牛牛游戏厅安卓,{原始关键词}

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              • 当前位置: 代写一篇论文多少钱 > 医学论文 > 产后康复疗效评价中盆底超声的运用

                产后康复疗效评价中盆底超声的运用

                时间:2020-02-18 09:41作者:朱冬平
                本文导读:这是一篇关于产后康复疗效评价中盆底超声的运用的文章,受分娩等特殊生理改变影响,产妇在分娩之后很容易出现压力性尿失禁、盆腔器官脱垂等女性盆底功能障碍性疾病,影响产妇产后身心健康恢复。

                  摘    要: 目的:对比和分析盆底超声在临床产后康复治疗效果评估中的应用价值。方法:选取接受产后妇科检查的患者共计90例为研究对象,根据是否接受产后盆底肌康复治疗分为观察组和对照组,每组各45例。观察组患者于产后6周开始接受康复治疗,而对照组患者不接受治疗。在产后12周采用盆底超声检查,观察两组患者膀胱颈移动度、膀胱尿道后角情况。结果:观察组患者膀胱颈移动度与膀胱尿道后角情况显着优于对照组,差异有统计学意义(P<0.05)。结论:为产后康复患者采取盆底超声检查,可以清楚了解产妇产后盆腔变化情况,进行详细观测、评估,且临床操作无创,相对简便,可以作为产后康复效果评估观察手段进行临床推广应用。

                  关键词: 盆底超声; 产后康复; 盆底功能障碍;

                  SHOUFENMIANDENGTESHUSHENGLIGAIBIANYINGXIANG,CHANFUZAIFENMIANZHIHOUHENRONGYICHUXIANYALIXINGNIAOSHIJIN、PENQIANGQIGUANTUOCHUIDENGNVXINGPENDIGONGNENGZHANGAIXINGJIBING,YINGXIANGCHANFUCHANHOUSHENXINJIANKANGHUIFU[1]。ZHENDUIZHEIYITEDIAN,LINCHUANGZAICHANHOUKANGFUFANGMIANYANJIUJIKANGFUFANGFABUDUANZAIZENGDUO,ERKEGUANLIAOXIAOGUANCEDEYANJIUHAIYOUDAIJINYIBUTIGAO。JIANYUCHANFUTESHUSHENGLITEDIANJIPENDIGONGNENGZHANGAIXINGJIBINGBINGLIJIZHI,ZAICAIQUCHANHOUKANGFUHOU,JIJIYINGYONGYIXUEYINGXIANGXUEJINXINGKEGUANLIAOXIAOPINGJIA、GUANCESHIFENGUANJIAN[2]。BENYANJIUJIUPENDICHAOSHENGZAICHANHOUKANGFULIAOXIAOPINGGUZHONGDEYINGYONGJIAZHIJINXINGYANJIUHEFENXI,XIANBAOGAORUXIA。

                  1 、资料与方法

                  1.1、 一般资料:

                  XUANQURUIJINSHIFUYOUBAOJIANYUANFUCHANKESUOSHOUZHIDEJIESHOUCHANHOUFUKEJIANCHADEHUANZHEGONGJI90LI,GENJUHOUPENDIJIKANGFUZHILIAOYUFOUFENWEIGUANCHAZUHEDUIZHAOZU,MEIZUGE45LI。SUOYOUCHANFUCHANHOU6ZHOUJINGPENDIJILICESHIQUEDINGWEI1JI。GUANCHAZUCHANFUNIANLING22~38SUI,PINGJUN(31.5±4.2)SUI;DUIZHAOZUCHANFUNIANLING22~39SUI,PINGJUN(32.1±3.8)SUI。LIANGZUCHANFUJIWANGTIJIAN,WUYANZHONGRENSHENQIHEBINGZHENGDENGJIBING,PAICHULIHUANEXINGZHONGLIUHUANZHE,PAICHUJINGSHENZHANGAIBUNENGHEZUODEHUANZHE。LIANGZUCHANFUYIBANZILIAOCHAYIWUTONGJIXUEYIYI(P>0.05),JUBEIKEBIXING。

