前置胎盘合并胎盘植入孕妇产后性功能的恢复观察

目的:研究前置胎盘合并胎盘植入孕妇产后性功能的恢复观察。方法:收集我院2015年8月至2016年8月分娩的明确诊断为前置胎盘初产妇120例的临床资料,其中前置胎盘合并胎盘植入组60例设置为观察组,前置胎盘非合并胎盘植入组60例设置为对照组,对比分析两组病例产后45d、3、6个月的性生活恢复占比、性交痛情况、性生活满意度和产后的生活质量评分。结果:观察组患者剖宫产率显著高于对照组(P0.05);观察组产后45d、3个月的性生活恢复比例均高于对照组,经统计学分析差异具有显著性(P0.05)。两组产后6个月的性生活恢复比例比较差异不显著(P0.05)。观察组产后45d、3个月的产后性交痛发生率均低于对照组,经统计学分析差异具有显著性(P0.05)。两组产后6个月的性交痛发生率比较差异不显著(P0.05)。观察组产后45d、3个月的产后性生活满意程度均高于对照组,经统计学分析差异显著(P0.05)。两组产后6个月的性生活满意程度比较差异不显著(P0.05)。观察组的产后生活质量评分均高于对照组,经统计学分析差异均具有显著性(P0.05)。结论:产后3个月内,前置胎盘合并胎盘植入组和前置胎盘非合并胎盘植入组对女性产后性功能影响有显著差异,两者在产后6个月对性功能影响无显著差异,后者比前者的生活质量更高。

Observation on recovery of postpartum sexual function of pregnant woman with placenta previa combined with placenta implantation

Objectives:To study the recovery of postpartum sexual function of pregnant woman with placenta previa combined with placenta implantation.Methods:The clinical data of 120 primiparae in our hospital from August 2015 to August 2016 was collected,including 60 cases of placenta previa combined with placenta implantation,who were set as observation group,and the other 60 cases were set as control group.Comparative analysis was conducted in the recovery of sexual life at postpartum 45d,3 and 6 months,sexual pain,sexual satisfaction,and score of quality of postpartum life.Results:The recovery rate of sexual life at postpartum 45d,3 months in the observation group was higher than that of the control group,with statistically significant difference (P ＜ 0.05) but difference in the recovery rate of postpartum sexual life at postpartum 6 months was not significant (P ＞ 0.05).The incidence of sexual pain in the observation group was lower than that in the control group at postpartum 45 days and 3 months,with statistically significant difference (P ＜ 0.05).There was no significant difference in incidence rate of sexual pain between the two groups at postpartum 6 months (P ＞ 0.05).The postpartum sexual satisfaction in the observation group 45 days and 3 months after delivery were higher than those of the control group,with statistically significant difference (P ＜ 0.05).There was no significant difference in the postpartum sexual satisfaction between the two groups at postpartum 6 months (P ＞ 0.05).The scores of quality of postpartum life in the observation group was higher than that of the control group,with statistically significant difference (P ＜ 0.05).Conclusion:Difference in the postpartum sexual function between patients with and without placenta previa complicated by placenta implantation is significant within postpartum 3 months,but such difference is not significant at postpartum 6 months,while the quality of postpartum life is higher for the latter.