Crede手法联合凯格尔运动对产后尿潴留产妇膀胱功能、盆底肌力及生活质量的影响

摘要 目的：观察Crede手法联合凯格尔运动对产后尿潴留产妇膀胱功能、盆底肌力及生活质量的影响。方法：选择2021年3月~2022年3月期间我院收治的产后尿潴留产妇92例，按照随机数字表法分为对照组（凯格尔运动，n=46）和研究组（Crede手法联合凯格尔运动，n=46）。对比两组临床疗效、膀胱功能、盆底肌力、临床指标及生活质量变化情况。结果：与对照组（73.91%）相比，研究组（93.48%）的临床总有效率更高（P<0.05）。干预4周后，研究组膀胱初感容积、最大膀胱容量、最大尿流率均高于对照组（P<0.05）。干预4周后，研究组0~2级例数低于对照组，3级及其以上例数高于对照组（P<0.05）。干预4周后，研究组健康调查量表（SF-36）各维度评分均高于对照组（P<0.05）。研究组的残余尿量少于对照组，首次排尿时间短于对照组（P<0.05）。结论：Crede手法联合凯格尔运动应用于产后尿潴留产妇，可促进膀胱功能、盆底肌力恢复，提高产妇生活质量，具有较好的临床应用价值。

Effects of Crede Technique Combined with Kegel Exercise on Bladder Function, Pelvic Floor Muscle Strength and Quality of Life of Postpartum Women with Urinary Retention

ABSTRACT Objective: To observe the effects of Crede technique combined with Kegel exercise on bladder function, pelvic floor muscle strength and quality of life of postpartum women with urinary retention. Methods: 92 cases of postpartum women with urinary retention who were admitted to our hospital from March 2021 to March 2022 were selected, and they were divided into control group (Kegel exercise, n=46) and study group (Crede technique combined with Kegel exercise, n=46) according to random number table method. The clinical efficacy, bladder function, pelvic floor muscle strength, clinical indicators and quality of life were compared between the two groups. Results: Compared with the control group (73.91%), the total effective rate of the study group (93.48%) was higher (P<0.05). 4 weeks after intervention, the initial bladder volume, maximum bladder volume and maximum urine flow rate of the study group were higher than those of the control group (P<0.05). 4 weeks after intervention, the number of grade 0 ~ 2 cases of the study group was lower than that of the control group, and the number of grade 3 and above was higher than that of the control group (P<0.05). 4 weeks after intervention, the scores of all dimensions of short-form 36 health survey scale (SF-36) of the study group were higher than those of the control group (P<0.05). The residual urine volume of the study group was less than that of the control group, and the first urination time was shorter than that of the control group (P<0.05). Conclusion: Crede technique combined with Kegel exercise is applied to postpartum women with urinary retention can promote the recovery of bladder function and pelvic floor muscle strength, improve the quality of life of women, and have good clinical application value.