中医研究
肉芽肿性小叶性乳腺炎(GLM)是一种临床较为难治的、慢性、炎症性的疾病,虽不会影响患者的生命,但是对患者的生理、心理造成了一定程度的影响,近年来该病的发病率有逐年上升的趋势。“治未病”是中医的基本思想之一,在疾病的预防、诊治方面具有重要意义。该文尝试将中医“治未病”思想应用于GLM的预防和治疗中,试图构建独特的中医预防GLM质量管理模式,以期为GLM防治提供新的思路。
Granulomatous lobular mastitis(GLM)is a chronic,inflammatory disease that is difficult to treat.Although it does not affect the patient's life,it has a certain degree of physiological and psychological impact on the patient,and in recent years the incidence of this disease has been increasing year by year.“Treating Disease Before Its Onset” is one of the basic ideas of Chinese medicine,which is of great significance in the prevention,diagnosis and treatment of diseases.In this paper,we try to apply the idea of “Treating Disease Before Its Onset” in Chinese medicine to the prevention and treatment of GLM,and attempt to construct a unique quality management model of Chinese medicine for the prevention of GLM,with a view to providing new ideas for the prevention and treatment of GLM.
护理研究
目的 探讨风险防范护理干预对颅内动脉瘤介入术后患者血管并发症的应用。方法 选取天津市人民医院2020年6月—2023年10月收治的80例颅内动脉瘤患者,应用随机数字表法将其分为观察组与对照组,各40例。所有患者均采取血管内介入栓塞术治疗,对照组患者实施常规护理,观察组患者在对照组基础上增加风险防范护理干预。对比两组患者干预前后负面情绪变化、术后并发症发生率、干预前后生活质量变化以及护理满意度。结果 干预后,两组焦虑、抑郁评分降低,观察组分别为(39.78±1.80)(44.73±3.78)分,低于对照组的(54.63±3.91)(49.23±4.14)分,对比差异有统计学意义(t=21.823、5.078,P<0.05);观察组术后并发症发生率低于对照组(7.50% vs 27.50%,χ2=5.541,P=0.019);干预后两组中文版明尼苏达心功能不全生命质量(MLHFQ)相关维度评分均升高,且观察组分别为(30.73±3.82](21.13±2.70)(27.08±4.28)分,高于对照组的(26.20±3.50)(17.20±2.79)(23.20±2.35)分,对比差异有统计学意义(t=5.530、6.389、5.021,P<0.05);观察组护理满意度高于对照组(92.50% vs 72.50%,χ2=5.541,P=0.019)。结论 颅内动脉瘤介入术后采取风险防范护理干预可改善患者焦虑、抑郁情绪,降低术后并发症,改善患者术后生活质量,患者护理满意度较高。
Objective To investigate the application effect of risk prevention nursing intervention on vascular complications in patients with intracranial aneurysms after interventional surgery.Methods Eighty patients with intracranial aneurysm admitted in Tianjin People’s Hospital from June 2020 to October 2023 were selected and divided into observation group and control group with 40 cases each.All the patients were treated with endovascular interventional embolization,the control group patients underwent routine care,and the observation group patients added risk prevention nursing intervention on the basis of the control group.The negative mood changes before and after the intervention,the incidence of postoperative complications,the quality of life before and after the intervention,and nursing satisfaction were compared between the two groups.Results After the intervention,the anxiety and depression scores in both groups decreased,and the observation group[(39.78±1.80)and (44.73±3.78)] scores were lower than the control group[(54.63±3.91)and(49.23±4.14)] scores,significantly(t=21.823,5.078,P<0.05).The postoperative complication rate was significantly lower than the control group(7.50% vs 27.50%,χ2=5.541,P=0.019).After the intervention,MLHFQ related dimension scores were increased in both groups,and the observation group(30.73±3.82,21.13±2.70 and 27.08±4.28)scores were higher than the control group(26.20±2.50,17.20±2.79 and 23.20±2.35)scores,statistically significant(t=5.530,6.389,5.021,P<0.05).The nursing satisfaction was higher than the control group(92.50% vs 72.50%,χ2=5.541,P=0.019).Conclusion sRisk prevention nursing intervention after intracranial aneurysm intervention can improve patient anxiety and depression,assist in reducing the incidence of postoperative complications,improve patient quality of life,and increase patient satisfaction with nursing.
