CAJ | 학술논문

目的：了解威海地区产后妇女盆底功能的情况及其影响因素。方法选取产后6～8周复查的妇女4935例，详细询问病史并记录、进行常规的妇科检查及盆底功能检测。结果盆底Ⅰ类肌纤维功能受损占34.2％，年龄、分娩方式及是否存在盆底器官脱垂和不同产次对产后6～8周的盆底Ⅰ类肌纤维功能有影响；盆底Ⅱ类肌纤维功能受损占39.2％，分娩方式、是否存在盆底器官脱垂和孕次对产后6～8周的盆底Ⅱ类肌纤维功能有影响。结论产后妇女普遍存在盆底肌肉功能受损状况，尤其对是阴道分娩及有盆腔器官脱垂者，应及早进行干预，促进盆底组织功能恢复。
목적：료해위해지구산후부녀분저공능적정황급기영향인소。방법선취산후6～8주복사적부녀4935례，상세순문병사병기록、진행상규적부과검사급분저공능검측。결과분저Ⅰ류기섬유공능수손점34.2％，년령、분면방식급시부존재분저기관탈수화불동산차대산후6～8주적분저Ⅰ류기섬유공능유영향；분저Ⅱ류기섬유공능수손점39.2％，분면방식、시부존재분저기관탈수화잉차대산후6～8주적분저Ⅱ류기섬유공능유영향。결론산후부녀보편존재분저기육공능수손상황，우기대시음도분면급유분강기관탈수자，응급조진행간예，촉진분저조직공능회복。
Objective ToassesspelvicfloormusclefunctioninpostpartumwomeninWeihaiCity. Methods A total of 4935 women who were followed-up after 6-8 weeks after delivery were investigated.Detailed medical history was obtained,and regular pelvic examination and pelvic floor functional testing were performed. Results There were 34.2% of women who had impaired functions with pelvic floor I class muscle fibers.Age,delivery mode,prolapsed pelvic organ and parties were associated with impaired functions of pelvic floor muscle for in women 6 - 8 weeks after delivery.There were 39.2%of women who had impaired functions with pelvic floor II class muscle fibers.Delivery mode, prolapsed pelvic organ and gravidities were associated with impaired functions of pelvic floor II class muscle fiber in women after 6-8 weeks of delivery. Conclusion Impaired pelvic floor muscle function was common among postpartum women, especially among the women with vaginal delivery and prolapsed pelvic organ.