联想分娩、Lamaze呼吸与Kegel运动三联训练对围产期孕妇抑郁及性生活质量的干预作用

目的 探讨联想分娩、Lamaze呼吸与Kegel运动三联训练（SLK训练）对围产期抑郁（Perinatal depression,PND）及产后性生活质量的作用.方法 妊娠24周前来本院产科门诊孕检的单胎初产妇,按照是否自愿参加SLK训练分为研究组（n=232）和对照组（n=126）,2组孕妇均接受常规产前保健,研究组额外进行SLK训练.应用抑郁自评量表（SDS）、国际盆底肌检查分级标准、女性性功能指数（The female sexual function inventory,FSFI）,评定抑郁、盆底综合肌张力及性功能指数（The female sexual function inventory,FSFI）.结果 分娩后6个月,研究组和对照组抑郁发生率（10.3％ vs 18.3％）,SDS评分（43.6±5.1） vs（45.3±6.3）],盆底综合肌张力评分（3.36±0.33） vs（2.46±0 89）],性生活指数达标率（81.5％ vs 65.9％）,差异均具有统计学意义（P＜0.05）.结论 SLK训练方案具有预防、治疗围产期抑郁,改善妊娠分娩结局以及提高性生活质量的作用.

The effect of Sopfrology childbirth method training,Kegel training and Lamaze respiratory training on depression and sexual life of perinatal pregnant woman

Objective To study the effect of Sopfrology childbirth method training,Kegel training and Lamaze respiratory training （SLK training） on depression and sexual life of perinatal pregnant woman..Methods The women in 24 weeks of pregnancy who came to the clinic to receive the pregancy test were divided into study group（n=232） and control group（n=126） according whether they voluntered to participate the study.All the women in two group were subjected to regular prenatal care and the women in study group received SLK training additionally.The depression,pelvic floor muscle tension and female sexual function index were evaluated by Self Rating Depression Scale（SDS）,the Pelvic Floor Muscle Examination Grading Standards and the Female Sexual Function Inventory （FSFI） respectively.Results 6 months after delivery,the incidence of depression,SDS score,pelvic floor muscle tension score and live index standard rate in study group and the control group respectivelywere（10.3% vs 18.3%）,（（43.6±5.1） vs（45.3±6.3））,（（3.36±0.33） vs（2.46±0 89））,（81.5% vs 65.9%）,and the differences were statistically significant（P〈0.05）.Conclusion SLK training program for perinatal women has the effects of preventing,treating prenatal depression and postpartum depression,improves pregnancy index and the quality of sexual life,worthy of further study.