论著
目的 调查护理人员对预防跌倒知识掌握的情况,以提高其对防跌倒相关知识的认知水平,减少住院患者跌倒的发生。方法 用自编住院患者跌倒相关知识掌握量表对护理人员进行问卷调查。结果 护理人员对跌倒知识的掌握正确率最高为跌倒分级64.04%、最低为跌倒后干预措施17.10%。外科护理人员对患者跌倒风险评估时机的把握为88.69%,妇儿科护理人员的正确率(71.11%)高(χ2=21.319,P=0.003),住院患者发生跌倒后的处理正确率急诊为76.67%,高于门诊的42.67%(χ2=27.651,P<0.001);在把握患者跌倒风险评估的时机方面工作年限<5年的护理人员为 89.81%,比工作年限>20年的护理人员(64.15%)更容易把握患者跌倒风险评估的时机(χ2=18.921,P<0.001),工作年限11~20年的护理人员对住院患者预防跌倒的干预措施正确率为24.66%,比工作年限<5年的护理人员(11.46%)高(χ2=9.678,P=0.022);工作年限>20年的护理人员对住院患者发生跌倒后的处理正确率为58.49%比工作年限<20年以下的护理人员(34.25%)高(χ2=12.787,P=0.005)。结论 护理人员跌倒预防相关知识掌握度总体较低,应加强对护理人员关于患者跌倒预防知识的系统培训,减少住院患者跌倒的发生。
Objective To investigate the mastery of falls prevention knowledge among nursing staffs,in order to improve their cognitive level of falls prevention related knowledge and reduce the occurrence of falls in hospitalized patients.Methods A questionnaire survey was conducted among nursing staffs with a self-designed questionnaire on the mastery of falls related knowledge among hospitalized patients.Results The highest accuracy rate of nursing staffs' mastery of falls knowledge was 64.04% for falling classification,and the lowest was 17.10% for falls intervention measures.Nursing staffs' accuracy of the timing of patient fall risk assessment was 88.69% in surgery,which was higher than 71.11% in nursing staff in obstetrics,gynecology,and pediatrics(χ2=21.319,P=0.003).The accuracy of emergency treatment for hospitalized patients after falls was 76.67%,which was higher than 42.67% in outpatient treatment(χ2=27.651,P<0.001).The accuracy of the timing of patient fall risk assessment in nursing staffs with less than 5 years of work experience was 89.81%,which was better than nursing staff with more than 20 years of work experience(64.15%)(χ2=18.921,P<0.001).Nursing staff with 11-20 years of work experience had a correct intervention rate for preventing falls in hospitalized patients of 24.66%,which was higher than nursing staffs with less than 5 years of work experience(11.46%)(χ2=9.678,P=0.022).The accuracy rate of handling falls in hospitalized patients by nursing staffs with more than 20 years of work experience was 58.49%,which was higher than that of nursing staff with less than 20 years of work experience,which is 34.25%(χ2=12.787,P=0.005).Conclusions Overall,nursing staff had a low level of falls prevention knowledge,and systematic training on patient fall prevention should be strengthened to reduce the occurrence of falls in hospitalized patients.
