CAJ | 학술논문

目的：探讨初产妇无保护阴道分娩对盆底功能的近期影响。方法选择经阴道分娩的初产妇208例为研究对象，无保护阴道分娩无侧切138例为观察组，常规阴道分娩行会阴侧切70例为对照组，于产后42 d返院专人对产妇临床症状及盆底功能进行检测，对比两组分娩方式对盆底功能的近期影响。结果观察组切口疼痛发生率、性生活障碍发生率低于对照组（P<0.05），观察组压力性尿失禁、盆腔脏器脱垂发生率差异无统计学意义（P>0.05）。结论无保护阴道分娩可减少产后盆底功能障碍疾病的发生。
목적：탐토초산부무보호음도분면대분저공능적근기영향。방법선택경음도분면적초산부208례위연구대상，무보호음도분면무측절138례위관찰조，상규음도분면행회음측절70례위대조조，우산후42 d반원전인대산부림상증상급분저공능진행검측，대비량조분면방식대분저공능적근기영향。결과관찰조절구동통발생솔、성생활장애발생솔저우대조조（P<0.05），관찰조압력성뇨실금、분강장기탈수발생솔차이무통계학의의（P>0.05）。결론무보호음도분면가감소산후분저공능장애질병적발생。
Objective To discuss the near future impaction on primiparas’pelvic floor function after unprotected vaginal delivery. Methods Selected 208 cases of primiparas after vaginal delivery as the research objects,138 cases of unprotected vaginal delivery with no side cut were taken as observation group, 70 cases of normal vaginal delivery with line episiotomy were taken as control group. The puerperas came back to hospital after postpartum 42 day,and were tested the clinical symptoms and pelvic floor function by personnels. Compared the two groups recent impaction on pelvic floor function. Results The incidences of incision pain and sexual dysfunction in observation group was obviously lower than these in control group(P<0.05). The incidences of stress urinary incontinence and pelvic organ prolapse in observation group were no statistical y significant differences(P>0.05). Conclusion Unprotected vaginal delivery can reduce the incidence of postpartum pelvic floor dysfunction diseases.