延续性围产期运动指导对分娩方式及产后盆底功能的影响

The Effect of the Continuity of PerinatalExercise on the Delivery and the Function of the Pelvic Floor in the Postpartum Period

摘要: 目的：探讨延续性运动指导在围产期的应用效果。方法：选取孕妇200例随机等分为观察组与对照组，对照组围产期予以基础护理，观察组予以基础护理及持续性运动指导，对比两组干预效果。结果：观察组孕妇孕期体质量(64.25 ± 3.51) kg、新生儿体质量(3.22 ± 0.18) kg低于对照组(P < 0.05)；观察组自然分娩率94%多于对照组的81%，剖宫产率6%、并发症率6%少于对照组，两组比较差异具有统计学意义(P < 0.05)。产后42天检测观察组I类肌纤维肌力、II类肌纤维肌力、阴道动态压力优于对照组(P < 0.05)，I类肌纤维疲劳度、II类肌纤维疲劳度显著低于对照组(P < 0.05)。结论：延续性运动指导可改善孕妇心理状态，控制围产期孕妇体质量及胎儿体质量，减少剖宫产率和围产期并发症率，有利于产后盆底功能恢复，值得推广。

Abstract: Objective: To explore the effect of continuous exercise guidance in perinatal period. Methods: 200 cases of pregnant women were randomly divided into the observation group and the control group. The control group was given basic nursing during perinatal period. The observation group was guided by the continuous movement, and the effect of the two groups was compared. Results: The body mass (64.25 ± 3.51) kg and body mass (3.22 ± 0.18) kg of pregnant women in the observation group were lower than that of the control group (P < 0.05); the natural childbirth rate of the observation group was 94% which was more than that of the control group (81%), the cesarean section rate was 6%, the complication rate was 6% which was less than the control group, and the two groups had a comparative difference (P < 0.05). After intervention, the muscle fiber muscle strength of I, II muscle fiber muscle strength and vaginal dynamic pressure control group (P < 0.05), the fatigue degree of I muscle fiber and the fatigue of II muscle fiber were significantly lower than those of the control group (P < 0.05). Conclusion: Continuous exercise guidance can improve the psychological state of pregnant women, control the body mass and fetal body mass of perinatal pregnant women, reduce the rate of cesarean section and perinatal complications, and be beneficial to the recovery of postpartum pelvic floor function, which is worth popularizing.