论著
目的 探讨医院消毒供应中心清洗全程质量控制用于院内感染风险预防价值。方法 选取2019年1月—2021年6月期间医院消毒供应中心待清洗消毒的1 000件手术器械(观察组),采用全程质量控制;另选取1 000件手术器械(对照组),常规流程清洗;比较2组患者器械清洗质量,统计清洗后因术中器械的院内感染率。结果 观察组清洗消毒后器械血渍、污垢、锈斑总发生率0.20%,低于对照组的1.50%,器械清洗、消毒、灭菌合格率高于对照组(P<0.05)。观察组器械操作流程与标准、科室管理、安全管理、综合质量管理高于对照组,院内感染率0.10%低于对照组的1.00%,医护人员满意度95.00%高于对照组的75.00%(P<0.05)。结论 医院消毒供应中心清洗质量控制,可增加手术器械清洗质量,减少院内感染的发生。
Objective To explore the value of whole process cleaning quality control in hospital disinfection supply center for risk prevention of hospital infection.Methods From January 2019 to June 2021,1000 surgical instruments to be cleaned and disinfected in the hospital disinfection supply center(observation group)were selected,and the whole process quality control was applied;another 1000 surgical instruments(control group)were selected for routine cleaning.The quality of instrument cleaning in the two groups was compared,and the hospital infection rate after the application of cleaned instrument was calculated.Results After cleaning and disinfecting instruments,the total incidence of blood stains,dirt and rust was 0.20% in the observation group,lower than that in the control group,which was 1.50%,and the qualified rate of instrument cleaning,disinfecting and sterilizing was higher than that in the control group(P<0.05).The equipment operation procedures and standards,department management,safety management,and comprehensive quality management of the observation group were higher than those of the control group,the hospital infection rate was 0.10%,lower than that of the control group(1.00%),and the satisfaction rate of medical staff was 95.00% in the observation group,higher than that of the control group(75.00%,P<0.05).Conclusions The cleaning quality control of hospital disinfection supply center can improve the cleaning quality of surgical instruments and reduce the occurrence of hospital infection.
论著
目的 探究前瞻性护理对老年吸入性肺炎的影响和作用。方法 选择2017年8月—2018年12月住院采取常规护理的94例老年患者作为对照组,选择2019年1月—2020年10月住院的114例老年患者作为观察组进行前瞻性护理,比较对照组和观察组吸入性肺炎的发病率。结果 观察组吸入性肺炎发病率低于对照组(P<0.05)。结论 前瞻性护理可及早筛选并识别老年患者发生吸入性肺炎的危险因素,依此采取相应的护理措施,降低吸入性肺炎的发病率。
Objective To explore the effect of prospective nursing on preventing aspiration pneumonia in elderly patients.Methods A total of 94 elderly patients who were hospitalized from August 2017 to December 2018 and received routine care were selected as the control group,and 114 elderly patients who were hospitalized from January 2019 to October 2020 were selected as the observation group for prospective care,and the incidence of aspiration pneumonia in the control group and the observation group were compared.Results The incidence of aspiration pneumonia in the observation group was lower than that in the control group(P<0.05).Conclusions Prospective nursing can identify risk factors of aspiration pneumonia in elderly patients,and take appropriate nursing measures to reduce the incidence of aspiration pneumonia.
综述
本文综述近10年中医传统疗法中通过穴位刺激预防与治疗老年患者骨折术后谵妄的研究概况。术后谵妄是老年患者骨折术后常见的并发症,不仅延长患者住院时间、增加经济负担,同时与骨折术后死亡并发症的发生密切相关。但是本病机制尚未明确,在临床治疗上难以达成共识。针灸等穴位刺激是中医药治疗脑病的独具特色的疗法,近年来有关穴位刺激防治老年骨折术后谵妄的报道越来越多,本文主要探讨不同的穴位刺激方法干预对骨折术后谵妄发生率的影响,包括传统刺激方式如毫针、电针、穴位注射、穴位敷贴和新针疗法如耳针、头针等,认为穴位刺激能够较好预防骨折术后谵妄发生,在治疗上也有较好疗效。以期为进一步临床研究与应用提供参考。
This article summarized the research of acupoint stimulation in preventing delirium after fracture surgery in elderly patients in recent 10 years.Postoperative delirium is a common complication in elderly patients after fracture surgery, which affects life extremely and increases economic burden.However, the mechanism of this disease haven't been revealed, and it is difficult to reach consensus on clinical treatment.Acupoint stimulation, like acupuncture, is a unique treatment of encephalopathy with traditional Chinese medicine.In recent years, there are more and more reports on acupoint stimulation therapy to prevent and treat delirium after fracture surgery in the elderly.This article mainly study the influence of different acupoint stimulation therapy on treatment of delirium after fracture surgery, including electroacupuncture, auriculotherapy, scalp acupuncture, acupoint injection and acupoint application, etc.It is believed that acupoint stimulation can prevent delirium after fracture surgery, so as to provide reference for further clinical research and application.
