CAJ | 학술논문

目的：探讨盆底肌肉功能训炼对初产顺产产妇产后排尿率、尿流率、尿道口疼痛等症状的影响。方法选取2013年1月至2014年10月我院产科门诊初产妇600例，随机分为对照组和实验组各300例，对照组在产后给予健康教育督促排尿作为空白对照，实验组在产前60天开始给予指导下的规律功能锻炼，选取顺产产妇作为观察对象，在产后4～6小时观察排尿率和尿道口疼痛症状，1周后监测尿流率，观察膀胱逼尿肌肌力恢复情况，比较两组产妇有无差异。结果对照组193例顺产产妇产后排尿率为71％、出现尿道口疼痛分别为：无痛31例、轻度疼痛113例、疼痛明显49例；实验组211例顺产产妇产后排尿率为93％，出现尿道口疼痛分别为：无痛87例、轻度疼痛99例、疼痛明显25例，实验组明显优于对照组，两组比较有显著统计学意义（ P＜0．01）。结论盆底肌肉功能训炼能显著提高初产顺产产妇产后排尿率、改善尿流率和尿道口疼痛，对初产产妇产后尿潴留的预防起到积极作用。
목적：탐토분저기육공능훈련대초산순산산부산후배뇨솔、뇨류솔、뇨도구동통등증상적영향。방법선취2013년1월지2014년10월아원산과문진초산부600례，수궤분위대조조화실험조각300례，대조조재산후급여건강교육독촉배뇨작위공백대조，실험조재산전60천개시급여지도하적규률공능단련，선취순산산부작위관찰대상，재산후4～6소시관찰배뇨솔화뇨도구동통증상，1주후감측뇨류솔，관찰방광핍뇨기기력회복정황，비교량조산부유무차이。결과대조조193례순산산부산후배뇨솔위71％、출현뇨도구동통분별위：무통31례、경도동통113례、동통명현49례；실험조211례순산산부산후배뇨솔위93％，출현뇨도구동통분별위：무통87례、경도동통99례、동통명현25례，실험조명현우우대조조，량조비교유현저통계학의의（ P＜0．01）。결론분저기육공능훈련능현저제고초산순산산부산후배뇨솔、개선뇨류솔화뇨도구동통，대초산산부산후뇨저류적예방기도적겁작용。
Objective To investigate the function of pelvic floor muscle training refining capacity for early postpartum voiding birth rate , the impact of flow rate , urethral pain and other symptoms .Methods 600 cases of primipara were selected in our hospital obstetric clinic from January 2013-October 2014, who were divided into control and experimental group there are 300 cases for each group , The control group received usual care as the control in the postpartum .The experimental group were given to the guidance of functional training in prenatal 60days,The birth mother were Selected as the object of observation , observed the rate of urination and urethra pain 4 ~6 hours later after birth , monitoring the rate of urine flow and observing the detrusor muscle recovery one week later , compared the differences between two groups of mothers . Results The rate of postpartum urination was 71% in control group , which had 193 cases of birth mother , appearing urethra pain were:31 cases of no pain , 113 cases of mild pain and the serious pain was 49 cases;But the rate of postpartum urination was 93%in experimental group , which had 211 cases of birth mother , appearing urethra pain were:87 cases of no pain , 99cases of mild pain and the serious pain was 25 cases, the experimental group was better than the control group obviously , the two groups was statistically significant (P<0.01).Conclusions Pelvic floor muscle function can improve the initial production rate of birth postpartum urination significantly , improves urinary flow rate and urethra pain , and plays an active role in the prevention of postpartum urinary retention for primipara .