                  1.2 、方法:

                  GUANCHAZUHUANZHEYUCHANHOU6ZHOUKAISHIJIESHOUCHANHOUKANGFUZHILIAO,LIYONGDIANCIJILIANHESHENGWUFANKUIZHILIAO,YICHANFUZIGANYOUCIJIERWUMINGXIANTENGTONGWEIYI,MEICIZHILIAOSHIZHANG30 min,MEIZHOU2CI,GONGJIZHILIAO10CI。SUOYOUCHANFUJUNJINXINGPENQIANGCHAOSHENGJIANCHA,LIYONGCHAOSHENGDUIPENQIANGBIANHUAJINXINGGUANCHA,SANWEITUZHENTANTOUPINLV4.0~8.0 MHz,JIANCHAQIANWANQUANPAIKONGBANGGUANGYUZHICHANGHOUQUBANGGUANGJIESHIWEI。YUTANTOUTUOUHEJIHOUDAIANQUANTAOFANGZHIYULIANGCEDAYINCHUNZHIJIAN,YUPIFUTIEHE,HUODEPENDIZHENGZHONGSHIZHUANGMIAN,YICHIGULIANHEHOUXIAYUANWEICANKAODIAN,YICIJIANCHAQIANFANGCHIGULIANHE、NIAODAO、BANGGUANG、YINDAO、HOUFANGZHICHANGYUZHICHANGHUFUBU、GANGGUAN。YUHUANZHEPINGJINGHUXIZHUANGTAIXIAHEZUIDAPINGQIXIANGXIAZENGJIAFUYADONGZUOXIAJINXINGTUXIANGCAIJI[3]。

                  1.3 、观察指标:

                  观察两组患者膀胱颈移动度、膀胱尿道后角综合改善情况。
                 

                产后康复疗效评价中盆底超声的运用
                 

                  1.4 、统计方法:

                  DUIBENCIDIAOCHAYANJIUDESUOYOUSHUJULIYONGSPSS 20.0TONGJIXUERUANJIANJINXINGTONGJIXUESHUJUCHULI,JILIANGZILIAOYONGJUNSHU±BIAOZHUNCHA(x ? ±s)(x?±s)

                牛牛游戏厅安卓,{原始关键词}   BIAOSHI,JISHUZILIAOYONGLV(%)BIAOSHI。CAIYONGtHEχ2JIANYAN,DANGP<0.05SHI,BIAOSHICHAYIYOUTONGJIXUEYIYI。

                  2、 结果

                  JINXINGYIJIEDUANZHILIAOHOU,GUANCHAZUCHANFULINCHUANGBANGGUANGJINGYIDONGDU、BANGGUANGNIAODAOHOUJIAODEDAOXIANZHEGAISHAN,QIELINCHUANGGAISHANXIAOGUOJIAOWEIMINGXIAN,XIANZHEYOUYUDUIZHAOZU,CHAYIJUBEITONGJIXUEYIYI(P<0.05)。LIANGZUCHANFUBANGGUANGJINGYIDONGDU、BANGGUANGNIAODAOHOUJIAOQINGKUANGDUIBIXIANGJIANBIAO1。

                  表1 两组产妇膀胱颈移动度、膀胱尿道后角情况对比(x ? ±s)(x?±s)
                表1 两组产妇膀胱颈移动度、膀胱尿道后角情况对比(x ? ±s)(x?±s)

