CAJ | 학술논문

目的：探讨不同分娩方式对产妇产后早期盆底肌力的影响。方法选取2011年3月至2012年7月在云和县妇幼保健所进行产后复查的产妇150例，根据其分娩方式的不同分为剖宫产组（80例）和阴道分娩组（70例），分别在产后6周、12周、24周通过盆底功能诊断仪检测盆底肌力。结果两组产后6周、12周、24周的盆底肌力相比：①剖宫产组I类肌力评分均高于阴道分娩组，差异有统计学意义（t值分别为1．74、1．95、2．13，均P＜0．05）；②剖宫产组Ⅱ类肌力评分亦均高于阴道分娩组，差异有统计学意义（t值分别为1．75、1．92、2．14，均P＜0．05）。结论两种分娩方式均对盆底肌力有影响，但是剖宫产组对产妇早期盆底肌力的影响要小于经阴道分娩组，为提高盆底肌力，产妇产后应早日进行康复锻炼。
목적：탐토불동분면방식대산부산후조기분저기력적영향。방법선취2011년3월지2012년7월재운화현부유보건소진행산후복사적산부150례，근거기분면방식적불동분위부궁산조（80례）화음도분면조（70례），분별재산후6주、12주、24주통과분저공능진단의검측분저기력。결과량조산후6주、12주、24주적분저기력상비：①부궁산조I류기력평분균고우음도분면조，차이유통계학의의（t치분별위1．74、1．95、2．13，균P＜0．05）；②부궁산조Ⅱ류기력평분역균고우음도분면조，차이유통계학의의（t치분별위1．75、1．92、2．14，균P＜0．05）。결론량충분면방식균대분저기력유영향，단시부궁산조대산부조기분저기력적영향요소우경음도분면조，위제고분저기력，산부산후응조일진행강복단련。
Objective To discuss the influences of different delivery modes on postpartum puerpera ’ s pelvic floor myodynamia at early stage.Methods From 2011 to 2012 150 cases of puerpera taking recheck after delivery were selected in Yunhe Maternal and Child Health Care Centre .They were divided into cesarean delivery group ( n=80 ) and vaginal delivery group ( n=70 ) according to their different delivery modes.Puerpera’s pelvic floor myodynamia of two groups was measured through pelvic floor diagnostic instrument at 6, 12 and 24 weeks after delivery .Results The scores of myodynamia I in cesarean delivery group were all higher than those in vaginal delivery group after 6, 12 and 24 weeks, and the differences were significant (t value was 1.74, 1.95 and 2.13, respectively, all P<0.05).The scores of myodynamia II were significantly higher in cesarean delivery group (t value was 1.75, 1.92 and 2.14, respectively, all P<0.05). Conclusion Different modes of delivery have effects on postpartum pelvic floor muscles strength , but cesarean section ’ s influence on puerpera ’ s pelvic floor myodynamia at early stage is less than vaginal delivery ,so the puerperas should do rehabilitation exercises as early as possible in order to improve pelvic floor myodynamia .