分娩方式对初产妇产后早期盆底肌力的影响

发布时间：2018-11-21 18:30

【摘要】：目的研究不同分娩方式对初产妇产后早期盆底肌力降低程度的影响,并提出相应对策以改善盆底肌力。方法随机选择2009年2月至5月在中山市人民医院产后门诊进行6-8周复查的初产妇63例,按分娩方式将其分为择期剖宫产组(30例)和阴道顺产组(33例)。根据盆底肌肉肌力分级测试(GRRUG)分为0-5级,肌力≤3级者采用广州杉山公司PHENIX神经肌肉刺激仪,由专一盆底康复师进行盆底肌肉功能训练,每周2次,12次为一个疗程;肌力≥4级者进行常规健康宣教,随访至产后6个月。结果初产妇产后6-8周盆底肌力测试择期剖宫产组≤3级者占23.3%(7/30),≥4级者占76.7%(23/30);阴道顺产组≤3级者占54.5%(18/33),≥4级者占45.5%(15/33),两组比较差异均有统计学意义(P0.05)。产后6个月与6-8周时肌力比较,≤3级者经一个疗程盆底肌肉功能训练后差异有统计学意义(P0.05),而≥4级未行训练者则有不同程度的降低。结论两种分娩方式对初产妇产后早期盆底肌力均有影响,就其降低程度而言,择期剖宫产的影响相对于阴道分娩为小。然而,选择剖宫产以期降低分娩对盆底肌力的影响的做法并不可取,故建议初产妇产后早期进行盆底肌肉功能训练,以改善盆底肌力,减少或延缓女性盆底功能障碍性疾病(FPFD)的发生。
[Abstract]:Objective to study the effect of different delivery methods on the reduction of pelvic floor muscle strength in the early postpartum period of primipara, and put forward corresponding countermeasures to improve pelvic floor muscle strength. Methods from February to May 2009, 63 primipara were randomly divided into elective cesarean section group (n = 30) and vaginal delivery group (n = 33), which were re-examined in postpartum clinic of Zhongshan people's Hospital from February to May, 2009 for 6 to 8 weeks, and were divided into elective cesarean section group (n = 30) and vaginal delivery group (n = 33). According to the pelvic floor muscle strength grading test, (GRRUG) was divided into 0-5 grades. The patients with muscle strength 鈮，

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