A study on the effect of postpartum pelvic floor rehabilitation nursing on patientswith postpartum pelvic floor dysfunction
产后盆底功能障碍患者应用产后盆底康复护理的效果研究

摘要

目的 研究对产后盆底功能障碍患者应用盆底康复护理的有效价值。方法 对2022年3月-2022年9月时间内我院受诊的产后盆底功能障碍70例患者列入观察范围，基于数字表法的形式均匀记作两组，有常规康复组和优质康复组，统计两组患者康复护理的效果。结果 训练前，两组患者的盆腔肌纤维评分数据之间p>0.05。训练后，优质康复组患者的盆腔Ⅰ类肌纤维评分均值（8.54±0.66）、盆腔Ⅱ类肌纤维评分均值（8.66±0.63），均优于常规康复组，p<0.05；训练后，优质康复组阴道压力静息压指标均值（37.69±3.48）cmH2O、阴道压力收缩压指标均值（38.51±2.40）cmH2O、Ⅰ类盆底肌力指标均值（3.95±0.52）kPa、Ⅱ类盆底肌力指标均值（4.13±0.56）kPa，均优于常规康复组患者，p<0.05；优质康复组总出现率是8.6%，低于常规康复组不良事件总出现率17.2%（3例患者出现尿失禁现象、2例患者出现阴道前壁脱垂现象、1例患者出现阴道后壁脱垂现象），p<0.05。结论 产后盆底功能障碍患者的恢复中，应大力推广优质康复护理的方式，提高患者盆腔肌纤维和盆底功能，避免患者出现不良事件，让患者早日恢复健康。

Abstract

Objective To study the effective value of pelvic floor rehabilitation nursing for postpartum patients with pelvic floor dysfunction.
Methods A total of 70 patients with postpartum pelvic floor dysfunction who were diagnosed in our hospital from March 2022 to September 2022 were included in the observation range. Based on the digital table method, they were evenly divided into two groups: the conventional rehabilitation group and the high-quality rehabilitation group. The rehabilitation nursing effects of the two groups of patients were statistically analyzed.
Results Before training, the pelvic muscle fiber score data between the two groups of patients were p>0.05. After training, the average pelvic Class I muscle fiber score (8.54 ± 0.66) and pelvic Class II muscle fiber score (8.66 ± 0.63) of patients in the high-quality rehabilitation group were better than those in the conventional rehabilitation group, p<0.05; After training, the mean vaginal pressure resting pressure index (37.69 ± 3.48) cmH2O, mean vaginal pressure systolic pressure index (38.51 ± 2.40) cmH2O, mean class I pelvic floor muscle strength index (3.95 ± 0.52) kPa, and mean class II pelvic floor muscle strength index (4.13 ± 0.56) kPa in the high-quality rehabilitation group were all better than those in the conventional rehabilitation group patients, p<0.05; The total incidence rate of adverse events in the high-quality rehabilitation group was 8.6%, lower than the total incidence rate of adverse events in the conventional rehabilitation group of 17.2% (3 patients experienced urinary incontinence, 2 patients experienced anterior vaginal wall prolapse, and 1 patient experienced posterior vaginal wall prolapse), p<0.05.
Conclusion   In the recovery of patients with postpartum pelvic floor dysfunction, high-quality rehabilitation nursing should be vigorously promoted to improve pelvic muscle fibers and pelvic floor function, avoid adverse events, and enable patients to recover their health as soon as possible.