不同分娩方式对产后盆底肌力的影响  

Influence of different delivery methods on postpartum pelvic floor muscle strength

作　　者：毛丽洁[1] 孙继芬[1] 岳青芬[1] MAO Li-jie SUN Ji-fen YUE Qing-fen(Department of Gynecology and Obstetrics, Luoyang Center Affiliated Hospital of Zhengzhou University, Henan Luoyang 471000, China)

机构地区：[1]郑州大学附属洛阳中心医院妇产科,河南洛阳471000

出　　处：《中国妇幼健康研究》2016年第10期1243-1245,共3页Chinese Journal of Woman and Child Health Research

基　　金：中华预防医学会科研资金支持项目"中国妇女盆底功能障碍防治"专项资金资助项目(编号:20131617)

摘　　要：目的探讨不同分娩方式对产后盆底肌力功能降低程度的影响。方法选择2013年5月至2014年10月在郑州大学附属洛阳中心医院产后6~8周进行盆底肌力筛查的初产妇630例。其中选择性剖宫产组300例,阴道顺产组330例。应用手法检测和仪器检测两种评价产后盆底肌力功能。结果阴道分娩组Ⅰ类肌纤维受损327例（99.09%）,Ⅱ类肌纤维受损328例（99.30%）,选择性剖宫产组Ⅰ类肌纤维受损294例（98.00%）,Ⅱ类肌纤维受损295例（98.30%）,阴道分娩组和选择性剖宫产组Ⅰ类肌纤维、Ⅱ类肌纤维有显著性差异（χ^2值分别为4.153、5.787,均P〈0.05）。结论两种分娩方式对产妇产后盆底肌力均有影响,就损伤程度而言,阴道分娩对产后早期盆底肌的损伤程度更大,选择性剖宫产对盆底肌损伤相对较小。Objective To discuss the influence of different delivery methods on reducing the degree of postpartum pelvic floor muscle function. Methods From May 2013 to October 2014 totally 630 primiparas took pelvic floor muscle screening at 6- 8 weeks after delivery in Luoyang Center Affiliated Hospital of Zhengzhou University,including 300 cases in selective cesarean delivery group and 330 cases in vaginal delivery group. Manual detection and technical detection were applied to evaluate the function of postpartum pelvic floor muscle.Results In the vaginal delivery group there were 327 cases（ 99. 09%） with I class muscle fibers damage and 328 cases（ 99. 30%） with Ⅱclass muscle fibers damage,while in the selective cesarean delivery group there were 294 cases（ 98. 00%） and 295 cases（ 98. 30%）,respectively. There were significant differences between two groups（ χ^2value was 4. 153 and 5. 787,respectively,both P〈0. 05）.Conclusion Both of two delivery methods have influence on postpartum pelvic floor muscle strength. In terms of degree,the damage of vaginal delivery is greater on early postpartum pelvic floor muscle while the damage is milder in selective cesarean delivery cases.

关 键 词：分娩方式 盆底肌力 影响 产后 

分 类 号：R714.1[医药卫生—妇产科学]