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目的研究早期康复训练对产后妇女恢复及并发症的影响。方法选取2015年1月-2016年4月该院收治的妊娠妇女300例作为研究对象,采用随机数字表法分为两组,每组150例。观察组孕妇产前2周开始康复干预,对照组孕妇产后1周开始康复干预,两组均干预1个月时间,分析对比两组产妇产后恢复情况以及并发症发生率。结果观察组孕妇干预后最大肌电压、Ⅰ类肌力浅层、深层和Ⅱ类肌力浅层和深层均明显高于对照组(均P<0.01);观察组干预后疲劳度、阴道前后壁以及子宫指标(POP-Q)均明显低于对照组(均P<0.01);观察组干预后生活质量在躯体功能、社会功能、心理功能和物质生活方面明显高于对照组(P<0.05);观察组干预后SAS和SDS评分均明显低于对照组(P<0.01);观察组干预后乳汁少1例、无其他并发症发生;对照组发生感染2例、乳汁少4例,贫血1例,两组并发症比较,差异有统计学意义(P<0.05)。结论早期康复干预能够有效的促进产后妇女身体恢复和减少并发症,同时提高生活质量。
Objective To study the effect of early rehabilitation training on the recovery and complications of postpartum women. Methods 300 pregnant women admitted to our hospital from January 2015 to April 2016 were selected as the research object and divided into two groups (150 cases in each group) by random number table. The pregnant women in the observation group started rehabilitation intervention two weeks before giving birth and the pregnant women in the control group started rehabilitation one week after giving birth. Both groups intervened for one month. The postpartum recovery and the incidence of complications in the two groups were analyzed. Results In the observation group, the maximal muscular voltage, the shallow and deep muscular strength of type Ⅰ muscle and the muscular strength of type Ⅱ muscle were significantly higher in the observation group than those in the control group (all P <0.01). The fatigue, the anterior and posterior vaginal wall (P <0.01). The quality of life in the observation group was significantly higher than that in the control group in physical function, social function, mental function and physical life (P <0.05) ; SAS and SDS scores in the observation group were significantly lower than those in the control group after intervention (P <0.01); one case had less milk after the intervention in the observation group, no other complication occurred; 2 cases in the control group, 4 cases less milk, 1 anemia Cases, complications between the two groups, the difference was statistically significant (P <0.05). Conclusion Early rehabilitation intervention can effectively promote postpartum women’s body recovery and reduce complications, while improving the quality of life.