摘要
目的探究产后早期盆底肌康复训练联合延续性护理对产后子宫脱垂患者盆底肌电及产后抑郁的影响。方法100例具有子宫脱垂患者,按照随机数字表法将其分为观察组和对照组,每组50例。对照组患者采用早期盆底肌康复干预,观察组患者在对照组基础上采用延续性护理进行干预。记录下2组患者一般资料、盆底肌力、干预前后盆底肌电、焦虑自评量表(SAS)及抑郁自评量表(SDS)。结果2组患者盆底肌力比较差异有统计学意义(P<0.05),且观察组3级以上肌力的产妇比例显著高于对照组(P<0.05),2组患者干预前盆底肌电比较差异无统计学意义(P>0.05),干预后前后静息平均值显著降低(P<0.05),观察组前后静息平均值显著低于对照组(P<0.05),干预前2组患者SAS、SDS评分比较差异无统计学意义(P>0.05),干预后3个月2组患者SAS、SDS评分显著降低(P<0.05),且观察组显著低于对照组(P<0.05)。结论早期盆底肌康复训练联合延续性护理能有效改善产后子宫脱垂患者盆底肌电,减少产后抑郁的发生,值得临床推广。
Objective To investigate the effects of early postpartum pelvic floor rehabilitation combined with continuous nursing on pelvic floor myoelectricity and postpartum depression in patients with postpartum uterine prolapse.Methods One hundred patients with prolapse of uterus who were treated in our hospital from March 2018 to March 2019 were enrolled in the study,who were divided into observation group and control group according to the method of random number table,with 50 cases in each group.The patients in control group received early rehabilitation intervention of pelvic floor muscles,however,the patients in observation group,on the basis of control group,received continuous nursing intervention.The general data,pelvic floor muscle strength,pelvic floor electromyography,self rating Anxiety Scale(SAS)and self rating Depression Scale(SDS)were before and after the intervention were observed and compared between the two groups.Results Before intervention there were no significant differences in general data between the two groups(P>0.05).After intervention there was significant difference in pelvic floor muscle strength between the two groups(P<0.05),moreover,the proportion of parturients with muscle strength above level 3 in observation group was significantly higher than that in control group(P<0.05).Before intervention there was no significant difference in pelvic floor myoelectricity between the two groups(P>0.05),after intervention,the mean value of resting in observation group was significantly lower than that in control group(P<0.05).Before intervention there were no significant differences in the scores of SAS and SDS between the two groups(P>0.05).After 3-month intervention the scores of SAS and SDS in both groups were significantly decreased,moreover,which in observation group were significantly lower than those in control group(P<0.05).Conclusion The early rehabilitation of pelvic floor muscles combined with continuous nursing can effectively improve the pelvic floor myoelectricity in patients with postpartum uterine prolapse and reduce the incidence of postpartum depression,thus,which is worthy of clinical promotion.
作者
吴玲
WU Ling(Department of Obstetrics and Gynecology,The Fifth People’s Hospital of Chengdu City,Sichuan,Chengdu 611130,China)
出处
《河北医药》
CAS
2020年第22期3504-3506,3510,共4页
Hebei Medical Journal
关键词
盆底肌电
产后抑郁
子宫脱垂
延续性护理
pelvic floor electromyography
postpartum depression
uterine prolapse
continuous nursing
