Rehabilitation Effect of Kegel Exercise Combined with Acupoint Massage on Patients with Postpartum Urinary Incontinence

Abstract

Abstract: Objective To investigate the rehabilitation effect of Kegel exercise combined with acupoint massage on postpartum patients with urinary incontinence. Methods A total of 96 patients with postpartum urinary incontinence admitted to the postpartum clinic of the Affiliated Hospital of Binzhou Medical College from March 2021 to September 2022 were selected and randomly divided into control group and experimental group with 48 cases, respectively. The control group received rehabil-itation exercise with Kegel exercise, and the experimental group received rehabilita-tion exercise with Kegel exercise combined with acupoint massage. The recovery effect was observed after 4 weeks. Results The weight of urine pad in the experime-ntal group was lower than that in the control group at 1h, and the difference was statistically significant (P<0.05). There was no significant difference in self-esteem between the two groups (P>0.05). The quality of life score of the experimental group was higher than that of the control group, and the difference was statistically significant (P<0.05). The treatment satisfaction rate of the experimental group was higher than that of the control group, and the difference was statistically significant (P<0.05). Conclusion Kegel exercise combined with acupoint massage can effectively improve the pelvic floor function, self-confidence and quality of life of patients with postpartum urinary incontinence.

Key words: kegel movement, acupoint massage, postpartum, urinary incont-inence

CLC Number:

R714.6

JIN Xin-xin, ZHANG Li-li, YAN Yan-yan. Rehabilitation Effect of Kegel Exercise Combined with Acupoint Massage on Patients with Postpartum Urinary Incontinence[J]. ZHONGHUA YANGSHENG BAOJIAN, 2023, 41(20): 73-76.

References

[1] WANG H, GHONIEM G.Postpartum stress urinary incontinence, is it related to vaginal delivery?[J]. Matern Fetal Neonatal Med, 2017,30(13):1552-1555.
[2] 臧晓明,曲一诺,张昕,等.带脉铺姜灸联合盆底肌训练治疗女性轻中度压力性尿失禁的临床观察[J].中华中医药杂志,2020,35(12):6434-6436.
[3] 孙丽洲,朱兰.妇产康复[M].北京:人民卫生出版社,2018:173-238.
[4] 梅慧红,邵晓华.产后盆底功能障碍患者应对方式及影响因素调查[J].中华现代护理杂志,2019,25(5):569-572.
[5] 马文娟,郭淑华,王晓坤,等.产后压力性尿失禁患者应对方式调查及消极应对的影响因素分析[J].中国妇幼保健,2022,37(22):3997-4000.
[6] 刘瑞景. 产后盆底功能障碍风险因素及不同康复治疗方案效果分析[J].浙江临床医学,2018,17(7):572-574.
[7] 李琳,王凤菊.电刺激联合生物反馈疗法对女性压力性尿失禁症状改善及生活质量的影响[J].实用临床医药杂志,2019,7(19):41-44.
[8] 张彩红,吕喜云,高翔,等.盆底综合康复治疗和自行盆底肌肉训练对产妇盆底肌恢复的临床治疗效果观察[J].中国妇幼保健,2022,37(22):4140-4143.
[9] HWANG U J, LEE M S, JUNG S H, et al.Relationship between sexual function and pelvic floor and hip muscle strength in women with stress urinary incontinence[J]. Sex Med,2021,9(2):100325.
[10] 邵魁卿,高瞻,沈建武,等.芪实颗粒联合盆底肌训练对女性轻中度压力性尿失禁患者尿失禁问卷表简表评分、尿失禁生活质量量表评分的影响[J].中国医院用药评价与分析,2019,19(6):696-698,701.
[11] 陈娟,朱兰,郎景和.Prosima网片全盆底重建术治疗重度盆腔器官脱垂的前瞻性研究[J].中华妇产科杂志,2012,47(9):664-668.
[12] CROCKETT K L, BOWEN A, MADILL S J.A review of the effects of physical therapy on self-esteem in postpartum women with lumbopelvic dysfunction[J]. Obstet Gynaecol Can,2019,41(10):1485-1496.
[13] 邵玉霞. 盆底功能训练对产后压力性尿失禁初产产妇排尿状况尿动力学指标的影响[J].哈尔滨医药,2021,41(2):98-107.
[14] 李灿东,方超义.中医诊断学[M].北京:中国中医药出版社,2016:180.
[15] 郑洪新. 中医基础理论[M].10版.北京:中国中医药出版社,2016:148-152.
[16] 芦爱华,荆蕙,朱香兰.肌电刺激结合盆底功能锻炼对产后尿失禁患者盆底肌收缩力及功能的影响[J].河北医药,2020,42(17):2602-2605.
[17] COOKLIN A R, AMIR L H, NGUYEN C D, et al.Physical health, breastfeeding problems and maternal mood in the early postpartum: a prospective cohort study[J]. Arch Womens Ment Health,2018,21(3):265-374.