产科因素对产后早期盆底肌力的影响  

Impact of different factors of delivery on the pelvic floor muscle strength in the early postpartum

作　　者：钱秋英[1] 吴虹桥[1] 周蓓蓓[1] 钱琴玉[1] 

机构地区：[1]南京医科大学附属常州妇幼保健院,213003

出　　处：《实用医技杂志》2013年第8期816-817,共2页Journal of Practical Medical Techniques

基　　金：江苏省常州市第十八批科技计划项目(CJ20122028)

摘　　要：目的调查产后妇女盆底肌力状况,探讨产科因素对产后早期盆底功能的影响。方法 2012年4月至6月在产后门诊复查的产妇358名,其中阴道分娩147名,剖宫产211名,对每一名研究对象进行面对面的问卷调查,同时采用阴道压力仪进行盆底肌力测定。结果盆底肌力与妊娠次数呈负相关,随着妊娠次数的增加,盆底肌力变小(r=-0.114,P<0.05);不同的分娩方式盆底肌力有差异,剖宫产的盆底肌力优于阴道分娩(P<0.05)。结论妊娠和分娩对产后早期盆底肌力有着潜在影响,剖宫产对于产后早期盆底功能具有一定的保护作用。Objective To investigate the pelvic floor muscle strength of the puerperaes and to explore the effect of different delivery modes on pelvic floor function of puerperaes. Methods From April to June in 2012, 358 women after delivered were selected. The women were divided into two groups according to different delivery methods, one was vaginal delivery group （147 cases）, and the other was caesarean section delivery group （211 cases）. Three hundred and fifty- eight women were investigated face-to-face by the questionnaire method. Vaginal pressure instrument was used to evaluate pelvic floor muscle sthength. Results There was the relationship between the pelvic floor muscle strength and the pregnancies （r=-0.114, P〈0.05 ）. The scores of floor muscle strength testing in caesarean section group was better than in vaginal delivery group. There was significant different between the two groups （P〈0.05）. Conclusion Pregnancy and deli- very can damage the pelvic floor muscle strength. Caesarean section plays a certain protective role in puerperaes. Caesarean section has obvious protective effect which can significantly reduce the occurrence of the early postpartum.

关 键 词：骨盆底 妊娠 分娩 自然分娩 剖宫产术 

分 类 号：R694[医药卫生—泌尿科学]