摘要
目的 探讨新产程标准中第二产程与产妇肛提肌损伤的相关性。方法 选取2019年6月至2020年6月本院收治的40名第二产程≥3 h的初产妇作为研究组,另选取40名第二产程<3 h的初产妇作为对照组,采用产后三维超声检查两组肛提肌的形态及功能。两组均进行盆底生物电刺激联合盆底肌康复治疗,评估治疗3个月后的临床疗效;采用三维超声评价两组肛提肌损伤情况,采用Pearson相关分析新产程标准下第二产程与肛提肌损伤的相关性。结果 研究组肛提肌损伤程度优于对照组,差异有统计学意义(P<0.05);研究组阴道静息压(VRP)、阴道收缩压(VSP)水平均高于对照组,收缩持续时间均长于对照组,差异有统计学意义(P<0.05)。双变量Pearson直线相关分析结果显示,产妇第二产程与VRP、VSP水平及收缩持续时间呈正相关(r>0,P<0.05)。结论 新产程标准中第二产程与产妇肛提肌损伤呈正相关,临床可通过早期盆底生物电刺激联合盆底肌康复等相关治疗增强治疗效果,促进肛提肌损伤恢复。
Objective To explore the correlation between the length of the second stage of labor and levator ani muscle injury in the new labor standard.Methods 40 primiparas with the second stage of labor ≥3 h in our hospital from June 2019 to June 2020 were selected as the study group,and another 40 primiparas with the second stage of labor 0,P<0.05).Conclusion The length of the second stage of labor is positively correlated with levator ani muscle injury in the new standard of labor,early pelvic floor bioelectrical stimulation combined with pelvic floor muscle rehabilitation can improve the therapeutic effect and promote the recovery of levator ani muscle injury.
作者
张小林
程显
赵琦
岳涛
杨敏
ZHANG Xiaolin;CHENG Xian;ZHAO Qi;YUE Tao;YANG Min(Department of Obstetrics and Gynecology,Jiujiang Maternal and Child Health Hospital,Jiujiang,Jiangxi,332000,China)
出处
《当代医学》
2022年第18期41-43,共3页
Contemporary Medicine
基金
江西省卫生健康委科技计划(SKJP220200283)。
关键词
新产程标准
第二产程
肛提肌损伤
相关性
New labor standard
Second stage of labor
Levator ani muscle injury
Correlation