论著
目的 了解越秀区助产机构医务人员对艾滋病母婴阻断知识及患者相关权益知识掌握情况,为更好地贯彻落实消除艾滋病母婴传播工作提供下一步工作策略和措施依据。方法 于2022年7月—8月,对广州市越秀区5家助产机构妇产科、保健科和医务科的医务人员进行艾滋病母婴阻断知识政策及HIV感染孕产妇相关权益知识的问卷调查。结果 465名医务人员对个别艾滋病母婴阻断政策了解不足,包括“人类免疫缺陷病毒(HIV)感染孕产妇到定点医疗机构终止妊娠或住院分娩时可以获得一定的减免”(知晓率79.78%)、“HIV感染孕产妇的宝宝可以免费领取一定数量的奶粉”(知晓率66.88%);医务人员对HIV感染孕产妇的生育相关权益认识严重不足,对HIV感染孕产妇生育权益认识正确的仅有45.59%。临床护士群体对上述艾滋病母婴阻断政策及HIV感染孕产妇相关权益的知晓率低于临床医生及其他医务人员,组间比较差异有统计学意义(P<0.05)。结论 越秀区助产机构医务人员对艾滋病母婴阻断知识有一定的了解,但掌握不够完整、全面,对HIV感染患者的生育权认识严重不足,应进一步加强对助产机构医务人员、尤其是护士群体关于艾滋病母婴阻断政策知识及患者相关权益的培训,以更好地贯彻落实消除艾滋病母婴传播工作,保障HIV感染患者的权益。
Objective To understand the knowledge of medical staff of midwifery institutions in Yuexiu District about AIDS prevention of mother-to-children transmission(PMTCT)and patients' rights and interests,in order to provide the basis for the following work strategy and measures for better implementation of the elimination of mother-to-child transmission of HIV.Methods From July to August in 2022,a questionnaire survey about knowledge and policies of AIDS PMTCT and rights of HIV infected pregnant women was conducted among the medical staff of obstetrics and gynecology department,health care department and medical department in five midwifery institutions in Yuexiu District of Guangzhou City.Results A total of 465 medical workers had insufficient understanding of some policies on PMTCT of AIDS,including HIV-infected pregnant women can obtain certain fee waiver when they go to designated medical institutions to terminate pregnancy or hospitalized deliver(awareness rate of 79.78%),HIV-infected pregnant women's babies can receive a certain amount of free milk powder(awareness rate of 66.88%).There was a serious lack of awareness of reproductive rights of HIV-infected pregnant women among medical staff,and only 45.59% of them had correct understanding.The awareness rate of the PMTCT and the rights and interests of HIV-infected pregnant women among clinical nurses was significantly lower than that among clinicians and other medical staff.Conclusions The medical staff of midwifery institutions in Yuexiu District have some knowledge about the PMTCT of AIDS,but their knowledge is not complete and comprehensive,and their understanding of the reproductive rights of HIV-infected patients is seriously inadequate,so it is necessary to further strengthen the training of medical staff in midwifery institutions,especially nurses,on the policy knowledge of PMTCT of AIDS and the related rights and interests of patients,in order to better implement the elimination of mother-to-child transmission of AIDS and protect the rights and interests of infected patients.
