摘要
目的探讨剖宫产与经阴道顺产对初产妇盆底功能的影响。方法回顾性分析柘城县人民医院2020年1月至2021年1月收治的100例顺利分娩的产妇临床资料。根据产妇分娩方式将其分为剖宫产组(n=46)和经阴道顺产组(n=54)。比较两组产妇产后盆腔器官脱垂(POP)、盆底超声参数、盆底肌值、盆底肌力分级及压力性尿失禁(SUI)情况。结果经阴道顺产组产妇产后子宫脱垂率(33.33%)、阴道前壁脱垂率(87.04%)及阴道后壁脱垂率(59.26%)均高于剖宫产组(15.22%、58.70%、30.43%),差异有统计学意义(P<0.05);两组产妇盆底超声Mu、Br、Bs、Ar、As和θ指标值比较,差异无统计学意义(P>0.05);两组产妇盆底Ⅰ、Ⅱ类肌纤维肌电值比较,差异无统计学意义(P>0.05);两组产妇产后盆底肌力分级情况、肌力良好率(45.65%,44.44%)、SUI发生率比较(28.26%,29.63%),差异均无统计学意义(P>0.05)。结论剖宫产与经阴道顺产对初产妇产后盆底肌力及压力性尿失禁的影响无明显差异,但剖宫产可降低产后盆腔器官脱垂发生率,有助于提高产妇产后生活质量。
Objective To investigate the influence of cesarean section and vaginal delivery on pelvic floor function of primiparas.Methods A retrospective analysis of the clinical data of 100 parturients admitted to the Zhecheng County People’s Hospital from January 2020 to January 2021 was performed.According to the maternal delivery method,they were divided into cesarean section(n=46)and vaginal delivery(n=54).The postpartum pelvic organ prolapse(POP),pelvic floor ultrasound parameters,pelvic floor muscle values,pelvic floor muscle force grade and stress urinary incontinence(SUI)were compared between the two groups.Results The rates of postpartum uterine prolapse(33.33%),anterior vaginal wall prolapse(87.04%)and posterior vaginal wall prolapse(59.26%)of the vaginal delivery group were higher than those of the cesarean group(15.22%,58.70%,30.43%)(P<0.05).There was no statistical difference between the two groups of maternal pelvic floor ultrasound Mu,Br,Bs,Ar,As andθindex(P>0.05).There was no statistical difference in the EMG values of pelvic floor muscle fibers of the two groups of puerperaⅠandⅡ(P>0.05).There was no statistical difference between the two groups of maternal postpartum pelvic floor muscle strength classification,good muscle strength rate(45.65%,44.44%)and SUI incidence rate(28.26%,29.63%)(P>0.05).Conclusion There is no statistical difference between cesarean section and vaginal delivery on the postpartum pelvic floor muscle strength and stress urinary incontinence of primiparas,but cesarean section can reduce the incidence of pelvic organ prolapse,which helps to improve the postpartum quality of life.
作者
周悦
ZHOU Yue(Obstetrics 1 Ward,Zhecheng County People’s Hospital,Zhecheng 476200,China)
出处
《河南医学研究》
CAS
2021年第36期6815-6818,共4页
Henan Medical Research
关键词
分娩方式
剖宫产
经阴道顺产
产后
盆底功能障碍
mode of delivery
cesarean section
vaginal delivery
postpartum
pelvic floor dysfunction
