不同分娩方式及产科相关因素对盆底支持组织功能的近期影响分析  

Analysis of the recent effects of different delivery modes and obstetric related factors on pelvic floor support tissue function

作　　者：郑净 Zheng Jing(Department of Obstetrics,Guannan Maternal and Child Health Care Hospital,Lianyungang 222500,China)

机构地区：[1]灌南妇幼保健院产科门诊,江苏连云港222500

出　　处：《实用妇科内分泌电子杂志》2022年第19期21-23,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探究不同分娩方式、产科因素对盆底支持组织功能产生的近期影响。方法选取60例初产妇,按照随机数字表法分为对照组与试验组,每组30例。试验组进行引导分娩,对照组进行剖宫产。对比两组分娩后尿失禁发生率,产后下尿道结构的变化,危险因素、盆底肌肌电数值。结果试验组尿失禁发生12例(40.0%),高于对照组的1例(3.33%),差异有统计学意义(P<0.05)。试验组膀胱颈活动度高于对照组,尿道旋转角度高于对照组,差异有统计学意义(P<0.05)。试验组活力值、速度值与功值数值显著低于对照组,差异有统计学意义(P<0.05)。 Logistic回归分析显示:产后压力性尿失禁的危险因素为阴道分娩、产前压力性尿失禁、产钳助产、会阴撕裂。结论盆底支持组织功能危险因素为分娩方式、分娩压力,若管理不佳会导致产后压力性尿失禁的发生,阴道分娩会增加产后压力性尿失禁发生率。Objective To explore the recent effects of different delivery methods and obstetric factors on the function of pelvic floor support tissue. Methods 60 primiparas were divided into control group and experimental group according to random number table, with 30 cases in each group. The experimental group performed guided delivery and the control group performed cesarean section. The incidence of urinary incontinence after delivery, changes in the structure of the postpartum lower urethra, risk factors and the electromyography value of pelvic floor muscle were compared between the two groups. Results The incidence of urinary incontinence in the experimental group was 12 cases(40.0%), higher than that in the control group(1 case(3.33%), the difference was statistically significant(P<0.05). The activity of bladder neck in experimental group was higher than that in control group, and the rotation Angle of urethra in experimental group was higher than that in control group, the difference was statistically significant(P<0.05). The activity value, velocity value and work value of experimental group were significantly lower than those of control group, with statistical significance(P<0.05). Logistic regression analysis showed that the risk factors of postpartum stress incontinence were vaginal delivery, forceps assisted delivery of prenatal stress incontinence and perineal tear. Conclusion The risk factors of pelvic floor support tissue function are delivery mode and labor pressure. Poor management will lead to postpartum stress incontinence, and vaginal delivery will increase the incidence of postpartum stress incontinence.

关 键 词：阴道分娩 剖宫产 压力性尿失禁 分娩方式 

分 类 号：R714.3[医药卫生—妇产科学]