论著
目的 观察伊伐布雷定对冠状动脉粥样硬化性心脏病(CHD,以下简称:冠心病)合并心律失常患者心率变异性(HRV)的影响,及对心房颤动(AF)的防治效果。方法 本文为前瞻性研究,病例纳入时间为2021年1月—2023年1月,研究对象为焦作市第二人民医院收治的125例CHD合并心律失常患者,采用随机数字表法对入组患者进行分组,分别列为常规组(62例)和联合组(63例),常规组予常规药物治疗,联合组在常规药物治疗基础上联合伊伐布雷定治疗,比较2组患者治疗前后的HRV指标、血管内皮功能指标、心功能指标改善情况、心房颤动发生率及用药安全性。结果 治疗后,联合组24 h窦性心律RR间期标准差为(88.25±10.36)ms,24 h相邻正常RR间期差值均方根为(50.25±10.61)ms,24 h相邻正常RR间期差值>50 ms百分比为(12.04±3.41)%,均高于常规组[(81.44±10.77)ms、(43.28±10.71)ms、(10.77±3.08)%],组间比较差异具有统计学意义(P<0.05)。治疗后,联合组的血流介导下血管扩张程度为(12.33±3.27)%,硝酸甘油介导下血管内皮舒张程度为(9.83±2.21)%,均高于常规组[(10.25±3.23)%、(8.14±2.03)%]。AF发生率为4.76%(3/63),低于常规组16.13%(10/62),差异具有统计学意义(P<0.05)。治疗后,联合组的左室射血分数为(55.35±10.27)%,高于常规组(48.45±10.61)%,左室舒张末期内径为(40.24±10.37)mm,左室后壁厚度为(9.22±2.06)mm,均低于常规组[(46.33±10.28)mm、(10.88±2.46)mm],差异具有统计学意义(P<0.05)。治疗后,联合组的药物相关不良反应发生率为7.94%(5/63),略高于常规组6.45%(4/62),组间比较差异无统计学意义(P>0.05)。结论 伊伐布雷定联合常规药物治疗CHD合并心律失常能有效改善患者HRV指标、血管内皮功能及心功能,降低AF发生率,且未增加药物不良反应发生风险。
Objective To observe the effect of ivabradine on heart rate variability(HRV)in coronary heart disease(CHD)patients with arrhythmia and its preventive and therapeutic effects on atrial fibrillation(AF).Methods This is a prospective cohort study.The 125 CHD patients with arrhythmia were included from January 2021 to January 2023 and divided into the conventional group(62 cases)and the combined group(63 cases)by random number table.The conventional group was treated with conventional drugs,and the combined group was treated with ivabradine additionally.The HRV index,vascular endothelial function index,improvement of cardiac function indicators,incidence of AF and medication safety were compared.Results After treatment,the standard deviation of normal RR intervals in 24 h of the combination group was(88.25±10.36)ms,root mean square of successive RR interval differences in 24 h was(50.25±10.61)ms,and successive RR interval differences>50 ms was(12.04±3.41)%.Compared with the conventional group [(81.44±10.77)ms,(43.28±10.71)ms and(10.77±3.08)%],the above indicators were all higher(P<0.05).After treatment,the flow-mediated dilation and nitrite-mediated dilation of the combination group were(12.33±3.27)% and(9.83±2.21)%,respectively.Compared with the conventional group(10.25±3.23)% and(8.14±2.03)%),the above indicators were higher.The incidence of AF was 4.76%(3/63),which was lower(P<0.05)than the conventional group of 16.13%(10/62).After treatment,the left ventricular ejection fraction of the combination group was(55.35±10.27)%,which was higher than that of the conventional group(48.45±10.61)%.The left ventricular diastolic diameter was(40.24±10.37)mm and the left ventricular posterior wall thickness was(9.22±2.06)mm.Compared with the conventional group [(46.33±10.28)mm,(10.88±2.46)mm],the above indicators were all lower(P<0.05).After treatment,the incidence of drug-related side effects in the combination group was 7.94%(5/63),which was similar to 6.45%(4/62)in the conventional group(P>0.05).Conclusions The combination of ivabradine and conventional drugs in the treatment of CHD complicated with arrhythmia can effectively improve HRV indicators in patients,promote the recovery of vascular endothelial cell function and cardiac function,reduce the incidence of AF,and do not significantly increase the risk of drug side effects.
