辽宁医学院学报
遼寧醫學院學報
료녕의학원학보
Journal of Liaoning Medical University
2015年
5期
64-66
,共3页
盆底肌肌力%阴道分娩%剖宫产%盆底功能障碍
盆底肌肌力%陰道分娩%剖宮產%盆底功能障礙
분저기기력%음도분면%부궁산%분저공능장애
pelvic floor muscle strength%vaginal delivery%cesarean delivery%pelvic floor dysfunction
目的 探讨阴道分娩和剖宫产对产后盆底肌力变化的影响. 方法 选取医院分娩的产妇240例作为研究对象,其中120例为阴道分娩, 120例为剖宫产, 产后3个月和6个月行骨盆底肌力评分系统 ( Oxford) 评分, 记录产后6 w盆底功能障碍性疾病发生率. 结果 剖宫产分娩组产后第3个月、 第6个月Oxford评分>3分的几率分别为55. 0%、 80. 0%均显著高于阴道分娩组36. 67%、 56. 67%, 差异具有统计学意义 (P<0. 05). 阴道分娩组盆底功能障碍发生率为12. 5%较剖宫产组5%高, 差异具有统计学意义 (P<0. 05). 结论 与阴道分娩相比, 剖宫产对盆底肌肌力的损伤较小, 可降低阴道前后壁脱垂的几率, 但不可将此作为剖宫手术指征, 临床可通过加强产后盆底功能训练促使盆底肌力恢复.
目的 探討陰道分娩和剖宮產對產後盆底肌力變化的影響. 方法 選取醫院分娩的產婦240例作為研究對象,其中120例為陰道分娩, 120例為剖宮產, 產後3箇月和6箇月行骨盆底肌力評分繫統 ( Oxford) 評分, 記錄產後6 w盆底功能障礙性疾病髮生率. 結果 剖宮產分娩組產後第3箇月、 第6箇月Oxford評分>3分的幾率分彆為55. 0%、 80. 0%均顯著高于陰道分娩組36. 67%、 56. 67%, 差異具有統計學意義 (P<0. 05). 陰道分娩組盆底功能障礙髮生率為12. 5%較剖宮產組5%高, 差異具有統計學意義 (P<0. 05). 結論 與陰道分娩相比, 剖宮產對盆底肌肌力的損傷較小, 可降低陰道前後壁脫垂的幾率, 但不可將此作為剖宮手術指徵, 臨床可通過加彊產後盆底功能訓練促使盆底肌力恢複.
목적 탐토음도분면화부궁산대산후분저기력변화적영향. 방법 선취의원분면적산부240례작위연구대상,기중120례위음도분면, 120례위부궁산, 산후3개월화6개월행골분저기력평분계통 ( Oxford) 평분, 기록산후6 w분저공능장애성질병발생솔. 결과 부궁산분면조산후제3개월、 제6개월Oxford평분>3분적궤솔분별위55. 0%、 80. 0%균현저고우음도분면조36. 67%、 56. 67%, 차이구유통계학의의 (P<0. 05). 음도분면조분저공능장애발생솔위12. 5%교부궁산조5%고, 차이구유통계학의의 (P<0. 05). 결론 여음도분면상비, 부궁산대분저기기력적손상교소, 가강저음도전후벽탈수적궤솔, 단불가장차작위부궁수술지정, 림상가통과가강산후분저공능훈련촉사분저기력회복.
Objective To investigate the effect of vaginal delivery and cesarean delivery on the changes of muscle strength of postpartum pelvic floor muscles. Methods 240 cases of delivery women were selected as observation objects, including 120 cases of vaginal delivery women and 120 cases of cesarean delivery ones. The pelvic floor muscle strength 3 months and 6 months after delivery was scored with score system ( Oxford) , and the incidence rate of pelvic floor dysfunction 6 weeks after delivery was recorded. Results According to Oxford scores, the probabilities that were higher than 3 among the 120 cases in the cesarean delivery group on the third and the sixth month after delivery were 55. 0% and 80. 0% respectively, both of which were significantly higher than 36. 67% and 56. 67% of the vaginal delivery group, with a significant difference (P<0. 05). The incidence of pelvic floor dysfunction of the vaginal delivery group is 12. 5, which is higher than that of the cesarean delivery group, with a significant difference (P<0. 05) . Conclusion Compared with vaginal delivery, cesarean delivery does less harm to the pelvic floor muscle strength and can reduce the probability of prolapse of anterior and posterior vaginal wall, which, however, cannot be used as the indication for cesarean surgery. Pelvic floor muscle strength can be recovered by strengthening postpartum pelvic floor function training.
