椎管内阻滞用于分娩镇痛对产后早期盆底功能的影响
发布时间：2019-06-21 11:46
【摘要】：目的探讨椎管内阻滞用于分娩镇痛对初产妇早期盆底功能和盆底功能障碍性疾病(PFD)发生的影响。方法随机选择我院阴道分娩并于分娩后6~8周复查的初产妇292例,根据分娩方式均分为椎管内阻滞分娩镇痛组(A组)和非镇痛组(B组),检测盆底肌力、疲劳度和动态压力以评估产后早期盆底功能;采用一般问卷调查和盆底器官脱垂(POP-Q)法了解产后早期PFD发生情况,记录两组产妇早期盆底功能受损及压力性尿失禁(SUI)、盆腔器官脱垂(POP)的发生率。结果产后6~8周盆底功能受损发生率A组为87例(59.6%),B组为94例(64.4%),两组盆底功能受损发生率差异无统计学意义;产后6~8周POP的发生率A组为55例(37.7%),B组为61例(41.8%);SUI的发生率A组6例(4.1%),B组为5例(3.4%);两组POP、SUI发生率差异无统计学意义。结论阴道分娩可使产后早期发生盆底功能损伤,椎管内分娩镇痛不增加产后早期盆底损伤的风险并有改善女性盆底功能受损的可能。
[Abstract]:Objective to investigate the effect of spinal block on early pelvic floor function and pelvic floor dysfunction (PFD) in parturients. Methods 292 parturients with vaginal delivery in our hospital were randomly divided into spinal block delivery analgesia group (group A) and non-analgesia group (group B) according to the delivery mode. Pelvic floor muscle strength, fatigue and dynamic pressure were measured to evaluate the pelvic floor function in the early postpartum period. General questionnaire survey and pelvic floor organ prolapse (POP-Q) were used to investigate the occurrence of PFD in the early postpartum period. The incidence of (POP) in early pelvic floor dysfunction and stress urinary incontinence (SUI), pelvic organ prolapse was recorded in the two groups. Results the incidence of pelvic floor dysfunction in group A was 87 cases (59.6%), B group, 94 cases, 64.4%), but there was no significant difference in the incidence of pelvic floor function damage between the two groups, the incidence of POP in group A was 55 cases (37.7%), B group, 61 cases, 41.8%); SUI group, 6 cases, 4.1%), B group, 5 cases, 3.4%). There was no significant difference in the incidence of POP,SUI between the two groups. Conclusion vaginal delivery can cause pelvic floor function injury in the early postpartum period. Intraspinal labor analgesia does not increase the risk of early postpartum pelvic floor injury and may improve the damage of female pelvic floor function.
【作者单位】： 广西省南宁市妇幼保健院麻醉科;北京大学第一医院麻醉科;广西省南宁市妇幼保健院妇保科;
【基金】：南宁市科技攻关与新产品试验(20133189)
【分类号】：R714.3
[Abstract]:Objective to investigate the effect of spinal block on early pelvic floor function and pelvic floor dysfunction (PFD) in parturients. Methods 292 parturients with vaginal delivery in our hospital were randomly divided into spinal block delivery analgesia group (group A) and non-analgesia group (group B) according to the delivery mode. Pelvic floor muscle strength, fatigue and dynamic pressure were measured to evaluate the pelvic floor function in the early postpartum period. General questionnaire survey and pelvic floor organ prolapse (POP-Q) were used to investigate the occurrence of PFD in the early postpartum period. The incidence of (POP) in early pelvic floor dysfunction and stress urinary incontinence (SUI), pelvic organ prolapse was recorded in the two groups. Results the incidence of pelvic floor dysfunction in group A was 87 cases (59.6%), B group, 94 cases, 64.4%), but there was no significant difference in the incidence of pelvic floor function damage between the two groups, the incidence of POP in group A was 55 cases (37.7%), B group, 61 cases, 41.8%); SUI group, 6 cases, 4.1%), B group, 5 cases, 3.4%). There was no significant difference in the incidence of POP,SUI between the two groups. Conclusion vaginal delivery can cause pelvic floor function injury in the early postpartum period. Intraspinal labor analgesia does not increase the risk of early postpartum pelvic floor injury and may improve the damage of female pelvic floor function.
【作者单位】： 广西省南宁市妇幼保健院麻醉科;北京大学第一医院麻醉科;广西省南宁市妇幼保健院妇保科;
【基金】：南宁市科技攻关与新产品试验(20133189)
【分类号】：R714.3
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相关期刊论文 前1条
1 林丽莎;黄吴健;宋岩峰;何晓宇;陈晓玲;;分娩方式对产妇早期盆底功能障碍的影响分析[J];实用妇产科杂志;2012年09期
【共引文献】
相关期刊论文 前10条
1 周海慧;硬膜外阻滞用于分娩镇痛疗效分析[J];海南医学;2004年10期
2 刘s，
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