摘要
目的探讨盆底肌功能锻炼联合神经功能重建早期介入对自然分娩后便秘的临床效果。方法选取2015年12月~2016年3月我院分娩且有便秘史的产妇240例,按照随机数字表法分为观察组和对照组,各120例。对照组患者依照临床经验,给予神经功能重建治疗。观察组患者在对照组基础上,增加盆底肌功能重建。对两组患者首次排便时间、便秘症状评分(临床经验表格,满分为10分)进行记录和统计。采用产后排便舒适度调查表(百分制)对患者排便情况进行调查。结果观察组患者首次排便时间为(7.3±2.2)d,对照组为(12.9±3.6)d,差异有统计学意义(t=14.540,P=0.000)。观察组便秘症状评分为(9.7±0.8)分,对照组为(5.3±1.4)分,差异有统计学意义(t=29.892,P=0.000)。观察组患者治疗后排便舒适性评分为(81.2±9.8)分,显著高于治疗前的(54.9±10.9)分(t=19.655,P=0.000),且与同期对照组的(58.5±10.7)分比较,差异有统计学意义(t=17.138,P=0.000)。结论盆底肌功能锻炼联合神经功能重建早期介入对自然分娩后便秘的临床效果显著,值得广泛推广。
Objective To explore the clinical effect of early intervention of pelvic floor muscle exercise combined with neurological reconstruction on constipation after vaginal delivery.Methods 240 cases of puerpera with a history of con- stipation who delivered in our hospital were selected from December 2015 to March 2016.According to the random number table method,the patients were divided into observation group and control group,120 patients in each groups.Pa- tients in the control group were given neurological reconstruction according to clinical experience.Patients in the obser- vation group were further given pelvic floor muscle reconstruction on the basis of the control group.The first defecation time and constipation symptom score （clinical experience table,out of 10 points） were recorded and statistically analyzed in both groups.Postpartum defecation comfort questionnaire （centesimal system） was used to investigate the defecation status of the patients.Results The time of first defecation was （7.3±2.2） days in the observation group and （12.9±3.6） days in the control group,the difference was significant （t=14.540,P=0.000）.The constipation scores in the observation group was （9.7±0.8） scores,and the control group was （5.3±1.4） scores,the difference was significant （t=29.892,=0.000）. The defecation comfort scores before the treatment in the observation group was （81.2±9.8） scores,significantly higher than that of （54.9±10.9） before the treatment （t--19.655,P=O.OOO）,the difference was significant compared with that of （58.5±10.7） scores in control group during the same period （t=17.138,P=0.000）.Conclusion The clinical effect of early intervention of pelvic floor muscle exercise combined with neurological reconstruction on constipation after vaginal de- livery is significant and worthy of widespread application.
出处
《中国当代医药》
2017年第7期192-194,共3页
China Modern Medicine
基金
广东省深圳市宝安区社会公益项目(医疗卫生)(2016CX116)
关键词
盆底肌锻炼
神经功能重建
顺产产妇
产后便秘
Pelvic floor muscle exercise
Neurological reconstruction
Puerpera with vaginal delivery
Postpartum constipation
