无创接生技术对初产妇盆底肌力影响的研究  

Study on the Effect of Non-invasive Delivery Technology on Pelvic Floor Muscle Strength in Primipara

作　　者：郑笑珠 郑彤云[1] 凌秀蘭 程丽琴[1] 盛丛 ZHENG Xiaozhu;ZHENG Tongyun;LING Xiulan;CHENG Liqin;SHENG Cong(Production Room,The Eighth Hospital Affiliated to Sun Yat-senUniversity,Shenzhen Guangdong 518000,China)

机构地区：[1]中山大学附属第八医院产房,广东深圳518000

出　　处：《中国卫生标准管理》2019年第8期27-29,共3页China Health Standard Management

基　　金：广东省深圳市福田区卫生公益性科研项目(FTWS2018037)

摘　　要：目的探析初产妇无创接生技术对盆底肌力的影响。方法随机划分本院2018年5月—2019年3月接收的进行分娩的初产妇200例,每组100例,对照组采取会阴侧切,研究组则接受无创接生技术,对比两组前静息状态、快肌肌力水平、10 s慢肌肌力水平、60 s慢肌肌力水平、后静息状态及产后盆底肌肉功能损伤程度、性功能障碍及压力性尿失禁发生率。结果在前静息状态、快肌肌力水平、10 s慢肌肌力水平、60 s慢肌肌力水平、后静息状态方面,研究组均优于对照组,差异有统计学意义(P <0.05);研究组重度损伤程度低于对照组,差异有统计学意义(P <0.05);在性功能障碍及压力性尿失禁发生率方面,对照组分别是37.00%和55.00%,研究组分别是13.00%和21.00%,研究组均较对照组更低,差异有统计学意义(P <0.05)。结论妊娠期间,因为盆底肌肉牵拉、受压、肌力功能逐渐降低,进而从一定程度上影响了盆底肌功能。利用无创接生技术有助于产后盆腔功能及早恢复,促进盆底肌力提高。Objective To explore the effect of noninvasive delivery technology on pelvic floor muscle strength in primipara. Methods 200 primipara who delivered in our hospital from May 2018 to March 2019 were randomly divided into two groups, 100 primipara in each group. The control group received lateral perineal incision, while the study group received non-invasive delivery. The pre-resting state, fast muscle strength level, 10 s slow muscle strength level, 60 s slow muscle strength level, post-resting state and the degree of postpartum pelvic floor muscle damage, sexual dysfunction, and so on were compared between the two groups. The incidence of stress urinary incontinence. Results In the former resting state, fast muscle strength level, 10 s slow muscle strength level, 60 s slow muscle strength level and post resting state, the study group was superior to the control group, the difference was statistically significant (P < 0.05);the severity of injury in the study group was lower than that in the control group, the difference was statistically significant (P < 0.05);in the incidence of sexual dysfunction and stress urinary incontinence, the control group was 37.00% and 55.00% in the study group, 13.00% and 21.00% in the study group, respectively, were lower than those in the control group, the difference was statistically significant (P < 0.05). Conclusion During pregnancy, the function of pelvic floor muscles is affected to some extent by the gradual decrease of pulling, compression and muscle strength of basin muscles. The use of noninvasive delivery technology is conducive to the early recovery of pelvic function and the improvement of pelvic floor muscle strength.

关 键 词：盆底肌力 无创接生技术 会阴侧切 压力性尿失禁 性功能障碍 静息 

分 类 号：R711[医药卫生—妇产科学]