不同分娩方式产妇产后阴道收缩力及性生活质量比较研究

发布时间：2018-09-13 13:09

【摘要】：目的探讨不同分娩方式对足月初产妇产后阴道收缩力、盆底功能及性生活质量的影响。方法选择足月初产妇733例为研究对象,根据产妇分娩方式分为会阴侧切组(154例)、顺产组(430例)、剖宫产组(149例)。产后6周、3个月分别测量阴道收缩力和盆底肌力,并咨询性生活恢复时间及有无疼痛感及尿失禁等。结果产后6周和产后3个月阴道收缩力测量,会阴侧切组与顺产组之间比较差异均无统计学意义(P0.05),会阴侧切组、顺产组与剖宫产组之间比较差异有统计学意义(P0.05),剖宫产组阴道收缩力高于会阴侧切组和剖宫产组。3组产后3个月与6周比较差异均有统计学意义(P0.01)。剖宫产组恢复性生活的时间明显高于会阴侧切组和顺产组(P0.05)。顺产组产后1周会阴水肿发生率明显低于会阴侧切组(P0.05),剖宫产组无会阴水肿发生。3组首次性生活疼痛发生率比较差异均无统计学意义(P0.05)。剖宫产组术后6周盆底肌力得分明显高于会阴侧切组和顺产组(P0.05)。结论应限制会阴侧切的应用,严格掌握剖宫产指征,在孕妇自愿的前提下可选择剖宫产。
[Abstract]:Objective to investigate the effects of different delivery modes on postpartum vaginal contractility, pelvic floor function and sexual quality. Methods 733 term primipara were divided into perineal resection group (154 cases), normal delivery group (430 cases) and cesarean section group (149 cases). The vaginal contractility and pelvic floor muscle strength were measured at 6 weeks and 3 months postpartum, and the recovery time of sexual life and the feeling of pain and urinary incontinence were consulted. Results there was no significant difference in vaginal contractility between the perineal lateral resection group and the normal delivery group at 6 weeks postpartum and 3 months postpartum (P0.05), but there was no significant difference between the perineal side resection group and the normal delivery group (P0.05). The vaginal contractility of caesarean section group was higher than that of perineal lateral incision group and cesarean section group (P0.05). There were significant differences in postpartum 3 months and 6 weeks postpartum in caesarean section group (P0.01). The recovery time of sexual life in cesarean section group was significantly higher than that in perineal resection group and normal delivery group (P0.05). The incidence of perineal edema in the normal delivery group was significantly lower than that in the perineal lateral resection group (P0.05), while there was no significant difference in the incidence of first sexual pain in the cesarean section group without perineal edema (P0.05). The pelvic floor muscle strength score in cesarean section group was significantly higher than that in perineal lateral incision group and spontaneous delivery group (P0.05). Conclusion the application of lateral perineal resection should be restricted and the indications of cesarean section should be strictly grasped.
【作者单位】：海南省海口市妇幼保健院妇产科;海南医学院妇产科护理教研室;
【基金】：海南省科技厅基金资助项目(814383)
【分类号】：R714.6

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