围按摩和热压缩技术在产后盆底功能障碍中的作用. 一个随机对照试验的二次分析
Silvia Rodrigues1, Paulo Silva2, Ana Catarina Borges3
1Biomedical Sciences Institute Abel Salazar, Portugal and Hospital of Braga, Sete Fontes - São Victor, 4710-243, Braga, Portugal. silvialeiterodrigues@gmail.com.
Reproductive sciences (Thousand Oaks, Calif.)
|December 15, 2023
概括
在分娩期间围按摩和温暖的压缩物减少了分娩后的骨盆底功能障碍,特别是三个月的尿路困扰. 这种技术还减少了分娩期间严重的围外伤.
科学领域:
- 产科和妇科 产科和妇科
- 盆地健康 盆地健康
- 妇女健康研究 妇女健康研究
背景情况:
- 盆地功能障碍 (PFD) 是怀孕和分娩后的一个常见并发症.
- 产后干预措施,如围按摩和温暖的压缩物对PFD的影响仍未充分研究.
研究的目的:
- 评估围按摩和热压缩 (PeMWaC) 技术在产后3个月和6个月的骨盆底功能障碍产生的第二阶段的有效性.
主要方法:
- 一个随机对照试验涉及496名女性,比较PeMWaC组 (n=242) 与对照组 (实践,n=254).
- 骨盆地功能障碍的评估是使用骨盆地痛苦清单-20 (PFDI-20),包括尿道痛苦清单 (UDI),结直肠门痛苦清单 (CRADI) 和骨盆器官缩痛苦清单 (POPDI).
- 结果包括围外伤严重程度和产后3个月和6个月的PFDI-20分数.
主要成果:
- 与对照组相比,PeMWaC组表现出明显更高的完整腹膜发病率和较少的轻度撕裂.
- 对照组经历了更严重的围外伤和更高的表皮切割率.
- 在产后3个月,与对照组相比,PeMWaC组报告了显著较低的尿路应急库存 (UDI) 评分,表明早期PFD症状减少,主要是尿路应急.
结论:
- 围按摩和热压缩 (PeMWaC) 技术与分娩期间围创伤的减少有关.
- 这种技术表明,在产后3个月,早期的骨盆底功能障碍症状,特别是尿路障碍的患病率较低,与此有积极的关联.
- 虽然观察到最初的好处,但在分娩后6个月后,两组都会从围外伤中完全恢复.
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