级比较,差异无统计学意义(Z=0.014,P=0.989);干预后,观察组患者的POP-Q分级优于对照组,差异有统计学意义(Z=3.891,P<0.001)。干预前,2组患者盆腔Ⅰ类肌纤维、Ⅱ类肌纤维评分比较,差异均无统计学意义(P>0.05);干预后,2组患者盆腔Ⅰ类肌纤维、Ⅱ类肌纤维评分均高于干预前,且观察组均高于对照组,差异均有统计学意义(P<0.05)。观察组患者干预后阴道静息压、收缩压和盆底Ⅰ类肌力、Ⅱ类肌力均高于对照组,差异均有统计学意义(P<0.05)。观察组患者并发症发生率为3.03%(1/33),低于对照组的25.00%(8/32),差异有统计学意义(χ^(2)=4.861,P=0.027)。结论产后盆底康复护理应用于产后盆底功能障碍患者中,可改善患者盆腔脱垂症状和盆腔肌纤维状态,提高患者盆底功能,降低并发症发生风险。
Objective This paper aims to explore the effect of postpartum pelvic floor rehabilitation nursing in patients with postpartum pelvic floor dysfunction.Methods From March 2020 to March 2022,65 patients with postpartum pelvic floor dysfunction were randomly allocated to the observation group(n=33)and control group(n=32).Routine nursing intervention was adopted in the control group;postpartum pelvic floor rehabilitation nursing intervention in the observation group.The Pelvic Organ Prolapse Quantification(POP-Q)system,pelvic muscle fiber score,pelvic floor function,and complications were compared between the two groups before and after intervention.Results Before intervention,there was no significant difference in POP-Q between the two groups(Z=0.014,P=0.989).After intervention,the POP-Q in the observation group was significantly optimal to that in the control group(Z=3.891,P<0.001).Before intervention,there was no significant difference in pelvic type Ⅰ and typeⅡmuscle fiber scores between the two groups(P>0.05).After intervention,the pelvic type Ⅰ and typeⅡmuscle fiber scores in the two groups were increased,and the observation group was higher than the control group,with statistical significance(P<0.05).After intervention,vaginal resting pressure,systolic blood pressure,and type Ⅰ and typeⅡmuscle strength of the pelvic floor in the observation group were significantly higher than those in the control group(P<0.05).The incidence rate of complications in the observation group was significantly lower than that in the control group[3.03%(1/33)vs.25.00%(8/32);χ^(2)=4.861,P=0.027].Conclusion The application of postpartum pelvic floor rehabilitation nursing in patients with postpartum pelvic floor dysfunction can improve the symptoms of pelvic prolapse and pelvic muscle fiber status,enhance pelvic floor function,and reduce the risk of complications.
作者
李颍萍
秦二梅
崔平平
Li Yingping;Qin Ermei;Cui Pingping(Department of Obstetrics and Gynecology,the Second People's Hospital of Xuchang,Xuchang Henan 461000,China)
出处
《保健医学研究与实践》
2023年第7期135-139,共5页
Health Medicine Research and Practice
基金
河南省医学科技攻关计划联合共建项目(LHGJ20191405)。
关键词
产后盆底功能障碍
产后盆底康复护理
盆腔脏器脱垂
盆腔肌纤维
盆底功能
Postpartum pelvic floor dysfunction
Postpartum pelvic floor rehabilitation nursing
Pelvic organ prolapse
Pelvic muscle fibers
Pelvic floor function
