临床不同分娩方式对女性产后性生活质量及盆底结构功能影响分析  

Effect of different clinical delivery modes on postpartum quality of sexual life and pelvic floor structure and function in women

作　　者：梁承蓉[1] 熊焰[1] 焦顺 夏莲 LIANG Chengrong;XIONG Yan;JIAO Shun;XIA Lian(Department of Obstetrics and Gynecology,Jingzhou Second People＇s Hospital,Jingzhou 434000,Hubei,China;Department of Obstetrics and Gynecology,Jingzhou Central Hospital,Jingzhou 434000,Hubei,China)

机构地区：[1]荆州市第二人民医院妇产科,湖北荆州434000 [2]荆州市中心医院妇产科,湖北荆州434000

出　　处：《中国性科学》2018年第6期84-87,共4页Chinese Journal of Human Sexuality

摘　　要：目的:探讨临床不同分娩方式对女性产后性生活质量及盆底结构功能的影响,为合理选择分娩方式提供参考依据。方法:选取2012年1月至2017年1月在荆州市第二人民医院和荆州市中心医院分娩的80例女性做为研究对象,按照分娩方式分为阴道分娩组40例和剖宫产组40例,分别检测并比较两组女性产后6周和24周性生活质量、盆底肌力评分、UVJ-M及尿道旋转角度,比较两组女性产后6周POP及SUI发生率。结果:剖宫产组女性产后6周性生活质量显著高于阴道分娩组,差异具有统计学意义(P<0.05);剖宫产组女性产后6周盆底肌力评分、UVJ-M及尿道旋转角度分别为(4.14±1.34)分、(5.42±2.67)mm和(24.21±6.42)度,阴道分娩组女性产后6周盆底肌力评分、UVJ-M及尿道旋转角度分别为(3.21±1.12)分、(10.46±2.81)mm和(34.56±7.56)度,两组各指标相比,差异具有统计学意义(P<0.05);剖宫产组女性产后6周POP及SUI发生率为12.5%、10.0%,阴道分娩组产后6周POP及SUI发生率为35.0%、27.5%,两组比较差异具有统计学意义(P<0.05);剖宫产组女性产后24周性生活质量、盆底肌力评分、UVJ-M及尿道旋转角度与阴道分娩组相当,差异无统计学意义(P>0.05)。结论:阴道分娩和剖宫产分娩均会对女性产后性生活质量和盆底结构功能造成一定影响,阴道分娩对其造成的不良影响相对更严重,但这种不良影响会随着时间的推移逐渐得到改善。Objective： To analyze the effect of different delivery modes on postpartum quality of sexual life and pelvic floor structure and function,in order to provide reference for rational choice of mode of delivery.Methods： 80 women delivered in Jingzhou Second People＇s Hospital from January 2012 to January 2017 were selected and divided into vaginal delivery group and cesarean section group according to the mode of delivery,each of 40 cases. The quality of sexual life,pelvic floor muscle strength score,UVJ-M and urethral rotation angle in the two groups were tested and compared at 6 weeks and 24 weeks postpartum. The incidence of POP and SUI at 6 weeks postpartum was compared. Results： The postpartum quality of sexual life of women in cesarean section group was significantly higher than that in vaginal delivery group,with statistically significant difference（ P 〈 0. 05）. The pelvic floor strength score,UVJ-M and urethral rotation angle were（ 4. 14 ± 1. 34） points,（ 5. 42 ± 2. 67） mm and（ 24. 21 ± 6. 42） degrees respectively at 6 weeks postpartum in the cesarean section group,while those in the vaginal delivery group were（ 3. 21 ± 6） points,（ 10. 46 ± 2. 81） mm and（ 34. 56 ± 7. 56） degrees respectively,with statistically significant differences between the two groups（ P 〈 0. 05）. The incidence of POP and SUI at 6 weeks postpartum in cesarean section group was 12. 5% and 10. 0%,while those in the vaginal delivery group were 35. 0%and 27. 5%,with statistically significant differences（ P 〈 0. 05）. Differences in the quality of sexual life,pelvic floor muscle strength score,UVJ-M and urethral rotation angle between the two groups were not statistically significant（ P 〈 0. 05）. Conclusions： Both vaginal delivery and cesarean delivery has certain impact on postpartum quality of sexual life and pelvic floor structure,but the adverse effects of vaginal delivery are relatively serious,which will gradually improve as time goes by.

关 键 词：阴道分娩 剖宫产 产后性生活质量 盆底结构功能 

分 类 号：R714.6[医药卫生—妇产科学]