韩文梅

【摘 要】目的：分析对于产后盆底肌功能障碍患者联合开展盆底肌康复训练与护理干预的临床价值。方法：对照组为常规护理，同期观察组增加盆底肌康复训练和护理干预。结果：在盆底肌力恢复总有效率上，观察组是95.35%，对照组是81.40%（P<0.05）；护理后观察组ICIQ-SF评分较对照组更低、观察组I-QOL评分较对照组更高（P<0.05）；护理后观察组1h漏尿量较对照组更低（P<0.05）。结论：对于产后盆底肌功能障碍患者合用盆底肌康复训练及护理干预可有效改善其盆底肌力水平、缓解尿失禁情况，并可提升生活质量。

【关键词】产后盆底肌功能障碍；盆底肌康复训练；护理干预

Observation on the value of combined application of pelvic floor muscle rehabilitation training and nursing intervention in postpartum pelvic floor muscle dysfunction

Han Wenmei

Maternal and Child Health Family Planning Service Center， Xining Qinghai 811600， China

【Abstract】Objective： To analyze the clinical value of pelvic floor muscle rehabilitation training and nursing intervention for patients with postpartum pelvic floor muscle dysfunction. Methods： The control group was given routine nursing care， while the observation group during the same period further increased pelvic floor muscle rehabilitation training and nursing intervention. Results： The total effective rate of recovery of pelvic floor muscle strength was 95.35% in the observation group and 81.40% in the control group（P<0.05）；After nursing，the ICIQ-SF score of the observation group was lower than that of the control group， and the I-QOL score of the observation group was higher than that of the control group（P<0.05）；After nursing，the 1h urine leakage of the observation group was lower than that of the control group（P<0.05）. Conclusion： For patients with postpartum pelvic floor muscle dysfunction， combined with pelvic floor muscle rehabilitation training and nursing intervention can effectively improve the level of pelvic floor muscle strength， relieve urinary incontinence， and improve the quality of life.

【Key？Words】Postpartum pelvic floor muscle dysfunction； Pelvic floor muscle rehabilitation training； Nursing intervention

盆底功能障礙属于常见的妇科疾病，女性由于盆底肌肉在压力或创伤的作用下使得盆底肌肉以及神经等不同程度受损，诱发盆腔疼痛、性交疼痛以及压力性尿失禁等一系列盆底功能障碍表现[1]，积极探索科学的护理方案改善患者的盆底肌功能，预防子宫脱垂以及抑制盆底肌功能慢性衰退等意义重大。以下将分析对于产后盆底肌功能障碍患者开展盆底肌康复训练以及护理干预的临床效果。

1.1 临床资料

抽取2019年6月至2021年5月本院86例产后盆底肌功能障碍患者，随机数字表法分组。观察组43例，年龄24岁～38岁，平均年龄（29.6±1.5）岁。对照组43例，年龄23岁～39岁，平均年龄（29.7±1.3）岁。两组各项基础资料具备可比性（P>0.05）。

1.2 方法

对照组为常规护理，例如健康宣教、饮食指导和生活指导等；同期观察组则增加盆底肌康复训练和护理干预：（1）盆底肌康复训……