摘要
目的探讨会阴侧切对初产妇产后阴道收缩力和性生活的影响。方法选取2015年5月至2017年1月在枣阳市第一人民医院分娩的102例初产妇为研究对象,根据不同分娩方式将其分为观察组和对照组,每组51例初产妇。观察组初产妇于分娩时行会阴侧切术,对照组初产妇行常规阴道分娩,观察两组初产妇产后阴道收缩力、性功能和性生活变化。结果产后1个月、3个月和6个月,两组初产妇阴道收缩力均呈明显递增(均P<0.05),两组初产妇阴道收缩力差异均无统计学意义(均P>0.05)。产后1个月、3个月和6个月,两组初产妇FSFI评分均呈明显递增(均P<0.05);观察组初产妇的FSFI评分均低于对照组初产妇,其差异均具有统计学意义(均P<0.05)。产后1个月,两组初产妇性生活恢复和性生活疼痛情况差异均无统计学意义(均P>0.05)。产后3个月、6个月,对照组初产妇性生活恢复率分别为64.7%和84.3%,显著高于观察组初产妇的43.1%和66.7%;对照组初产妇性生活疼痛的发生率分别为33.3%和15.7%,明显低于观察组初产妇的52.9%和35.3%,其差异均具有统计学意义(均P<0.05)。结论会阴侧切对初产妇产后阴道收缩力恢复无明显影响,可以引起产后性功能下降,不利于性生活恢复,因此应当尽量限制其应用。
Objective To investigate the effect of lateral episiotomy on the postpartum vaginal contractility and sexual life of primipara. Methods 102 primiparous women delivered in Zaoyang the First People′s Hospital from May 2015 to January 2017 were divided into observation group(51 cases) and control group(51 cases) according to different delivery methods. The observation group received lateral episiotomy and conventional vaginal delivery was adopted in the control group. Changes in postpartum vaginal contractility, sexual function and sexual life were observed in the two groups. Results The vaginal contractility of the two groups was significantly increased(all P<0.05) at the first, third and sixth month after delivery, without statistically significant difference between the two groups. The FSFI score of the two groups was significantly increased at the first, third and sixth month after delivery(all P<0.05), and the FSFI scores of the observation group were significantly lower than these in the control group, with statistically significant differences(all P<0.05). There was no significant difference in the recovery of sexual life and sexual life pain between the two groups at the first month after delivery(all P>0.05). The recovery rate of sexual life was 64.7% and 84.3% in the control group at the third and sixth month after delivery respectively, which was significantly higher than that in the observation group of 43.1% and 66.7%, with statistically significant difference(P<0.05). The incidence of sexual life pain was 33.3% and 15.7% in the control group at the third and sixth month respectively, which was significantly lower than that in the observation group of 52.9% and 35.3%, with statistically significant difference(P<0.05). Conclusions Lateral episiotomy has no obvious effect on the recovery of postpartum vaginal contractility, but can cause postpartum sexual function decline, which is not conducive to the recovery of sexual life, so its application should be limited in clinical.
作者
祁元琴
吴颖
QI Yuanqin;WU Ying(Department of Obstetrics, Zaoyang the First People's Hospital, Xiangyang 441200, Hubei, China;Department of Obstetrics,Xiangyung Central Hospital,Xiangyung 441021,Hubei,China)
出处
《中国性科学》
2019年第4期88-90,共3页
Chinese Journal of Human Sexuality
关键词
初产妇
会阴侧切
阴道收缩力
性生活
Primipara
Lateral episiotomy
Vaginal contractility
Sexual life