                  3 、讨论

                牛牛游戏厅安卓,{原始关键词}   JINNIANLAISUIZHEERTAIZHENGCEKAIFANGZHIHOU,FUCHANKELINCHUANGGONGZUOMIANLINHENDAYALI,QIECHANFUTESHUSHENGLIJIEDUANJIGAOLINGCHANFUZHUJIANZENGDUO,LINCHUANGCHANFUFENMIANHOUYALIXINGNIAOSHIJIN、PENQIANGQIGUANTUOCHUIDENGPENDIGONGNENGZHANGAIXINGJIBINGZECHENGXIANYIGEZHUNIANSHENGGAOZHUANGTAI[4]。LINCHUANGCHANHOUKANGFUYANJIUBUDUANZENGDUO,ERKEGUANJIANCHAYUPINGJIADEYIXUEYINGXIANGXUEYANJIUYESHIFENGUANJIAN。CHUANTONGKANGFUZHILIAOGUOCHENGZHONG,DUIZHILIAOXIAOGUODEPINGJIADANCHUNYIKAOLINCHUANGZHENGZHUANGGUANCHA、PENDIJILICEDINGYUNIAODIANSHIYANDENG。CILEIFANGFAZISHENJUBEIZHEYIDINGJUXIANXING,BINGMEIYOUKEGUANZHIBIAODENGJINXINGZUOZHENG,PINGJIAJUBEIZHEYIDINGQUEXIAN。ERLIYONGPENDICHAOSHENGZEKEYICHONGFENMIBUCILEIPINGJIAFANGFABUZUZHICHU。YIBANQINGKUANGXIA,PENDICHAOSHENGJIANCHAZHONG,DANGBANGGUANGNIAODAOHOUJIAO>115°HOU,JIAODUZENGDA,ZENIAODAOHUODONGDUYEHUIZENGJIA,YINCIZUOHAOCILEIZHIBIAOGUANCE,YOUZHUYUJINYIBUPINGJIALINCHUANGCHANHOUKANGFUZONGHEXIAOGUO。

                牛牛游戏厅安卓,{原始关键词}   RUBENCIYANJIUBAODAOSUOSHU,GUANCHAZUCHANHOU6ZHOUQIKAISHIJINXINGCHANHOUKANGFUZHILIAO,ERDUIZHAOZUWEICAIYONGKANGFUZHILIAO,JINXINGYIJIEDUANKANGFUZHIHOU,ZHICHANHOU12ZHOUJINXINGPENDICHAOSHENGKEYIXIANZHEFAXIAN,GUANCHAZUHUANZHELINCHUANGBANGGUANGJINGYIDONGDUHEBANGGUANGNIAODAOHOUJIAODEDAOLEXIANZHEGAISHAN,XIANZHEYOUYUWEIJINXINGKANGFUZHILIAODEDUIZHAOZU,LINCHUANGCHAOSHENGJIANCHAQINGKUANGYUHUANZHEZHENGZHUANGQINGKUANGXIANGDUIZHUNQUE。ZHEIZHENGMINGLEPENDICHAOSHENGZAICHANHOUKANGFUZHILIAOXIAOGUOPINGJIAZHONGXIAOGUOJIAOHAO,YOUZHUYUKEGUANPINGJIAHUANZHEXIANYOUJUBUBINGLIGAIBIANDENGFANGMIANQINGKUANG,LINCHUANGXIAOGUOJIAOHAO,KEYIJINXINGSHIJITUIGUANGYINGYONG,WEILIAOXIAOPINGJIATIGONGZHIGUANTUXIANGHEKEGUANSHUJUZILIAO。

                  参考文献

                  [1] 黄慧琨,王慧香,谭桂兰,等.盆底超声在评估产后压力性尿失禁康复治疗的应用价值[J].中国医疗设备,2017,32(1):64-66.
                  [2] 林芸,钟春燕,魏俊.经会阴实时三维超声评价产后盆底功能障碍康复疗效的应用价值[J].临床超声医学杂志,2018,20(11):34-36.
                  [3] 张桂萍,李玲玲,高晓丽.盆底超声在产后早期压力性尿失禁中的应用分析[J].中国继续医学教育,2017,9(16):74-76.
                  [4] 李旺英,杨媛嘉,张琼丽,等.经会阴超声联合生物反馈对产后盆底康复评估的临床价值[J].现代医用影像学,2017,26(4):902-904.

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