论著
目的 探索老龄化形势下广州市白云区西部卒中防治工作的新模式。方法 通过完善组织结构、管理架构、建立稳定高效运行的(1+1+N)紧密型医联体模式,创建优质高效的卒中救治区域联盟,实现高质量的基层首诊,双向转诊,快速响应的卒中绿道急救和全程管理。结果 初步完成构建广州市白云区西部区域性卒中救治中心,区域内卒中患者及时救治,溶栓效率,血管再通等均有显著提升,整体提升白云区西部医疗机构的卒中救治水平。结论 区域性的协同救治是提高卒中救治水平的重要举措。(1+1+N)紧密型医联体模式能提高卒中患者救治率,具有可行性和必要性。
Objective To explore the effectiveness of a new stroke prevention and treatment pattern in the western part of Baiyun District, Guangzhou city, under an aging situation. Method We aim to build a high-quality and efficient stroke treatment regional alliance based on a (1+1+N) compact medical consortium, expecting to improve the overall abilities of stroke treatment in the western part of Baiyun District through high-quality primary care, two-way referrals, rapid response to stroke greenway emergency and full-process management. Results We have initially established a regional stroke treatment center in the western part of Baiyun District, Guangzhou. Stroke patients in that region can be treated in time, and the efficiency of thrombolysis and vascular recanalization have been significantly improved. Conclusion Regional coordinated treatment is an effective measure to reduce the disability and fatality rate of stroke. The (1+1+N) compact medical consortium model can improve the treatment effect in stroke patients, which is feasible and necessary.
论著
目的 探讨孕期盆底肌锻炼联合产后盆底功能康复治疗对产后女性盆底功能障碍的防治效果。方法 选取2019年1月—2020年6月在我院产科门诊定期产检,B超确认为单胎足月顺产,剔除妊娠合并症及并发症,符合入组标准病例共316例,随机分成观察组和对照组,观察组131例,对照组185例,观察组在孕12周开始宣教孕期定期行盆底肌Kegel运动,并在产后42天开始行盆底康复治疗仪治疗6周,统计临床疗效,2组均在产后42天、3个月、6个月统计2组盆底功能检测、盆底器官脱垂(pelvic organ prolapse,POP)和压力性尿失禁(stress urinary incorrtinence,SUI)发生情况。结果 观察组和对照组一般资料,2组在年龄、分娩孕周、新生儿平均体重无统计学差异(P>0.05),2组盆底功能进行检测比较,产后42天观察组阴道收缩持续时间、Ⅱ类肌纤维强度(85.24±22.19 cmH2O)高于对照组(74.14±19.94 cmH2O),差异具有统计学意义(P<0.05),产后3月观察组I类肌纤维强度、阴道收缩持续时间、Ⅱ类肌纤维强度(76.41±16.42 cmH2O;4.35±1.78 s;94.15±18.25 cmH2O)高于对照组(62.45±17.55 cmH2O;3.89±1.52 s;88.55±18.36 cmH2O),差异具有统计学意义(P<0.05),产后6月观察组I类肌纤维强度、阴道收缩持续时间、Ⅱ类肌纤维强度(79.56±15.78 cmH2O;5.46±2.01 s;99.78±23.47 cmH2O)明显高于对照组(67.63±14.45 cmH2O;4.13±1.45 s;90.16±18.75 cmH2O),差异具有统计学意义(P<0.05)。对比2组POP和SUI发生率情况,产后42天观察组SUI发生率(28.24%)低于对照组(35.14%),差异具有统计学意义(P<0.05);产后3月观察组POP和SUI发生率(18.32%;13.74%)低于对照组(22.70%;17.83%),差异具有统计学意义(P<0.05),产后6月观察组POP和SUI发生率(0.00%;0.07%)明显低于对照组(8.10%;11.89%),差异具有统计学意义(P<0.05)。 结论 孕期行盆底肌锻炼联合产后盆底功能康复治疗能明显改善产后盆底功能状态,显著降低产后盆底功能障碍性疾病的发生率。
Objective To explore the prevention and treatment effect of pelvic floor muscle exercise during pregnancy combined with postpartum pelvic floor function rehabilitation therapy on postpartum pelvic floor dysfunction in women. Methods From January 2019 to June 2020, women in our hospital's obstetrics outpatient department for regular obstetric checkups were selected, which ultrasound confirmed it was a singleton full-term delivery. The cases of stillbirth, fetal malformation and placenta previa were excluded. A total of 316 