摘要
Abstract
Objective To explore the related factors of the effect of pelvic floor therapeutic instrument in intervening postpartum pelvic floor dysfunction(PFD).Methods The clinical data of 93 patients with PFD who were treated with pelvic floor therapy apparatus in Joint Logistic Support Force 910th Hospital from December 2022 to March 2024 were retrospectively analyzed.The patients were divided into good group(effective intervention)and poor group(ineffective intervention)according to the treatment effect.The general sociological characteristics and related characteristics of PFD women in the two groups were collected and compared.Logistic regression analysis was used to analyze the main factors affecting the recovery of pelvic floor function in PFD parturients.Results Among the 93 PFD patients,74 cases of parturient women were effectively treated with pelvic floor therapy instrument,accounting for 79.57％,and were included in the good group,19 cases of invalid maternal intervention,accounting for 20.43％,were included in the poor group.There were statistically significant differences in age,delivery time,neonatal head circumference,perineal tear,delivery mode and weight gain during pregnancy between the two groups(P＜0.05).Multivariate logistic regression analysis showed that age(β=1.357,OR=3.884,95％CI:1.266-11.912),perineal tear(β=1.168,OR=3.216,95％CI:1.136-9.106),birth times(β=1.570,OR=4.804,95％CI:1.623-14.224),neonatal head circumference(β=0.306,OR=1.358,95％CI:1.035-1.783),weight gain during pregnancy(β=0.195,OR=1.216,95％CI:1.032-1.432),mode of delivery(β=1.376,OR=3.958,95％CI:1.200-13.056)were the independent influencing factors of the effect of pelvic floor therapy instrument on postpartum PFD(P＜0.05),and the OR values were all＞1.Conclusion Age ≥ 35 years old,time of delivery＞1 time,vaginal delivery,perineal tear,large neonatal head circumference,and large weight gain during pregnancy are all factors influencing the effect of pelvic floor therapy device intervention in postpartum PFD.It is necessary to implement targeted rehabilitation programs for parturient women in combination with the above factors to improve clinical efficacy and promote parturient recovery as soon as possible.关键词
盆底治疗仪/产后盆底功能障碍/骨盆手法康复/相关因素Key words
Pelvic floor therapeutic instrument/Postpartum pelvic floor dysfunction/Pelvic manipulation rehabilitation/Related factor分类
临床医学
