不同分娩方式对产后早期盆底功能的影响

Effect of different delivery modes on pelvic floor function in early postpartum period

  • 摘要: 目的 探讨不同分娩方式对产后早期盆底功能的影响。 方法 选取2016年10月- 2017年3月于我院建档产检的110例产妇为研究对象,按照分娩方式的不同分为阴道分娩组(n=77)和选择性剖宫产组(n=33),其中阴道分娩组按照是否侧切分为会阴侧切组(n=47)和非会阴侧切组(n=30),比较产妇分娩前后盆底功能。 结果 与阴道分娩组比较,选择性剖宫产组分娩后快肌分、慢肌平均值、慢肌分均上升;而两组快肌最大值、上升时间、恢复时间、慢肌变异性差异无统计学意义。阴道分娩组中,侧切组和非侧切组各项盆底指标差异均无统计学意义。 结论 选择性剖宫产对早期盆底功能的影响较阴道分娩小,会阴侧切无法减轻分娩对产后早期盆底功能的影响。

     

    Abstract: Objective To explore the effect of different delivery modes on pelvic floor function in early postpartum period. Methods One hundred and ten parturients meeting the inclusion and exclusion criteria were included as the research subjects in our study from October 2016 to March 2017. According to the mode of delivery, they were divided into vaginal delivery group (n=77)and elective cesarean section group (n=33), and the former was divided into episiotomy group (n=47) and non-episiotomy group(n=30).The changes of pelvic floor function before and after delivery were compared among all the subjects. Results Compared with the vaginal delivery group in the elective caesarean section group, the score of rapid-contraction, mean value and score of tolerance contraction all increased after delivery in the elective caesarean section group. There was no significant difference in the peak value and rise time of rapid-contraction, the recovery time of rapid-contraction and the variability of tolerance contraction. In the vaginal delivery group, there was no significant difference in episiotomy group and non-episiotomy group. Conclusion The effect of selective cesarean section on early pelvic floor function is less than the vaginal delivery. Episiotomy can not reduce the effect of early postpartum on pelvic floor function.

     

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