河南师范大学学报(自然科学版)

2021, v.49;No.221(06) 113-120

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瑜伽干预对产妇身心健康的影响
The effect of yoga intervention on physical and mental health of postpartum women

高晓娟;姜雅文;许凯;马蕊;李文言;
Gao Xiaojuan;Jiang Yawen;Xu Kai;Ma Rui;Li Wenyan;School of Physical Education, Zhengzhou University;Department of Art and Sports,Huanghe Science & Technology College;Bone and Joint Rehabilitation Department, the Fifth Affiliated Hospital of Zhengzhou University;

摘要(Abstract):

[目的]观察产妇瑜伽锻炼后身心状况的变化,探讨瑜伽对产妇身体形态、盆底机能和心理健康的康复效果.[方法]招募产妇志愿者31名,随机分为瑜伽锻炼组(Y组)和对照组(C组).Y组进行12周的瑜伽锻炼;C组无任何康复干预措施.测量并比较干预前、后的盆底肌肉功能(GRRUG,PFDI-20),身体形态和抑郁,焦虑指标(EPDS,SAS).[结果]产妇PFDI-20得分与EPDS得分呈正相关;SAS,EPDS得分与盆底肌纤维力量呈负相关,但DRA和皮褶厚度均与SAS得分无明显相关关系.瑜伽锻炼后,Y组产妇盆底Ⅰ类和Ⅱ类肌纤维肌力较C组产妇有显著改变,且差异具有统计学意义;Y组POPDI-6得分与C组相比差异无统计学意义;Y组CRADI-8得分与C组相比,差异有统计学意义;Y组UDI-6得分与C组相比,差异有统计学意义.Y组BMI和PWR与C组相比,差异无统计学意义,但DRA和WHR与C组相比,差异有统计学意义;Y组腹部皮褶厚度与C组相比,差异有统计学意义,而三头肌皮褶厚度和肩胛下角处皮褶厚度与C组相比差异无统计学意义.Y组SAS,EPDS得分与C组相比,差异均有统计学意义.[结论]盆底功能障碍和盆底肌力影响产妇的抑郁和焦虑状况,而腹直肌分离程度和皮褶厚度对其影响不明显.瑜伽干预对提升产妇盆底肌的肌力、减轻盆底功能障碍,改善腰臀比和恢复分离的腹直肌有明显促进作用.同时,瑜伽锻炼可改善产妇的负性情绪,促进心理健康.
[Purpose]In the current study, the effect of yoga on maternal physical and mental health of postpartum women was examined to provide an empirical basis for yoga intervention in postpartum rehabilitation. [Methods]31 postpartum women were recruited and randomly divided into yoga training group(Y)and control group(C). Group Y received yoga exercise for 12 weeks, Group C took no intervention. The changes of pelvic floor condition index(GRRUG, PFDI-20), the body shape indexes, and postpartum depression indicators(EDPS)were measured pre and post experiment. [Results]PFDI-20 scores were positively correlated with EPDS, SAS and EPDS scores were negatively correlated with pelvic floor muscle fiber strength, but DRA, dermal fold thickness were not significantly correlated with SAS scores. After yoga exercise, pelvic floor muscle fiber strength of Class Ⅰ and Class Ⅱ in Group Y were significantly changed compared with that in Group C, and the difference was statistically significant. POPDI-6 total scores of Group Y and Group C were significant different. The Cradi-8 score of two groups were also significantly different. Compared with Group C, there was statistically significant difference in UDI-6 scores of Group Y. BMI and PWR of Group Y were statistically different from Group C, while there were statistically differences in DRA and WHR between two Groups. Compared with Group C, abdominal skin fold thickness of Group Y showed statistically significant difference, while triceps skin fold thickness and subscapularis skin fold thickness of two groups showed no statistically significant difference. There were statistically significant differences in SAS and EPDS scores between Group Y and Group C. [Conclusion]Pelvic floor dysfunction and pelvic floor muscle strength affect maternal depression and anxiety, but diastasis recti abdominis and dermal fold thickness have not. Yoga intervention can significantly promote the improvement of pelvic floor muscle strength, reduce pelvic floor dysfunction, improve waist-hip ratio and restore the separated rectus abdominis. At the same time, yoga exercise can improve maternal negative mood and promote mental health.

关键词(KeyWords): 瑜伽;产妇;身心健康
yoga;postpartum women;the physical and mental health

Abstract:

Keywords:

基金项目(Foundation): 国家自然科学基金(31471133);; 郑州大学横向课题研究(24120005)

作者(Author): 高晓娟;姜雅文;许凯;马蕊;李文言;
Gao Xiaojuan;Jiang Yawen;Xu Kai;Ma Rui;Li Wenyan;School of Physical Education, Zhengzhou University;Department of Art and Sports,Huanghe Science & Technology College;Bone and Joint Rehabilitation Department, the Fifth Affiliated Hospital of Zhengzhou University;

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DOI: 10.16366/j.cnki.1000-2367.2021.06.016

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