新医学Issue(3)：172-176,5.DOI:10.3969/g.issn.0253-9802.2015.03.009
不同分娩方式产后盆底功能障碍分析及盆底肌力与产科分娩因素的相关性分析
Incidence of pelvic floor dysfunction and correlation analysis between pelvic floor muscle strength and delivery factors among different delivery methods
杨秀华 1郭峰2
作者信息
- 1. 110001 沈阳，中国医科大学附属第一医院产科
- 2. 110001 沈阳，中国医科大学附属盛京医院急诊科
- 折叠
摘要
Abstract
Objective To investigate the incidence of pelvic floor dysfunction (PFD)and analyze the correlation between abnormal pelvic floor muscle strength and related delivery factors after different methods of delivery.Methods A total of 200 full-term pregnant women who were re-examined at 6-8 weeks after deliv-ery were enrolled in this study including 1 00 patients in the vaginal birth group and 1 00 in the cesarean delivery group.All subjects with cesarean delivery were sub-grouped into the cesarean section during labor and elective cesarean delivery groups.Pelvic floor muscle strength was measured by palpation and equipments.The inci-dence of stress urinary incontinence (SUI)and pelvic organ prolapse (POP)was observed to compare the inci-dence of PFD among different methods of delivery.Results At 6 ~8 weeks after delivery,the incidence of pelvic floor muscle fatigue and the rate of normal muscle fiber strength did not significantly differ among the va-ginal birth,cesarean section during labor and elective cesarean delivery groups (all P >0.05).Prenatal mater-nal body mass index (BMI)was correlated with typeⅠmuscle fiber (P <0.05).The overall incidence of SUI during pregnancy was 27%,and postpartum SUI total incidence was 9%.The postpartum SUI total incidence in the vaginal birth group was higher than that in the cesarean section group (P =0.01 5).The overall inci-dence of POP was 78%.The incidence of POP in the vaginal birth group was significantly higher compared with those in the cesarean section during labor group and the cesarean section group (all P <0.01 7).Conclu-sions Cesarean section fails to reduce the incidence of abnormal pelvic floor muscle strength,whereas it de-creases the incidence of SUI and POP during early postpartum.Prenatal maternal BMI is a factor correlated with postpartum pelvic floor muscle strength.Much attention should be paid to body weight control before and during pregnancy.关键词
盆底功能/Ⅰ类肌纤维/Ⅱ类肌纤维/压力性尿失禁/盆腔器官脱垂Key words
Pelvic floor function/TypeⅠmuscle fiber/Type Ⅱ muscle fiber/Stress urinary incontinence/Pelvic organ prolapsed引用本文复制引用
杨秀华,郭峰..不同分娩方式产后盆底功能障碍分析及盆底肌力与产科分娩因素的相关性分析[J].新医学,2015,(3):172-176,5.
