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不同时期Bobath球联合Kegel运动对二胎顺产分娩产妇盆底功能康复的影响

Effect of Bobath ball combined with Kegel exercise in different periods on pelvic floor functional rehabilitation of second-born parturients
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摘要 目的研究产后不同时期给予Bobath球与Kegel运动训练对二胎顺产分娩产妇盆底功能恢复的影响。方法利用随机数字表法选取我科2020年2月-2022年2月期间132例二胎顺产分娩产妇产后盆底功能障碍患者作为研究对象,对照组66例产后4周后给予合Bobath球和Kegel运动训练,研究组66例产后1周后进行Bobath球联合Kegel运动训练。干预前后对两组产妇盆底肌力、性功能、尿失禁以及子宫脱垂等的发生率进行比较。结果研究组在干预2周、4周后,盆底肌力评分升高幅度均高于对照组(P<0.05);干预2周、4周后研究组性功能改善幅度均高于对照组(P<0.05);研究组产妇在训练后,尿失禁和盆腔器官脱垂发生率低于对照组(P<0.05)。结论产妇在产后尽早开始盆底康复训练,能够有效促进产妇盆底肌力的恢复并提高性功能,同时能够降低尿失禁以及盆腔脏器脱垂等并发症的发生机率,提高产妇生活质量,安全可靠。 Objective To study the effect of exercise training with Bobath ball and Kegel on the recovery of pelvic floor function of second pregnant women during normal delivery.Methods A random number table method was used to select 132 cases of postpartum pelvic floor dysfunction in our department from February 2020 to February 2022,and 66 cases in the control group were given exercise training with Bobath ball and Kegel 4 weeks after delivery.The study group of 66 patients underwent Bobath ball combined with Kegel exercise training 1 week after delivery.The incidence of pelvic floor muscle strength,sexual function,urinary incontinence and uterine prolapse were compared before and after intervention.Results After 2 weeks and 4 weeks of intervention,the pelvic floor muscle strength score of the study group was higher than that of the control group(P<0.05).After 2 and 4 weeks of intervention,the improvement of sexual function in the study group was higher than that in the control group(P<0.05).The incidence of urinary incontinence and pelvic organ prolapse in the study group was lower than that in the control group after training(P<0.05).Conclusion Starting pelvic floor rehabilitation training as early as possible after delivery can effectively promote the recovery of pelvic floor muscle strength and improve sexual function,reduce the incidence of complications such as urinary incontinence and pelvic organ prolapse,and improve the life quality of puerpera.It is safe and reliable,and worthy of clinical promotion.
作者 李心巧 LI Xinqiao(The City Hospital of Shangqiu,Shangqiu,Henan,476000,China)
机构地区 商丘市立医院
出处 《新疆医学》 2024年第3期297-300,共4页 Xinjiang Medical Journal
关键词 顺产 盆底康复训练 尿失禁 盆腔器官脱垂 Natural birth Pelvic floor rehabilitation training Urinary incontinence Pelvic organ prolapses
作者简介 李心巧,女,主管护师,研究方向:产后康复恢复。
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