会阴侧切对盆底肌力的影响分析研究  

Analysis of influence of lateral episiotomy on pelvic floor muscle

作　　者：李能[1] 

机构地区：[1]湖南省妇幼保健院,长沙410008

出　　处：《中国妇幼卫生杂志》2014年第3期20-22,共3页Chinese Journal of Women and Children Health

摘　　要：目的研究会阴侧切对盆底肌力的影响。方法选取2011年1月-2013年10月在湖南省妇幼保健院行非侧切阴道分娩产妇260例作为对照组,同期分娩的会阴侧切经阴道分娩的产妇260例作为观察组,比较两组产妇分娩后的临床症状、盆底肌力和肌电图的检查以及生活质量。结果观察组盆底功能障碍性疾病(PFD)发生率略高于对照组:大便失禁、盆腔器官脱垂、张力性尿失禁和会阴疼痛发生率差异均无统计学意义(P>0.05)。使用GRRUG方法评定产妇分娩后的盆底肌力,对照组共226例(86.92%)产妇肌力正常,观察组212例(81.54%)产妇肌力正常,二者差异无统计学意义(P>0.05)。对照组产后半年生活质量评价结果略高于观察组,但差异无统计学(P>0.05)。结论会阴侧切对产妇盆地功能无保护作用,可对分娩近期的盆底肌力一定程度上的影响,临床上在应用时应严格规范手术指征,避免滥用。[ Objective ] To study the effect of lateral episiotomy on pelvic floor muscle. [ Methods ] 260 cases of patients after cesarean section for delivery from January 2011 to October 2013 in our hospital were selected as control group, whereas 260 cases after vaginal delivery by maternal episiotomy during the same period were chosen as the observation group. The clinical symptoms, pelvic floor muscle strength, EMG examination results and.life quality of patients were compared between the two groups after delivery. [ Results ] The incidence of PFD in the observation group was higher than that of the control group： occurrewnce rate of fecal incontinence and pelvic organ prolapse showed no significant difference （P〉0.05）, incidence of stress urinary incontinence and perineal pain registered statistically significant difference （P〈0.05）. By using the GRRUG method to assess pelvic floor muscle strength after childbirth, 226 cases of the control group were （86.92%） were with normal muscle power, while that of the observation group was 197 cases （75.77%） , with significant difference （P〈0.05）. There was no significant difference between the two groups in the quality of life of postpartum evaluation （P〉0.05）. [ Conclusion ] Episiotomy can affect the pelvic muscle prior to delivery, and its clinical application should be strictly regulated in the indication of operation to avoid abuse of it.

关 键 词：非侧切阴道分娩 会阴侧切 经阴道分娩 盆底肌力 

分 类 号：R719[医药卫生—妇产科学]