徐菊芳 洪嘉颖 罗嫱欢

[摘要]目的 探討以社区卫生服务中心为主导的产后早期盆底康复训练对产后女性盆底功能康复的效果。方法 选取2016年1月～2017年2月我院收治的152例孕产妇，按康复训练方式的不同将其平分为常规组、研究组，每组76例。常规组产妇单纯进行产后健康教育，研究组在常规组基础上进行早期盆底康复训练，比较两组产妇的盆底肌力康复情况，尿失禁简化评分量表（ICIQ-SF）情况，焦虑量表（SAS）、抑郁症量表（SDS）评分、生活质量评分、总排尿量（TV）、总排尿次数（TOV）及总漏尿次数（LT）等相关指标。结果 研究组产妇盆底肌力5级占比显著高于常规组，盆底肌力1级占比显著低于常规组，差异有统计学意义（P<0.05）；研究组产妇ICIQ-SF评分显著低于常规组，差异有统计学意义（P<0.05）；研究组产妇SAS、SDS评分均显著低于常规组，差异有统计学意义（P<0.05）；研究组产妇生活质量良好率显著高于常规组，差异有统计学意义（P<0.05）；两组产妇TV指标的比较，差异无统计学意义（P>0.05），研究组产妇TOV、LT指标显著低于常规组，差异有统计学意义（P<0.05）。结论 产后早期盆底康复训练可促进女性产后盆底功能康复，提高产后盆底肌力，消除产妇康复训练过程中负性情绪，改善患者尿失禁情况，提高生活质量，具备临床意义与实施价值。

[关键词]社区卫生服务中心；主导；产后；早期盆底康复训练；女性盆底功能

[中图分类号] R714 [文献标识码] A [文章编号] 1674-4721（2018）4（b）-0178-04

Research on the recovery of postpartum pelvic floor function after using early postpartum pelvic floor rehabilitation training led in community health service center

XU Ju-fang HONG Jia-ying LUO Qiang-huan

Department of Rehabilitation，Chancheng Central Hospital in Foshan City of Guangdong Province，Foshan 528000，China

[Abstract]Objective To explore the effect of early postpartum pelvic floor rehabilitation training led in community health service center on the recovery of postpartum pelvic floor function.Methods A total of 152 cases of pregnant women admitted to our hospital from January 2016 to February 2017 were divided into routine group and study group according to different rehabilitation training methods，76 cases in each group.Postpartum health education was carried out in the conventional group，and pelvic floor rehabilitation training was carried out in the study group based on the conventional group.The pelvic floor muscle strength recovery，urinary incontinence simplified score scale （ICIQ-SF），anxiety scale （SAS），depression scale （SDS），quality of life score，total urine volume （TV），total urine volume （TOV） and total urine leakage number（LT） were compared between the two groups.Results In the study group the proprotion of muscle strength lavel 5 was significantly higher than that of the conventional group （P<0.05），and the strength porprotion of level 1 of the maternal basin was significantly lower than that of the conventional group（P<0.05）.ICIQ -SF score in the study group was significantly lower than that in the control group（P<0.05）.The scores of SAS and SDS in the study group were significantly lower than those in the control group（P<0.05）.The quality of life in the study group was significantly higher than that in the routine group（P<0.05）.There was no statistically significant difference between the two groups of maternal TV indicators（P>0.05），the study group of maternal TOV and IT indicators were significantly lower than the conventional group，the differences were statistically significant（P<0.05）.Conclusion Early postpartum pelvic floor rehabilitation training can promote the recovery of postpartum pelvic floor function，strengthen the postpartum pelvic floor muscle，eliminate negative emotions in the process of maternal rehabilitation training，improve the urinary incontinence and quality of life，which has clinical significance and application value.

[Key words]Community health service center；Leading；Postpartum；Early pelvic floor rehabilitation training；Female pelvic floor function

妊娠分娩是导致孕产妇盆底肌肉及神经受到损伤的主要原因，经阴道分娩可导致孕产妇盆底受到不同程度的损伤，严重者甚至导致尿失禁，尤其好发于初产妇[1-2]。女性盆底功能障碍性疾病主要包括压力性尿失禁、盆底器官脱垂等，对女性生理及心理健康均造成嚴重危害，同时对生活质量造成不同程度的影响。在盆底组织薄弱情况下往往无法对盆底脏器起到支撑作用，导致其位置发生改变，进而导致盆底功能异常，引发盆底功能障碍性疾病。压力性尿失禁临床表现主要为在咳嗽、用力情况下发生无法控制的尿漏现象，该病的发病与妊娠及阴道分娩息息相关。……