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水中待产分娩与传统待产分娩对产妇盆底肌肌电、盆底肌压力及纤维肌力的影响
引用本文:邢忠兴,吴金梅,郭丽芳,卢娜,梁文娟.水中待产分娩与传统待产分娩对产妇盆底肌肌电、盆底肌压力及纤维肌力的影响[J].蚌埠医学院学报,2021,46(3):317-319, 324.
作者姓名:邢忠兴  吴金梅  郭丽芳  卢娜  梁文娟
作者单位:河北省沧州市妇幼保健院 产科, 061001
基金项目:河北省医学科学研究重点课题计划项目
摘    要:目的观察水中待产分娩对产妇盆底肌肌电、盆底肌压力、纤维肌力及新生儿安全性的影响。方法选取初产妇120例,随机分为水中分娩组和传统分娩组,各60例。水中分娩组产妇使用水中分娩方法进行分娩,传统分娩组采用常规待产分娩。比较2组盆底肌肌电、盆底肌压力、Ⅰ类盆底肌纤维肌力、Ⅱ类盆底肌纤维肌力、新生儿体质量、新生儿Apgar评分、盆腔器官脱垂(POP)发生率、压力性尿失禁(SUI)发生率及产程时间。结果水中分娩组产妇盆底肌肌电、盆底肌压力均明显低于传统分娩组(P < 0.01),Ⅰ类和Ⅱ类盆底肌纤维肌力均明显高于传统分娩组(P < 0.01),新生儿Apgar评分明显高于传统分娩组(P < 0.01),POP、SUI发生率均低于传统分娩组(P < 0.05)。2组产妇新生儿体质量及第一、第二、第三产程时间差异均无统计学意义(P>0.05)。结论水中待产分娩能明显降低盆底肌肌电和盆底肌压力,增强Ⅰ类、Ⅱ类盆底肌纤维肌力水平,减少对盆底功能的影响,提高新生儿的安全性。

关 键 词:水中待产分娩    盆底肌肌电    盆底肌压力    纤维肌力
收稿时间:2019-12-18

Effects of labour in water and traditional labour on pelvic floor muscle myoelectricity,pelvic floor muscle pressure and fibromuscular strength
XING Zhong-xing,WU Jin-mei,GUO Li-fang,LU Na,LIANG Wen-juan.Effects of labour in water and traditional labour on pelvic floor muscle myoelectricity,pelvic floor muscle pressure and fibromuscular strength[J].Journal of Bengbu Medical College,2021,46(3):317-319, 324.
Authors:XING Zhong-xing  WU Jin-mei  GUO Li-fang  LU Na  LIANG Wen-juan
Affiliation:Department of Obstetrics, Cangzhou Maternal and Child Health Hospital, Cangzhou Hebei 061001, China
Abstract:ObjectiveTo observe the effect of labour in water on pelvic floor muscle myoelectricity, pelvic floor muscle pressure, fibromuscular strength and neonatal safety.MethodsOne hundred and twenty primiparas were randomly divided into labour in water group and traditional labour group (60 cases in each group).The labour in water group was treated with labour in water method, while the traditional labour group was treated with conventional labour.The pelvic floor muscle myoelectricity and pressure, type Ⅰ and typeⅡ pelvic floor muscle fibromuscular strength, neonatal body weight, neonatal Apgar score, incidence of pelvic organ prolapse (POP) and stress urinary incontinence (SUI), and duration of labour were compared between the two groups.ResultsThe pelvic floor muscle myoelectricity and pressure in labour in water group were significantly lower than those in traditional labour group (P < 0.01), the type Ⅰ and typeⅡ pelvic floor muscle fibromuscular strength were significantly higher than those in traditional labour group (P < 0.01), the neonatal Apgar score was significantly higher than that in traditional labour group (P < 0.01), and the incidences of POP and SUI were lower than those in traditional labour group (P < 0.05).There was no significant difference in the body weight, duration of the first stage of labor, duration of the second stage of labour and duration of the third stage of labour between the two groups (P>0.05).ConclusionsLabour in water can significantly reduce the pelvic floor muscle myoelectricity and pressure, enhance the level of type Ⅰ and typeⅡ pelvic floor muscle fibromuscular strength, reduce the impact on pelvic floor function, and improve the safety of newborns.
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