陈月兰++唐仕肖++麦细贤

[摘要]目的 探究凯格尔运动结合产后康复锻炼预防产后便秘的临床效果。方法 选取2016年4月～2017年2月我院妇产科收治的产后康复产妇100例，采用随机数字表法将其分为两组，各50例。对照组患者给予常规康复锻炼，如指导产妇在站立时做高抬腿步行、深蹲起立、踢腿运动等动作和仰卧位抬腿、登自行车等动作的产后保健操以及腹部自我按摩。实验组在常規康复锻炼的基础上结合凯格尔运动。比较两组产妇在产后康复锻炼后第1周以及第3周的排便次数、总有效率及复发情况。结果 与对照组比较，实验组产妇产后康复锻炼后第1周及第3周的排便次数较多，两组比较差异有统计学意义（P<0.05）；实验组产妇产后康复锻炼的总有效率为96%，高于对照组的76%，差异有统计学意义（P<0.05）；实验组产妇在产后康复锻炼后120 d内的便秘总复发率为6.00%，低于对照组的26.00%，差异有统计学意义（P<0.05）。结论 凯格尔运动结合产后康复锻炼能够明显增加产妇排便次数，降低复发率，疗效显著，具有临床指导意义，值得推广。

[关键词]凯格尔运动；产后康复锻炼；产后便秘

[中图分类号] R714.3 [文献标识码] A [文章编号] 1674-4721（2017）09（a）-0104-03

Observation of the clinical effect of Kegel exercise combined with postpartum rehabilitation exercise on the prevention of postpartum constipation

CHEN Yue-lan1 TANG Shi-xiao1 MAI Xi-xian2

1.Department of Obstetrics，Shiyan People′s Hospital，Bao′an District，Guangdong Province，Shenzhen 518108，China；2.Delivery Room，Guangming New District People′s Hospital，Guangdong Province，Shenzhen 518106，China

[Abstract]Objective To explore the clinical effect of postpartum rehabilitation exercise combined with Kegel exercises for prevention of postpartum constipation.Methods 100 cases of postpartum rehabilitation in Department of Obstetrics and Gynecology of our hospital were selected and randomly divided into two groups by random number table，50 cases each.Patients of the control group were given routine rehabilitation training，the specific content，guide the maternal high leg walking，squat stand，kick movement action and supine leg lift，climbing bicycle movements such as the postpartum health care and abdominal massage in self standing，and the study group were treated more with Kegel exercises on the basis of the control group.Maternal postpartum rehabilitation exercise in the first week and third weeks of defecation frequency，the total effective rate and recurrence were compared.Results Compared with the control group，frequency of defecation in the study group was higher at 1 and 3 weeks after postpartum rehabilitation exercise （P<0.05）；the total efficiency of postpartum rehabilitation exercise of the study group was 96%，was higher than 76% of control group，the difference was statistically significant （P<0.05）；total recurrence rate of constipation within 120 days after exercise of the study group was 6.00%，was lower than 26.00% of control group，the difference was statistically significant （P<0.05）.Conclusion Kegel exercise combined with postpartum rehabilitation exercise can significantly improve the number of maternal defecation， and reduce the recurrence rate，with significant effect，which has guiding significance for clinical and is worth of promoting.endprint

[Key words]Kegel exercise；Postpartum rehabilitation exercise；Postpartum constipation

产后便秘是产妇常见的并发症之一，指排便次数减少，或排便次数不少但粪便干燥排出困难[1]，多与产后腹壁松弛、排便动作相关的肌群紧张度下降、分娩时消耗大量体力导致肠蠕动减弱等因素有关，导致产妇生理不适和心里紧张，常出现腹胀腹痛、头晕、恶心等临床表现，并引发痔疮、脱肛等后遗症[2]。凯格尔运动又称作骨盆运动，是通过伸展骨盆底的耻骨尾骨肌来提高肌肉张力，增加生殖区血流量，对尿道、阴道和盆底功能进行训练，预防产后便秘的发生[3-5]。笔者通过调查产妇在产后康复锻炼前1周、康复锻炼后第1周以及第3周的排便次数、总有效率及复发情况，探究凯格尔运动结合产后康复锻炼预防产后便秘的临床效果，现报道如下。……