分娩对产后早期盆底功能及盆底功能障碍性疾病发生的影响
Effect of the labor on the early postpartum pelvic floor function and pelvic floor dysfunction
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摘要: 目的:探讨分娩对产后早期盆底功能及盆底功能障碍性疾病发生的影响。方法:随机选取97例产妇进行产后盆底肌力和阴道压力检查,根据产妇不同分娩方式随机分成阴道顺产组62例和剖宫产组35例。观察产妇盆底肌力、阴道压力、压力性尿失禁(SUI)和盆腔器官脱垂情况。结果:阴道顺产组盆底肌力总正常率为58.06%,剖宫产组总正常率为65.71%,差异无统计学意义(P>0.05)。阴道顺产组发生SUI率为19.35%,剖宫产组为2.86%,差异有统计学意义(P<0.05)。阴道顺产组阴道压力正常率为72.58%,剖宫产组阴道压力正常率为71.43%,差异无统计学意义(P>0.05)。阴道顺产组发生阴道前壁脱垂率为93.55%,发生阴道后壁脱垂率为32.26%,剖宫产组发生阴道前壁脱垂率为57.14%,发生阴道后壁脱垂率为5.71%,差异均有统计学意义(P<0.01)。阴道顺产组发生子宫脱垂率为14.52%,剖宫产组发生子宫脱垂率为11.43%,差异无统计学意义(P>0.05)。结论:不同的分娩方式对于产后盆底肌均有一定程度的损伤,产后应尽早进行盆底功能康复锻炼,以减少盆底功能障碍性疾病的发生,提高生活质量。Abstract: Objective: To investigate the effects of the labor on the early postpartum pelvic floor function and pelvic floor dysfunction. Methods: The postpartum pelvic floor muscle and vaginal pressure in ninty-seven puerpera were detected. The puerpera were divided into the spontaneous vaginal delivery group(62 cases) and cesarean section group(35 cases). The pelvic floor muscle pressure, vaginal pressure, stress urinary incontinence and pelvic organ prolapse in all puerpera were observed. Results: The total normal rates of pelvic floor muscle strength in spontaneous vaginal delivery group and cesarean section group were 58.06% and 65.71%, respectively, the difference of which was not statistically significant(P>0.05). The stress urinary incontinence rates in spontaneous vaginal delivery group and cesarean section group were 19.35% and 2.86%, respectively, the difference of which was statistically significant(P<0.05). The normal rates of vaginal pressure in spontaneous vaginal delivery group and cesarean section group were 72.58% and 71.43%, respectively, the difference of which was not statistically significant(P>0.05). The prolapse rates of the anterior vaginal wall and vaginal wall in spontaneous vaginal delivery group and cesarean section group were 93.55% & 32.26% and 57.14% &5.71%, respectively, the differences of whose were statistically significant(P<0.01). The rates of uterine prolapse in spontaneous vaginal delivery group and cesarean section group were 14.52% and 11.43%, respectively, the difference of which was not statistically significant(P>0.05). Conclusions: Different mode of delivery can make a certain degree of damage on the postpartum pelvic floor muscle. Postpartum pelvic floor rehabilitation exercises as soon as possible can reduce the incidence of pelvic floor dysfunction, and improve quality of life.
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Key words:
- childbirth /
- pelvic floor muscle strength /
- vaginal pressure /
- vaginal wall prolapse /
- uterine prolapse
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