产后康复的进展：系统回顾。
Cureus
(
IF
1.0
)
Pub Date : 2024-08-05
, DOI:
10.7759/cureus.66165
Asma Shaik
1
,
Shahriq Khan
2
,
Asra Shaik
3
,
Kathijathul Kubra Shaik
4
Affiliation
Internal Medicine, PES Institute of Medical Sciences and Research, Kuppam, IND.
General Medicine, Ayaan Institute of Medical Sciences, Hyderabad, IND.
Internal Medicine, Government Medical College, Anantapur, Anantapur, IND.
Obstetrics and Gynaecology, PES Institute of Medical Sciences and Research, Kuppam, IND.
产后康复在促进产妇健康和产后福祉方面发挥着至关重要的作用。本系统综述旨在探讨不同类别的产后康复干预措施的最新趋势和进展。对 PubMed 和 Embase 数据库进行了全面检索，家政服务13825404095共产生 358 条检索结果。采用严格的纳入和排除标准后，选择了20项相关研究进行详细分析。这些研究分为四个不同的类别：基于运动的技术、技术集成、医疗干预和多模式方法。在基于运动的技术类别中，盆底运动、躯干稳定运动和物理治疗成为最常用的干预措施。此类研究通常涉及 20 至 200 名参与者的人口规模，研究持续时间从 6 周到 12 周不等。在技术集成类别中，主要技术包括电刺激、生物反馈、针灸和振动阴道球。参与者规模从 50 人到 200 人不等，研究持续时间从三天到三个月不等。医疗干预类别中仅确定了一项研究，该研究调查了剖宫产术后鞘内镇痛和持续罗哌卡因的使用，涉及 200 名参与者。多模式方法包括技术、人工智能、图像处理和基于运动的干预措施的各种组合，参与者规模从 10 到 500 人不等，研究持续时间从六周到 12 个月不等。 这项系统综述提供了对产后康复干预措施多样化的见解，强调了基于运动的技术的重要性以及技术集成的日益利用。尽管医疗干预措施仍然有限，但多模式方法在优化产后护理结果方面显示出希望。该领域的持续研究和创新有必要进一步完善康复策略并改善产后孕产妇健康结果。
Advancements in Postpartum Rehabilitation: A Systematic Review.
Postpartum rehabilitation plays a crucial role in promoting maternal health and well-being following childbirth. This systematic review aims to explore recent trends and advancements in postpartum rehabilitation interventions across various categories. A comprehensive search was conducted on PubMed and Embase databases, yielding a total of 358 search results. After applying strict inclusion and exclusion criteria, 20 relevant studies were selected for detailed analysis. These studies were categorized into four distinct categories: exercise-based techniques, technology integration, medical interventions, and multi-modal approaches. Within the exercise-based technique category, pelvic floor exercises, trunk stabilization exercises, and physiotherapy emerged as the most commonly utilized interventions. Studies in this category typically involved population sizes ranging from n = 20 to 200 participants, with study durations spanning from six weeks to 12 weeks. In the technology integration category, predominant techniques included electrical stimulation, biofeedback, acupuncture, and vibrating vaginal balls. Population sizes ranged from n = 50 to 200 participants, with study durations ranging from three days to three months. Only one study was identified in the medical intervention category, which investigated the use of intrathecal analgesia and continuous ropivacaine after cesarean section, involving 200 participants. Multimodal approaches encompassed various combinations of technology, artificial intelligence, image processing, and exercise-based interventions, with population sizes ranging from n = 10 to 500 participants and study durations ranging from six weeks to 12 months. This systematic review provides insights into the diverse landscape of postpartum rehabilitation interventions, highlighting the prominence of exercise-based techniques and the growing utilization of technology integration. While medical interventions remain limited, multimodal approaches show promise in optimizing postpartum care outcomes. Continued research and innovation in this field are warranted to further refine rehabilitation strategies and improve maternal health outcomes following childbirth.
