摘要
目的:探讨不同分娩方式对产妇盆底肌肉受损程度和新生儿高胆红素血症的发病率的影响。方法:选择我院分娩的180例产妇作为研究对象,按照分娩方式分为顺产组(90例)和剖宫产组(90例)。在产后检测盆底肌力,对比两组产妇的盆底肌力情况,并分析两组新生儿高胆红素血症发病率。结果:对产妇盆底肌力测量结果显示,顺产组肌力差的占43.3%,较差占38.9%,肌力良占16.7%,优占1.1%,与剖宫产组相比(47.8%,35.6,14.4%,2.2%),差异无统计学意义(P>0.05);顺产组新生儿高胆发生率为36.7%,剖宫产组为22.2%,两组间差异有统计学意义(P<0.05)。结论:剖宫产与顺产在对产妇盆底肌肉受损程度方面无明显差异,但是剖宫产明显增加了新生儿高胆红素血症的发生率。因此产妇在选择分娩方式的时候需要慎重,针对自身要求选择合适的分娩方式。
Objective：To explore the effect of different modes of delivery on maternal pelvic floor muscle damage and the incidence of neonatal hyperbilirubinemia.Methods：A total of 180cases with puerper in our hospital were selected as the object.According to the mode of delivery they were divided into spontaneous labor group（n=90）and cesarean section group（n=90）.Pelvic floor muscle and incidence of neonatal hyperbilirubinemia rate of two groups were observed and compared.Results：Parturient pelvic muscle strength measurements showed that in spontaneous delivery group 43.3% women had weak strength,38.9% were relatively poor,and 16.7% had favorable strength and 1.1% were in good condition.There was no significant difference in muscle strength between two groups（cesarean section group were 47.8%,35.6,14.4%,2.2%,respectively）（P0.05）.Neonatal hyperbilirubinemia incidence of spontaneous delivery group was 36.7%,and was 22.2%in cesarean section group,with significant difference between two groups（P0.05）.Conclusions：Cesarean section and vaginal delivery have similar effect on maternal pelvic floor muscle,but the cesarean can significantly increase the incidence of neonatal hyperbilirubinemia.We should choose delivery mode according to different requirement.
出处
《海南医学院学报》
CAS
2013年第9期1289-1291,共3页
Journal of Hainan Medical University
基金
中国高校医学期刊临床专项资金项目(112210793)~~
关键词
顺产
剖宫产
盆底肌肉
高血红素血症
Spontaneous delivery
Cesarean
Pelvic floor muscle
High methemoglobinemia
