不同分娩方式对产妇盆底支持组织功能所产生的近期影响

目的分析并评价产科相关因素以及采取不同的分娩方式对产妇近期盆底支持组织功能产生的影响。方法将2009年12月至2011年6月期间收治的122例分娩的健康初产妇按分娩方式分为阴道分娩组73例与剖宫产组49例,使用女性尿失禁临床症状调查问卷在产妇分娩后的6～8周进行调查。结果阴道分娩组与剖宫产组在分娩前压力性尿失禁的发生率分别为18%和15%,两组的压力性尿失禁发生率相比,差异无统计学意义(P0.05);阴道分娩组与剖宫产组在分娩后压力性尿失禁的发生率分别为21%和10%,两组分娩后压力性尿失禁的发生率相比差异也无统计学意义(P0.05);妊娠晚期压力性尿失禁是产后压力性尿失禁发生的高危因素。剖宫产组产妇的右侧活力值、功值以及两侧功值的平均值均高于阴道分娩组,两组比较差异有统计学意义(P0.05);剖宫产组产妇的两侧活力值差值低于阴道分娩组,两组比较差异有统计学意义(P0.05);在阴道分娩组产妇中,压力性尿失禁者左侧活力值与峰值均小于无压力性尿失禁者,两组比较差异均有统计学意义(P均0.05);无压力性尿失禁者两侧速度值差值低于压力性尿失禁者,两者比较差异有统计学意义(P0.05)。结论阴道分娩组产妇在分娩后的压力性尿失禁的发生率与剖宫产组产妇的发生率相似;产科的相关因素能够对产妇产后尿失禁的发生率以及产妇盆底肌肉的收缩与舒张能力产生一定的影响。

Different mode of delivery on maternal pelvic floor support the immediate impact of the organizational functions

Objective To analyze and evaluate the relevant factors of the obstetric and take a different mode of delivery on maternal recent pelvic floor to support the impact of organizational functions.Methods Obstetrics and Gynecology,hospital admitted 122 cases of deliveries from December 2009 to June 2011,healthy primipara delivery mode is divided into 49 cases,73 cases of vaginal delivery group and caesarean section,the use of female urinary incontinence clinical symptoms questionnaire in six to eight weeks after the maternity investigation.Results The incidence of vaginal delivery group and caesarean section before giving birth,stress urinary incontinence were 18% and 15%,compared to two groups of stress urinary incontinence incidence,no significant difference(P > 0.05);vaginal delivery group and cesarean section groups the incidence of stress urinary incontinence after delivery were 21% and 10%,compared two groups of stress urinary incontinence after childbirth the incidence of late pregnancy there is no significant difference(P > 0.05);stress incontinence is the high risk factors of postpartum stress urinary incontinence.Value of the right side of the section group maternal vitality,energy value and the average value of both sides of the power higher than the vaginal delivery group,the difference was significant(P <0.05);vitality value of caesarean section on both sides of the maternal value lower than the vaginal delivery group,the difference was significant(P <0.05);stress urinary incontinence in the vaginal delivery group maternal value of the left side of vitality and peak were less than stress urinary incontinence,the difference were significantly(P <0.05);stress urinary incontinence,the difference between the both sides of the speed value lower than the stress urinary incontinence,the difference between the two significant(P <0.05).Conclusion The incidence of vaginal delivery group maternal stress urinary incontinence after childbirth,the incidence of caesarean section mothers;obstetric factors to the incidence of postpartum urinary incontinence and maternal pelvic floor muscle contraction and relaxation the ability to have a certain impact.