摘要
目的分析本地区孕妇产后盆底评估的调查报告。方法选取80例女性为调查对象,育龄期且已生育女性20例设为生育组,孕前女性20例设为未生育组,产后42 d女性40例设为产后组。三组女性均调查基础资料,并评估盆底肌功能。对比三组盆底肌分级及产后组和生育组剖宫产及顺产后自行恢复分级情况,分析产后组年龄、胎儿体重与盆底肌分级的关系。结果未生育组0级、1级、2级、≥3级分别为0例、0例、6例、14例,生育组分别为3例、6例、4例、7例,产后组分别为11例、16例、9例、4例。生育组≥3级占比70.00%(14/20),明显高于生育组35.00%(7/20)及产后组10.00%(4/40)(P<0.05)。产后组中顺产者≥3级占比10.00%,与剖宫产15.00%比较差异无统计学意义(P>0.05);生育组中顺产者≥3级占比30.00%明显低于剖宫产60.00%(P<0.05)。产后组不同年龄段、不同胎儿体重盆底肌分级对比,差异无统计学意义(P>0.05)。结论孕妇产后盆底功能会受到一定损伤,其中盆底肌在顺产中受损程度高于剖宫产,且顺产后盆底恢复程度较剖宫产更差,临床需对产妇产后盆底肌锻炼加强宣传和教育,以提升广大女性对盆底功能的关注和重视程度。
Objective To analyze the investigation report of postpartum pelvic floor evaluation of pregnant women in this area.Methods A total of 80 women were selected as the investigation objects,20 women of childbearing age who had given birth were selected as the fertility group,20 women before pregnancy were selected as the non-fertility group,and 40 women 42 days after delivery were selected as the postpartum group.Basic data were investigated and pelvic floor muscle function was assessed in all three groups.The classification of pelvic floor muscle in the three groups and the self-recovery classification after cesarean section and vaginal delivery in the postpartum group and the birth group were compared.Results There were 0,0,6,14 cases of grade 0,1,2 and M3 in the non-fertile group,3,6,4 and 7 cases in the fertile group and 11,16,9 and 4 cases in the postpartum group,respectively.The proportion of≥3 grade in fertility group was 70.00%(14/20),which was significantly higher than that in fertility group 35.00%(7/20)and postpartum group 10.00%(4/40)(P<0.05).In the postpartum group,the proportion of vaginal delivery N grade 3 was 10.00%,which had no statistical significance compared with 15.00%of cesarean section(P>0.05).The proportion of grade 3≥30.00%in the birth group was significantly lower than that of cesarean section 60.00%(P<0.05).There was no significant difference in pelvic floor muscle grading between different age groups and different fetal weight in the postpartum group(P>0.05).Conclusion Postpartum pelvic floor function of pregnant women will be damaged to some extent,and the damage degree of pelvic floor muscle in vaginal delivery is higher than that in cesarean section,and the recovery degree of pelvic floor after vaginal delivery is worse than that in cesarean section.Clinical need to strengthen the promotion and education ofpostpartum pelvic floor muscle exercise,so as to enhance the attention and attention ofwomen to pelvic floor function.
作者
纪静
Ji Jing(Department of Obstetrics and Gynecology,Xigang Community Health Service Center,Qixia District,Nanjing,210000,China)
出处
《实用妇科内分泌电子杂志》
2022年第32期20-22,共3页
Electronic Journal of Practical Gynecological Endocrinology
关键词
孕妇
产后盆底评估
调查报告
Pregnant women
Postpartum pelvic floor assessment
Investigation report
