摘要目的 比较不同时机的个体化产后盆底康复护理在产妇产后的效果。方法 选取2016年2月～2017年6月我院收治的260例产妇作为研究对象，按照个体化盆底康复护理的不同阶段及护理方式分为A、B、C、D组，每组各65例。A组产后42～56 d采用个体化盆底护理，B组产后57～70 d采用个体化盆底护理，C组产后71～91 d采用个体化盆底护理，D组产后42～56 d采用常规护理。比较四组的护理效果。结果 A、B、C组的盆底静息压分别为（58.71±3.11）、（57.16±6.91）、（58.18±3.11）cmH2O，高于 D 组的（39.10±9.50）cmH2O，差异有统计学意义（P＜0.05）；A、B、C 组的盆底收缩压分别为（58.91±2.77）、（59.32±3.63）、（59.42±1.74）cmH2O，高于 D 组的（43.92±2.81）cmH2O，差异有统计学意义（P＜0.05）；A、B、C 组的Ⅰ类肌纤维持续时间分别为（4.67±1.27）、（5.13±1.50）、（5.09±1.27）s，长于 D 组的（3.12±0.91）s，差异有统计学意义（P＜0.05）；A、B、C 组的Ⅱ类肌纤维收缩个数分别为（4.92±1.25）、（4.82±1.29）、（4.79±1.74）个，高于 D 组的（1.98±0.86）个，差异有统计学意义（P＜0.05）。A、B 组以及 C 组的上述指标比较，差异均无统计学意义（P＞0.05）。结论 个体化盆底康复护理的实施有利于产妇产后盆底功能的恢复，而护理时机的选择对康复护理效果产生的影响较小。
Abstract：Objective To compare the effect of individualized postpartum pelvic floor rehabilitation nursing at different times in postpartum puerpera.Methods A total of 260 puerpera who were admitted to our hospital from February 2016 to June 2017 were selected as research subjects.According to different stages and nursing methods of individualized pelvic floor rehabilitation nursing，they were divided into group A，group B，group C and group D，with 65 cases in each group.Individualized pelvic floor nursing was used in group A from 42 to 56 days after delivery.Individualized pelvic floor nursing was used in group B from 57 to 70 days after delivery.Individualized pelvic floor nursing was used in group C from 71 to 91 days after delivery.Routine nursing care was used in group D from 42 to 56 days after delivery.The nursing effects were compared among the four groups.Results The pelvic resting pressure in group A，group B and group C was （58.71±3.11），（57.16±6.91），（58.18±3.11）cmH2O respectively，higher than that of（39.10±9.50）cmH2O in group D，and the differences were statistically significant （P＜0.05）.The pelvic floor systolic pressure in group A，group B and group C was （58.91±2.77），（59.32±3.63），（59.42±1.74）cmH2O respectively，higher than that of （43.92±2.81）cmH2O in group D，and the differences were statistically significant（P＜0.05）.The duration of type I muscle fibers in group A，group B and group C was （4.67±1.27），（5.13±1.50），（5.09±1.27）s respectively，longer than that of （3.12±0.91）s in group D，and the differences were statistically significant （P＜0.05）.The number of contraction of type Ⅱmuscle fibers in group A，group B and group C was 4.92±1.25，4.82±1.29，4.79±1.74 respectively，higher than that of 1.98±0.86 in group D，and the differences were statistically significant （P＜0.05）.There were no statistically significant differences in the above indices among group A，group B and group C （P＞0.05）.Conclusion The implementation of individualized pelvic floor rehabilitation nursing is beneficial to the recovery of postpartum pelvic floor function in puerpera.The selection of nursing timing has a less impact on the effectiveness of rehabilitation nursing care.
马聊丽；陈姗姗；胡雅玲. 不同时机的个体化产后盆底康复护理在产妇产后的效果比较[J]. 中国当代医药, 2019, 26(4): 226-228.
MA Liao-li；CHEN Shan-shan ；HU Ya-ling. Comparison of the effect of individualized postpartum pelvic floor rehabilitation nursing at different times in postpartum puerpera. 中国当代医药, 2019, 26(4): 226-228.
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