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樊佳昱.盆底肌肉锻炼改善产后尿潴留的对照研究[J].上海护理,2014,14(2):
盆底肌肉锻炼改善产后尿潴留的对照研究
DOI：
中文关键词:  盆底肌 功能锻炼 产后尿潴留
英文关键词:pelvic floor muscle, functional exercise, postpartum retention of urine
基金项目:
作者单位E-mail
樊佳昱* 同济大学附属第一妇婴保健院 fanjiayu1220@sina.com 
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中文摘要:
      目的：探讨围产期盆底肌肉锻炼改善初产妇在顺产后排尿、降低保留导尿率的价值。方法：通过前瞻性纳入足月妊娠的顺产初产妇300名，年龄21-41岁（30.2±3.28岁）。将产妇随机分成盆底肌肉锻炼组和对照组（各150例）。对照组进行常规护理，盆底肌肉锻炼组从孕28周起进行标准的盆底肌肉锻炼。两组记录产后第一次排尿类型和保留导尿情况并进行比较。结果：盆底肌肉锻炼组和对照组在年龄、孕周、文化程度、总产程和婴儿体重等方面无显著差别。经过盆底肌肉锻炼，产妇的产后第一次排尿类型发生显著改变，保留导尿率明显下降（盆底肌肉锻炼组12.7%，对照组22.7%）。结论：围产期进行盆底肌肉锻炼有利于自主排尿，减少产后的导尿率。
英文摘要:
      Objective To investigate the effect of pelvic floor muscle exercises to improve the urination and reduce the catheterization after delivery in primipara. Methods Three hundred primiparas with an average age of 30.2 years (ranging from 21 to 41 years) were enrolled prospectively, who were randomized to two group ,with 150 cases in each group, which were pelvic floor muscle exercises group and control group. The primiparas in control group underwent routine nursing care and those in pelvic floor muscle exercise group underwent regular pelvic floor muscle exercise from 28 gestitational weeksbeside the routine nursing. The urination after delivery and catheterization were compared between the two groups. Results The two groups showed homogeneous concerning age, gestational weeks, educational level of primiparas, total labor time and the weight of neonates. And the urination in the primiparas with pelvic floor muscle exercises were significantly improved and catheterization were reduced(p<0.05). Conclusion The pelvic floor muscle exercises do help to improve the urination and reduce the catheterization after delivery.
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