江门地区女性产后盆底肌力筛查及相关因素研究  

Screening of postpartum pelvic floor muscle strength and related factors in females in Jiangmen area

作　　者：阙贵珍[1] 沈宇清[1] 司徒文慈[1] 司徒泳芬 刘秀玲[1] QUE Guizhen;SHEN Yuqing;Situ Wenci;Situ Yongfen;LIU Xiuling(Department of Obstetrics,Kaiping Central Hospital,Guangdong Province,Kaiping 529300,China)

机构地区：[1]广东省开平市中心医院产科,广东开平529300

出　　处：《中国医药科学》2018年第20期90-92,97,共4页China Medicine And Pharmacy

基　　金：广东省江门市卫生计生局科研项目(15A058)

摘　　要：目的了解江门地区女性产后盆底肌力改变及其影响因素。方法选择2015年7月～2017年6月在开平市中心医院分娩的430例产妇,且均在产后6～8周完成盆底肌张力筛查,采用阴道指诊法测量盆底肌肉Ⅰ、Ⅱ类肌纤维肌力,并收集产妇相关资料,分析相关因素对江门地区女性产后盆底肌力的影响。结果适龄产妇盆底Ⅰ类、Ⅱ类肌纤维肌力异常比率均低于高龄产妇组,差异无统计学意义(P> 0.05);会阴侧切组产妇盆底Ⅰ类、Ⅱ类肌纤维肌力异常比率显著高于会阴未侧切组,差异有统计学意义(P <0.05)。剖宫产产妇盆底Ⅰ类、Ⅱ类肌纤维肌力异常比率显著低于阴道分娩组,差异有统计学意义(P <0.05);初产妇组盆底Ⅰ类、Ⅱ类肌纤维肌力异常比率显低于经产妇,差异有统计学意义(P <0.05)。巨大儿组产妇盆底Ⅰ类、Ⅱ类肌纤维肌Ⅰ～Ⅲ级比率高于低体重新生儿组、正常体重新生儿组产妇,差异无统计学意义(P> 0.05)。结论江门地区女性产后盆底肌力与是否进行会阴侧切、分娩次数、分娩方式有关。Objective To investigate the changes of postpartum pelvic floor muscle strength and its influencing factors in females in Jianginen area and its influencing factors. Methods 430 parturients who delivered in Kaiping central Hospital during the period from July 2015 to June 2017 were selected,and the screening of pelvic floor muscle tension was carried out from 6 to 8 weeks after delivery .The pelvic floor muscle type Ⅰ and Ⅱ muscle fiber strength was measm＇ed by the Vaginal Fingering.The relevant data of parturients were collected to analyze related influencing factors of postpartum pelvic floor muscle strength in women in Jianginen. Results The ratio of abnormal pelvic floor type Ⅰ and Ⅱ muscle fiber strength was lower in parturients of the right age than in elderly ones,the difference was not statistically significant （P 〉 0.05）,significantly higher in the episiotomy group than in the non-episiotomy group （P 〈 0.05）,significantly lower in the cesarean section group than the vaginal delivery group （P 〈 0.05）,significantly lower in the primipara group than the pregnant group （P 〈 0.05）,and higher in fetal macrosomia group than the low weight newborn group and the normal weight newborn group,and the difference was not statistically significant （P 〉 0.05）. Conclusion The postpartum pelvic floor muscle strength of women in Jianginen is related to episiotomy,delivery times and delivery mode.

关 键 词：江门地区 产后 盆底功能 肌力异常 

分 类 号：R714.69[医药卫生—妇产科学]