摘要
目的:探讨影响产后性功能障碍(FSD)的相关因素及中医综合护理的预防效果。方法:回顾性分析2012年5月—2013年10月入我院分娩的210例产妇临床资料,根据其产后FSD诊断情况分为FSD组(n=130)和正常组(n=80)两组,分析其产后FSD相关影响因素;选取2013年11月—2014年10月入院分娩的88例产妇为受试对象,随机数字表法分成常规护理组和中医综合护理组各44例,记录其产后第3个月时女性性功能评分量表(FSFI)及爱丁堡产后抑郁量表(EPDS)评估结果差异,对比其产后3个月内FSD发生情况。结果:FSD组和正常组受试者年龄、分娩前体重、文化程度等资料对比均无统计学意义(P>0.05);FSD组经产率、多胎率、顺产率、母乳喂养率、产后抑郁率、夫妻关系不睦率、吸烟率及酗酒率均显著高于正常组(P<0.05)。经多因素logistic回归分析可知,经产、多胎、顺产、母乳喂养、产后抑郁、夫妻关系不睦、吸烟、酗酒等是影响女性产后FSD的独立危险因素(P<0.05)。产后第3个月时,常规护理组FSFI评分[(63.3±7.4)分]显著低于中医综合护理组[(78.2±7.5)分],EPDS评分[(12.9±1.6)分]则显著高于中医综合护理组[(8.2±1.5)分],均P<0.05;两组产妇除性高潮障碍具有统计学意义(9.1%VS0.0%,P<0.05)外,性欲低下、阴道痉挛、性交疼痛等FSD表现对比均无统计学意义(P>0.05)。结论:有吸烟、酗酒等不良生活习惯、夫妻关系不睦、采用顺产方式分娩、产后纯母乳喂养、有产后抑郁症状的多胎经产产妇易出现产后FSD,需引起临床重视;在围术期内予以产妇中医综合护理措施,能有效降低其产后FSD风险,利于改善其产后不良情绪,于其预后恢复有利。
Objective：To discuss related influencing factors of postpartum sexual dysfunction and the preventive effect of TCM comprehensive nursing. Methods：A restrospective analysis of clinical data were carried out in 210 parturients admitted our hospital from May 2012 to October 2013,according to their postpartum FSD diagnosis,they were divided into FSD group（n=130）and the normal group（n=80）,postpartum FSD related influencing factors were analyzed;88 cases of parturients admitted our hospital from November 2013 to October 2014 were selected as subjects,they were divided by random number table into the regular nursing group and the TCM nursing group（each 44 cases）,differences in evaluation results of female sexual function rating scale（FSFI）and the edinburgh postpartum depression scale（EPDS）were recorded at third month after delivery,the occurrences of FSD three months after delivery were compared. Results：There was no significant change in data on the age of the subjects,the weight before delivery,and education level in the FSD group and the normal group（P〈0.05）;parous rates,multiembryo rate,uneventful delivery rate,breast feeding rate,postpartum depression rate,marital relationship discord rate,smoking rates and bibulosity rate in the FSD group were significantly higher than those of the normal group（P〈0.05）. Parous,multiembryo,uneventful delivery,breast feeding,postpartum depression,marital relationship discord,smoking and bibulosity are independent risk factors led to postpartum female FSD by multi factor logistic regression analysis（P〈0.05）. At third month after delivery,the FSFI score of the regular nursing group [（63.3±7.4）scores] was significantly lower than that of the TCM comprehensive nursing group [（78.2±7.5）scores],EPDS score [（12.9±1.6）scores] was significantly higher than that of the TCM comprehensive nursing group [（8.2±1.5）scores,all P〈0.05];there were significant differences in the orgasm obstacle in the two groups（9.1% VS 0.0%,P〈0.05�
出处
《辽宁中医药大学学报》
CAS
2016年第11期192-195,共4页
Journal of Liaoning University of Traditional Chinese Medicine
关键词
产后
性功能障碍
影响因素
中医
综合护理
postpartum
sexual dysfunction
influencing factors
traditional Chinese medicine
comprehensive nursing
