实用医学杂志 ›› 2023, Vol. 39 ›› Issue (11): 1433-1439.doi: 10.3969/j.issn.1006⁃5725.2023.11.019

• 临床研究 • 上一篇    下一篇

瑜伽用于产后女性整体盆底功能康复的临床观察 

刘姜伶1,3 周嘉禾1 许秋仪1 李荔2    

  1. 1 广州医科大学(广州511436);2 广东省妇幼保健院(广州511442); 3 深圳市龙华区妇幼保健院(广东深圳518110)
  • 出版日期:2023-06-10 发布日期:2023-06-10
  • 通讯作者: 李荔 E⁃mail:lili⁃1406@163.com
  • 基金资助:
    广东省自然科学基金项目(编号:2021A1515010763); 广东省国际及港澳台高端人才交流专项(编号:174007);深圳市 龙华区医疗卫生区级科研项目(编号:2020198)

Clinical observation of Yoga in the recovery of overall pelvic floor function in postpartum women

LIU Ji⁃ angling*,ZHOU Jiahe,XU Qiuyi,LI Li.    

  1. Guangzhou Medical University,Guangzhou 511436,China;*Shenzhen Longhua District Maternal and Child Health Hospital,Shenzhen 518110,China 
  • Online:2023-06-10 Published:2023-06-10
  • Contact: LI Li E⁃mail:lili⁃1406@163.com

摘要:

目的 探讨瑜伽锻炼对产后女性盆底功能康复及生活质量的影响。方法 选取2021年9月 至 2022 年 3 月于深圳市龙华区妇幼保健医院就诊的 182 例确诊为盆底功能障碍的产妇为研究对象,按照 1∶1 随机分为瑜伽组和对照组,瑜伽组在健康宣教基础上联合瑜伽锻炼,对照组仅采取健康宣教。主要观察指标为盆底肌肌力,次要观察指标为盆底电生理指标、盆腔器官脱垂分度、体质指数、腰围、盆腔器官脱垂及尿失禁性功能问卷(PISQ⁃12)评分、尿失禁影响简版问卷(IIQ⁃7)评分、VAS 量表评分的变化。 结果 经干预,瑜伽组盆底肌肌力较对照组明显改善(P < 0. 05);瑜伽组阴道动态压力值优于对照组 (P < 0.05);盆腔器官脱垂分度改善程度优于对照组(P < 0. 05);瑜伽组体质量指数下降程度高于对照组 (P < 0.05);瑜伽组三套生活质量问卷评分结果均优于对照组(P < 0. 05)。结论 瑜伽对产后女性整体盆 底功能康复有明显改善作用,不受场地、时间、仪器影响,方便易实施,值得临床推广。 

关键词: 瑜伽, 整体盆底功能, 生活质量

Abstract:

Objective This study aims to explore the effect of yoga exercise on the recovery of pelvic floor function and quality of life in postpartum women. Methods A total of 182 puerperas diagnosed with pelvic floor dysfunction who were diagnosed with pelvic floor dysfunction in our hospital from September 2021 to March 2022 were selected as the research objects. They were randomly divided into a yoga group and a control group according to 1∶1. Combined with yoga exercise,the control group only adopted health education. The main observation index of this study is pelvic floor muscle strength,and the second observation indexes are pelvic floor electrophysiological index,pelvic organ prolapse scale,body mass index,waist circumference,pelvic organ prolapse and urinary incontinence sexual function questionnaire(PISQ⁃12)Changes in the score,urinary incontinence impact question⁃ naire(IIQ⁃7)score,and VAS scale score. Results After the intervention,the pelvic floor muscle strength of the yoga group was significantly improved compared with the control group(P < 0.05);the vaginal dynamic pressure value of the yoga group was better than that of the control group(P < 0.05);the improvement degree of pelvic organ prolapse better than the control group(P < 0.05);the body mass index decline in the yoga group was higher than that in the control group(P < 0.05);the scores of the three quality of life questionnaires in the yoga group were better than those in the control group(all P < 0.05). Conclusion Yoga can significantly improve the recovery of postpartum women′s overall pelvic floor function. It is not affected by venue,time,and equipment. It is conve⁃ nient and easy to implement,and it is worthy of clinical promotion.

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