早期康复训练在自然阴道分娩产妇中的应用效果

目的:观察早期康复训练在自然阴道分娩产妇中的应用效果。方法:选取110例自然分娩产妇为研究对象,根据随机数字表法分为对照组(n=55)和观察组(n=55)。对照组于产后3个月实施盆底肌康复训练,观察组于产后42 d实施盆底肌康复训练,比较两组训练前后阴道肌张力、盆底肌电压、夜尿次数、性生活满意率、尿失禁发生率和训练后盆底肌肌力优良率。结果:训练后,观察组阴道肌张力低于对照组,盆底肌电压高于对照组,夜尿次数少于对照组,差异均有统计学意义(P<0.05);观察组性生活满意率高于对照组,尿失禁发生率低于对照组,差异均有统计学意义(P<0.05);观察组盆底肌肌力优良率为78.73%(51/55),高于对照组的78.73%(40/55),差异有统计学意义(P<0.05)。结论:早期盆底肌康复训练应用于自然阴道分娩产妇可提高盆底肌电压、性生活满意率和盆底肌肌力优良率,减少夜尿次数,降低阴道肌张力和尿失禁发生率,效果优于产后3个月盆底肌康复训练。

Application effects of early rehabilitation training in women of spontaneous vaginal delivery

Objective:To observe application effects of early rehabilitation training in women of spontaneous vaginal delivery.Methods:110 women of spontaneous vaginal delivery were selected as the research objects,and were divided into control group(n=55)and observation group(n=55)according to the random number table method.The control group was given pelvic floor muscle rehabilitation training 3 months after the delivery,while the observation group was given pelvic floor muscle rehabilitation training 42 days after the delivery.The vaginal muscle tension,the pelvic floor muscle voltage,the nocturia frequency,the sexual life satisfaction rate,the incidence of urinary incontinence and the excellent and good rate of pelvic floor muscle strength after the training were compared between the two groups before and after the training.Results:After the training,the vaginal muscle tension in the observation group was lower than that in the control group;the pelvic floor muscle voltage was higher than that in the control group;the nocturia frequency was less than that in the control group;and the differences were statistically significant(P<0.05).The sexual life satisfaction rate in the observation group was higher than that in the control group;the incidence of urinary incontinence was lower than that in the control group;and the differences were statistically significant(P<0.05).Further,the excellent and good rate of pelvic floor muscle strength in the observation group was 78.73%(51/55),which was higher than that in the control group 78.73%(40/55),and the difference was statistically significant(P<0.05).Conclusions:Early pelvic floor muscle rehabilitation training for the women of spontaneous vaginal delivery can improve the pelvic floor muscle voltage,the sexual life satisfaction rate and the excellent rate of pelvic floor muscle strength,reduce the nocturia frequency,and reduce the incidence of vaginal muscle tension and the urinary incontinence.Moreover,it is superior to pelvic floor muscle rehabilitation training 3 months after the delivery.