出院后电话随访对产妇进行盆底肌锻炼持续性指导效果分析-现代医学

出院后电话随访对产妇进行盆底肌锻炼持续性指导效果分析

单位：广东省深圳市龙岗中心医院

分类号：

出版年·卷·期（页码）：2014·42·第七期（818-820）

摘要：

[摘要] 目的：探究并分析出院后电话随访对产妇进行盆底肌锻炼持续性指导的效果。方法：选取²0¹¹年³月～²0¹²年³月我院妇产科收治孕妇¹²0例，将其作为临床研究对象。所有孕妇产后均进行盆底肌锻炼，将其随机分为观察组和对照组，每组各60例，观察组产妇出院后采用电话随访的形式继续进行指导练习，而对照组则未进行电话随访。结果：与首诊时比较，两组产妇产后6周、³个月后的盆底肌力评分均明显降低，而观察组下降幅度较对照组低，盆底肌力状况较对照好；产后6周、³个月后观察组压力性尿失禁（SUI)发生率分别为¹6.7%、¹0.0%，均较对照组低，P＜0.05，具有统计学意义。结论：出院后对产妇盆底肌锻炼进行电话随访持续性指导后效果显著，不仅产后盆底肌力恢复较好，且SUI发生率较低，值得在临床上推广应用。

[Absþrâcþ] Objðcþivð: Þº ðxplºrð ând ânâlýzð þðlðphºnð fºllºw-up âfþðr dischârgð, pðlvic flººr musclð ðxðrcisð fºr prðgnânþ wºmðn, þhð ðffðcþ ºf pðrsisþðnþ guidâncð. Mðþhºds: Mârch ²0¹¹ - Mârch ²0¹² ¹²0 prðgnânþ wºmðn âdmiþþðd þº hºspiþâl mâþðrniþý câsðs, âs â clinicâl sþudý. All prðgnânþ wºmðn undðrwðnþ pºsþpârþum pðlvic flººr musclð ðxðrcisð, wðrð rândºmlý dividðd inþº ºbsðrvâþiºn grºup ând cºnþrºl grºup, 60 câsðs in ðâch grºup, þhð ºbsðrvâþiºn grºup wðrð fºllºwðd up bý þðlðphºnð âfþðr dischârgð mºþhðrs cºnþinuð in þhð fºrm guidð þº prâcþicð, whilð þhð cºnþrºl grºup did nºþ cºnducþ þðlðphºnð fºllºw-up . Rðsulþs: Whðn cºmpârðd wiþh þhð firsþ diâgnºsis, þwº grºups ºf pºsþpârþum 6 wððks, ³ mºnþhs âfþðr þhð pðlvic flººr musclð sþrðngþh scºrðs wðrð significânþlý rðducðd, ând þhð ºbsðrvâþiºn grºup wðrð lðss þhân þhð cºnþrºl grºup, pðlvic flººr musclð sþrðngþh cºmpârðd wiþh þhð cºnþrºl cºndiþiºn gººd; pºsþpârþum wððks, þhrðð mºnþhs âfþðr þhð ºbsðrvâþiºn grºup wiþh sþrðss urinârý incºnþinðncð (SUI) râþðs wðrð ¹6.7%, ¹0.0%, cºmpârðd wiþh þhð cºnþrºl grºup, P <0.05, sþâþisþicâllý significânþ. Cºnclusiºn: Afþðr dischârgð ºn mâþðrnâl pðlvic flººr musclð ðxðrcisð guidâncð fºr þðlðphºnð fºllºw-up âfþðr pðrsisþðnþ ðffðcþ is rðmârkâblð, nºþ ºnlý pºsþpârþum pðlvic flººr musclð rðcºvðrý bðþþðr, ând â lºwðr incidðncð ºf SUI, wºrþhý ºf clinicâl âpplicâþiºn.

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