摘要
目的 比较早期盆底肌康复治疗对剖宫产与阴道自然分娩产妇产后盆底康复、性功能的影响.方法 选取浙江省台州医院妇产科2018年1-12月分娩的产妇93例为研究对象,按照分娩方式分为剖宫产组和阴道分娩组,其中剖宫产组53例,阴道分娩组40例,对两组产妇进行早期盆底肌康复治疗.通过盆底肌压力和肌纤维收缩力评估产妇的盆底康复水平,通过性功能状况评分评价产妇的性功能水平.结果 治疗前,两组产妇Ⅰ类肌纤维的持续收缩压[(28.14 ±3.03)cmH2 O比(27.66 ±3.14)cmH2 O]、Ⅰ类肌纤维的持续时间[(9.54 ±1.04)s比(9.66 ±1.00) s]、Ⅱ类肌纤维的快速收缩压[(48.14 ±3.03) cmH2 O比(47.66 ± 3.14)cmH2O]、Ⅱ类肌纤维的收缩个数[(2.54 ±1.04)个比(2.66 ±1.00)个]差异均无统计学意义(t =0.401、0.312、2.401、0.324,均P>0.05);治疗后,两组产妇Ⅰ类肌纤维的持续收缩压、Ⅰ类肌纤维的持续时间、Ⅱ类肌纤维的快速收缩压、Ⅱ类肌纤维的收缩个数差异均有统计学意义( t=10.642、10.214、10.672、10.254,P<0.05);干预前两组产妇的静息压和盆底收缩压差异均无统计学意义(均P>0.05),经过干预,两项指标都升高,与治疗前差异均有统计学意义(t=12.093、14.152,均P<0.05),且剖宫产组干预后静息压和盆底收缩压均高于阴道分娩组,差异均有统计学意义( t=11.642、10.234,均P<0.05);对比干预前,剖宫产组性功能各项指标和总分均优于阴道分娩组,差异均有统计学意义( t=15.401、17.312、19.645、19.401、17.312,均P<0.05);干预后,两组产妇性功能指标和总分均提高,且两组产妇相比差异均无统计学意义(t=0.642、1.214、0.468、0.668、0.068,均P>0.05).结论 早期盆底康复治疗有利于产妇盆底康复和性功能的提升,且对剖宫产产妇效果更明显.
Objective To observe the effect of early pelvic floor muscle rehabilitation on postpartum pelvic floor rehabilitation and sexual function in different delivery methods.Methods Ninety-three parturient women who admitted to the Department of Obstetrics and Gynecology in Taizhou Hospital from January 2018 to December 2018 were divided into cesarean section group (53 cases) and vaginal delivery group (40 cases) according to the mode of delivery.Early pelvic floor muscle rehabilitation was performed in both two groups.Maternal pelvic floor rehabilitation was assessed by pelvic floor muscle pressure and muscle fiber contraction ,and maternal sexual function was assessed by sexual function status score.Results Before treatment,the sustained systolic blood pressure of type Ⅰ muscle fibers[(28.14 ±3.03)cmH2 O vs.(27.66 ±3.14)cmH2 O],the duration of type Ⅰ muscle fibers[(9.54 ±1.04)s vs.(9.66 ±1.00) s], the rapid systolic blood pressure of type Ⅱ muscle fibers [( 48.14 ±3.03 ) cmH2 O vs. (47.66 ±3.14)cmH2 O],and the contraction of type Ⅱmuscle fibers[(2.54 ±1.04) vs.(2.66 ±1.00)] had no statistically significant differences between the two groups ( t =0.401,0.312,2.401,0.324,all P>0.05).After treatment,the sustained systolic blood pressure of type Ⅰ muscle fibers, duration of type Ⅰ muscle fibers, rapid systolic blood pressure of type Ⅱmuscle fibers,and the contraction of type Ⅱmuscle fibers had statistically signifi-cant differences between the two groups (t=10.642,10.214,10.672,10.254,all P<0.05).There were no statisti-cally significant differences in resting pressure and pelvic systolic pressure between the two groups before intervention (all P>0.05).After intervention,both two indicators were elevated ,and the differences were statistically significant compared with before treatment (t=12.093,14.152,all P<0.05).The resting pressure and pelvic systolic pressure in the cesarean section group were higher than those in the vaginal delivery group ,the differences were statistically significant (t=11.642,10.234,all P<0.05).Compared with before intervention ,the indicators and total scores of sexual function in the cesarean section group were better than those in the vaginal delivery group ,the differences were statistically significant (t=15.401,17.312,19.645,19.401,17.312,all P<0.05).After intervention,the maternal sexual function indicators and total score in the two groups were increased ,and the differences between the two groups were not statistically significant (t=0.642,1.214,0.468,0.668,0.068,all P>0.05).Conclusion Early pelvic floor rehabilitation is beneficial to the recovery of pelvic floor and sexual function .
作者
朱莉
陈玲萍
张盼兮
祁锋
Zhu Li;Chen Lingping;Zhang Panxi;Qi Feng(Department of Gynecology,Taizhou Hospital,Linhai,Zhejiang 317000,China)
出处
《中国基层医药》
CAS
2019年第24期2957-2960,共4页
Chinese Journal of Primary Medicine and Pharmacy
基金
浙江省医药卫生科技计划项目(2018KY893)。
关键词
骨盆底
医院
康复
剖宫产术
自然分娩
Pelvic floor
Hospitals,convalescent
Cesarean section
Natural childbirth
