[1]陆 娟,卢迎宁.会阴侧切及自然裂伤对初产妇第二产程及产后盆底功能的影响[J].医学信息,2020,33(21):107-108.[doi:10.3969/j.issn.1006-1959.2020.21.032]
　LU Juan,LU Ying-ning.The Effect of Perineal Lateral Incision and Natural Laceration on Primipara’s Second Stage of Labor and Postpartum Pelvic Floor Function[J].Medical Information,2020,33(21):107-108.[doi:10.3969/j.issn.1006-1959.2020.21.032]
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会阴侧切及自然裂伤对初产妇第二产程及产后盆底功能的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年21期
页码:
107-108
栏目:
临床研究
出版日期:
2020-11-01

文章信息/Info

Title:
The Effect of Perineal Lateral Incision and Natural Laceration on Primipara’s Second Stage of Labor and Postpartum Pelvic Floor Function
文章编号:
1006-1959（2020）21-0107-02
作者:
陆 娟; 卢迎宁
（解放军联勤保障部队第九六七医院妇产科，辽宁 大连 116000）
Author(s):
LU Juan; LU Ying-ning
(Department of Obstetrics and Gynecology,the 967th Hospital of the Joint Service Support Force of the People’s Liberation Army,Dalian 116000,Liaoning,China)
关键词:
会阴侧切; 自然裂伤; 产程; 盆底肌力
Keywords:
Perineum lateral incision; Natural laceration; Labor; pelvic floor muscle strength
分类号:
R71
DOI:
10.3969/j.issn.1006-1959.2020.21.032
文献标志码:
A
摘要:
目的 观察会阴侧切以及自然裂伤对初产妇第二产程、产后性功能、盆底肌力和肌电位的影响。方法 选取2018年5月~2019年5月在我院分娩的92例初产妇为研究对象，采用随机数字表法分为对照组和观察组，各46例，对照组分娩时行会阴侧切术，观察组分娩时会阴自然裂伤，比较两组产妇第二产程时间、产后性功能、盆底肌力和肌电位及并发症发生情况。结果 两组第二产程时间比较，差异无统计学意义（P＞0.05）；观察组产妇产后性功能各维度评分均高于对照组（P＜0.05）；两组盆底肌电位比较，差异无统计学意义（P＞0.05）；观察组盆底肌力分级0级、1级分布率均低于对照组，2级、3级、4级分布率高于对照组（P＜0.05）；观察组产后并发症发生率为6.52%，低于对照组的15.21%（P＜0.05）。结论 会阴侧切并未加快第二产程，且对盆底神经和盆底肌肉的损伤程度较自然裂伤更大，容易引发产后性生活障碍和会阴伤口疼痛，临床应严格掌握会阴侧切分娩指征，最大化降低产妇产后并发症。
Abstract:
Objective To observe the effects of perineum lateral incision and natural laceration on the second stage of labor, postpartum sexual function, pelvic floor muscle strength and muscle potential of primipara.Methods A total of 92 primiparas who gave birth in our hospital from May 2018 to May 2019 were selected as the research objects. They were divided into a control group and an observation group by a random number table method, each with 46 cases. The control group underwent lateral episiotomy during delivery. Observe the natural laceration of the perineum during childbirth, and compare the time of the second stage of labor, postpartum sexual function, pelvic floor muscle strength and muscle potential, and complications of the two groups.Results There was no statistically significant difference in the time of the second stage of labor between the two groups (P＞0.05); the scores of all dimensions of postpartum sexual function of the observation group were higher than those of the control group (P＜0.05); There was no statistically significant difference in myoelectric potential (P＞0.05); the distribution rates of pelvic floor muscle strength grade 0 and 1 in the observation group were lower than those in the control group, and the distribution rates of grade 2, 3 and 4 were higher than those in the control group(P＜0.05); the incidence of postpartum complications in the observation group was 6.52%, which was lower than 15.21% in the control group(P＜0.05).Conclusion Lateral perineal incision did not speed up the second stage of labor, and the damage to pelvic floor nerves and muscles was greater than that of natural lacerations, which was likely to cause postpartum sexual life disorder and perineal wound pain. Clinically, the clinical indications for perineal lateral incision should be strictly controlled. Minimize the postpartum complications of the parturient.

参考文献/References:

[1]陈琳,况华进,樊秦娥.自然裂伤与分娩中会阴侧切对初产妇盆底功能的影响[J].中国性科学,2017,26(5):66-68.[2]蒋跃青.无保护会阴自然阴道分娩与常规阴道分娩效果比较[J].国际妇产科学杂志,2015(22):143.[3]江江,彭娟,董旭东.女性盆底功能障碍性疾病高危因素及康复治疗效果研究[J].中国妇幼保健,2016,(31):1835-1837.[4]陈思,叶宇齐,王静,等.经阴道分娩结局与会阴侧切的临床分析[J].中国计划生育和妇产科,2016(8):17-19.[5]董凤婵.初产妇分娩中会阴侧切与自然裂伤对产妇盆底功能影响的比较[J].国际医药卫生导报,2016(22):485-487.

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更新日期/Last Update: 1900-01-01