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持续盆底肌功能锻炼指导对全盆底重建术后患者康复的作用
作者:曹琳  
单位:中国医科大学附属盛京医院
关键词:盆底肌功能锻炼 脱垂 尿失禁 生活质量 
分类号:
出版年·卷·期(页码):2015·43·第三期(374-377)
摘要:

【摘要】目的 观察持续盆底肌功能锻炼(pelvic floor muscles exercise,PFMT)指导对全盆底重建术后患者盆底肌功能恢复及生活质量的影响。方法 选择2011年6月-2013年5月在我院妇科盆底中心因盆腔脏器脱垂,采取全盆底重建术治疗的64例患者为研究对象,将其按照随机数字表法分为实验组(n=35)和对照组(n=29),对照组患者术后给予常规治疗护理。实验组患者在术后常规治疗护理基础上,由康复护士给予患者进行12周以上一对一的持续盆底肌功能锻炼指导。于术后3个月、6个月观察两组患者盆底肌功能恢复情况、术后盆底肌肉紧张痛、尿频、便秘等不适症状的缓解情况以及生活质量比较。结果 两组患者年龄、盆腔脏器脱垂程度等一般情况差异无统计学意义(p>0.05)。实验组患者盆底综合肌力、术后生活质量均优于对照组患者(p<0.05);尿频、尿失禁、下腹部坠胀感、盆底肌肉紧张痛与对照组比较有明显改善,差异具有统计学意义(p<0.05) 。便秘症状组间差异无统计学意义(p>0.05)。结论 持续PFMT指导的应用能够对术后患者盆底肌功能的恢复,提高术后患者生活质量、改善尿频、尿失禁、下腹坠胀感、盆底肌肉紧张痛具有积极意义,值得临床推广。

【 Abstract 】 Objective To observe the influence of pelvic floor muscle exercise (pelvic floor muscles exercise, PFMT) guidance on the pelvic floor reconstruction regarding to their quality of life and pelvic floor muscle function. Method 64 patients were collected for our study, who were in our hospital of department of gynaecology pelvic floor center for pelvic floor dysfunction during June 2011 to May 2013 , adopt the whole pelvic floor revascularization therapy.These patients were divided into experimental group (n = 35) and the control group (n = 29)according to random number table method. The control group patients got postoperatively routine care Experimental group got the more than 12 weeks one-on-one for pelvic floor muscle exercise guidance by the rehabilitation nurses, on the basis of conventional treatment nursing. In 3 months and 6 months, we compared two groups with their pelvic floor muscle function recovery, postoperative pelvic floor muscle tension, frequent urination, constipation symptoms such as pain relief and quality of life. Results The two groups of patients ,there were no statistical significance difference between their ages, degree of pelvic organ prolapse, and other general situation (p > 0.05). Experimental group of patients had the better pelvic floor muscle strength, and postoperative quality of life comparing to the control group (p < 0.05). Frequent urination, urinary incontinence, lower abdomen fall bilge feeling and pelvic floor muscle pain has improved significantly compared with controls (p < 0.05). There was no statistically significant difference between the two groups regarding to constipation (p > 0.05). Conclusion The application of continuous PFMT instruction can help patients to improve the pelvic floor muscle tension, pelvic floor muscle function in patients with postoperative recovery, improve postoperative patients' quality of life, frequent urination, urinary incontinence, ventral sank bilge feeling, and decrease pe

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