产后早期行盆底肌功能锻炼对治疗产后尿失禁有促进作用

发布时间：2018-08-15 15:45

【摘要】：为探讨产后早期行盆底肌功能锻炼对女性产后尿失禁的临床效果,本研究选取254例初产妇为研究对象并采用完全随机的方法将其分为实验组和对照组,实验组128例,产后早期行盆底肌功能康复锻炼,对照组126例,产后行常规产科护理,分别在产后3个月、6个月及12个月对两组研究对象进行随访,评价其盆底肌收缩力、排尿状况及产后尿失禁的发生率。实验组和对照组研究对象排尿状况评分随着时间的增长均有所下降,实验组较对照组下降更快,差异有统计学意义(p0.05)。实验组和对照组研究对象的盆底肌收缩能力评分随着时间的增长均有所增长,实验组较对照组增加的更快,差异有统计学意义(p0.05)。产后3个月、6个月和12个月,两组研究对象均出现了不同程度的漏尿现象,实验组漏尿率低于对照组,差异有统计学意义(p0.05)。研究表明临床护理人员应鼓励孕妇在产后早期行盆底肌功能锻炼,降低术后尿失禁的比例,提高远期生活质量。
[Abstract]:In order to investigate the clinical effect of pelvic floor muscle exercise on female postpartum urinary incontinence in the early postpartum period, 254 primipara women were selected and randomly divided into experimental group (n = 128) and control group (n = 128). Rehabilitation exercise of pelvic floor muscle was performed in the early postpartum period, while 126 cases in the control group were given routine obstetrical nursing care after delivery. The subjects in the two groups were followed up at 3, 6 and 12 months after delivery to evaluate the contractility of pelvic floor muscle. Urination status and incidence of postpartum urinary incontinence. The micturition score of the subjects in the experimental group and the control group decreased with the increase of time, and the decrease was faster in the experimental group than in the control group (p0.05). The contractility score of pelvic floor muscle in the experimental group and the control group increased with time, and the increase in the experimental group was faster than that in the control group, the difference was statistically significant (p0.05). At 3 months, 6 months and 12 months postpartum, there were different degrees of urine leakage in the two groups, and the leakage rate in the experimental group was lower than that in the control group, the difference was statistically significant (p0.05). Clinical nursing staff should encourage pregnant women to perform pelvic floor muscle exercise in early postpartum, reduce the proportion of postoperative urinary incontinence, and improve long-term quality of life.
【作者单位】：河套学院;巴彦淖尔市医院;
【基金】：河套学院及巴彦淖尔市医院资助
【分类号】：R473.71

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