cases met the inclusion criteria and were randomly divided into the observation group and the control group, with 131 cases in the observation group and 185 cases in the control group. Observation group started regular pelvic floor muscle Kegel exercises from 12 weeks of gestation,and accepted pelvic floor rehabilitation therapeutic treatment from 42 days to six weeks postpartum. We summerized the pelvic floor function tests results, pelvic organ prolapse (POP) and stress urinary incontinence (SUI) situation of both groups in 42 days, 3 months and 6 months postpartum. Results The general information of the observation group and the control group showed that there were no statistical differences in age, gestational age of delivery and average weight of newborn (P>0.05). The pelvic floor function 42 days after delivery of the two groups was tested and compared, duration of vaginal contraction and class Ⅱ muscle fiber strength of the observation group [(85.24±22.19) cmH2O] was significantly higher than that of the control group [(74.14±19.94) cmH2O], and the difference was statistically significant (P<0.05). Class I muscle fiber strength, duration of vaginal contraction and class Ⅱ muscle fiber strength were observed at 3 months postpartum, those of observation group[(76.41±16.42) cmH2O; (4.35±1.78) s; (94.15±18.25) cmH2O] were significantly higher than that in the control group [(62.45± 17.55) cmH2O; (3.89±1.52) s; (88.55±18.36) cmH2O], and the difference were statistically significant (P<0.05). At 6 months postpartum, class I muscle fiber strength, vaginal contraction duration and class Ⅱ muscle fiber strength in observation group [(79.56±15.78) cmH2O; (5.46±2.01) s; (99.78±23.47) cmH2O] were significantly higher than that of the control group [(67.63±14.45) cmH2O; (4.13± 1.45) s; (90.16±18.75) cmH2O], and the difference were statistically significant (P<0.05). Comparison of the incidence of POP and SUI between the two groups showed that the incidence of SUI in the observation group at 42 days postpartum (28.24%) was significantly lower than that in the control group (35.14%), the difference was statistically significant (P<0.05). The incidences of POP and SUI in the observation group at 3 months postpartum (18.32%; 13.74%) were significantly lower than that of the control group (22.70%; 17.83%), the difference were statistically significant (P<0.05). The incidences of POP and SUI in the observation group at 6 months postpartum (0.00%; 0.07%) were significantly lower than that of the control group (8.10%; 11.89%), the difference were statistically significant (P<0.05). Conclusion Pelvic floor muscle exercise during pregnancy combined with postpartum pelvic floor function rehabilitation therapy can significantly improve postpartum pelvic floor function and significantly reduce the incidence of postpartum pelvic floor dysfunction diseases.