气囊仿生助产联合椎管内阻滞分娩镇痛对瘢痕子宫阴道分娩产妇盆底功能的影响  

Effect of balloon bionic midwifery combined with intraspinal block labor analgesia on pelvic floor function of puerpera with scar uterus vaginal delivery

作　　者：宁丰[1] 许庆芸 王仁芳 陆彩秀 周利锴[1] NING Feng;XU Qingyun;WANG Renfang;LU Caixiu;ZHOU Likai(Nanning Maternity and Child Health Hospital,Nanning 530011,China)

机构地区：[1]南宁市妇幼保健院,广西南宁530011

出　　处：《临床医学研究与实践》2025年第4期135-138,共4页Clinical Research and Practice

基　　金：2019年度广西壮族自治区卫生健康委员会自筹经费科研项目(No.20190810)。

摘　　要：目的 探讨气囊仿生助产联合椎管内阻滞分娩镇痛对瘢痕子宫阴道分娩产妇盆底功能的影响。方法 选择2020年1月至2022年6月我院120例瘢痕子宫再次妊娠阴道分娩产妇为研究对象,将其随机分为A组、B组、C组、D组,各30例。A组实施气囊仿生助产联合椎管内阻滞分娩镇痛;B组未实施气囊仿生助产及椎管内阻滞分娩镇痛;C组单纯实施椎管内阻滞分娩镇痛;D组单纯实施气囊仿生助产。比较四组的总产程、新生儿体重、会阴裂伤程度、会阴侧切率、盆底肌肌力、盆底肌疲劳度、盆底动态压力及压力性尿失禁、子宫脱垂、阴道脱垂发生情况。结果 四组的总产程比较,差异具有统计学意义(P<0.05);A组的总产程短于B组、C组、D组(P<0.05);四组的新生儿体重、会阴裂伤程度及会阴侧切率比较,差异无统计学意义(P>0.05)。A组的盆底肌肌力、盆底肌疲劳度及盆底动态压力均大于B组、C组、D组(P<0.05)。四组的压力性尿失禁、子宫脱垂、阴道脱垂发生率比较,差异无统计学意义(P>0.05)。结论 气囊仿生助产联合椎管内阻滞分娩镇痛能改善瘢痕子宫阴道分娩产妇的盆底功能情况,降低产后盆底功能障碍性疾病(PFD)的发生。Objective To investigate the effect of balloon bionic midwifery combined with intraspinal block labor analgesia on pelvic floor function of puerpera with scar uterus vaginal delivery.Methods A total of 120 puerpera with scarred uterus who underwent vaginal delivery in our hospital from January 2020 to June 2022 were selected as the research objects and randomly divided into group A,B,C and D,with 30 cases in each group.The group A was given balloon bionic midwifery combined with intraspinal block labor analgesia;the group B did not implement balloon bionic midwifery and intraspinal block labor analgesia;the group C was treated with intraspinal block labor analgesia alone;the group D simply implemented balloon bionic midwifery.The total labor process,neonatal weight,perineal laceration degree,perineal lateral resection rate,pelvic floor muscle strength,pelvic floor muscle fatigue,pelvic floor dynamic pressure and stress urinary incontinence,uterine prolapse and vaginal prolapse were compared among the four groups.Results There was a statistically significant difference in the total labor process among the four groups(P<0.05);the total labor process of the group A was shorter than that of the group B,C and D(P<0.05);there were no significant differences in neonatal weight,perineal laceration degree and perineal lateral resection rate among the four groups(P>0.05).The pelvic floor muscle strength,pelvic floor muscle fatigue and pelvic floor dynamic pressure of the group A were larger than those of the group B,C and D(P<0.05).There were no significant differences in the incidences of stress urinary incontinence,uterine prolapse and vaginal prolapse among the four groups(P>0.05).Conclusion Bionic balloon midwifery combined with intraspinal block labor analgesia can improve the pelvic floor function of puerpera with scar uterus vaginal delivery,and reduce the incidence of postpartum pelvic floor dysfunction(PFD).

关 键 词：气囊仿生助产 椎管内阻滞 分娩镇痛 瘢痕子宫 阴道分娩 盆底功能 

分 类 号：R719.8[医药卫生—妇产科学]