不同分娩方式对产后盆底功能影响及康复治疗效果的影响比较(1)
摘要：目的 探究不同分娩方式对产后盆底功能影响，对其进行康复治疗及观察效果。方法 回顾性分析本院2018年9月至2018年11月的产后5周来院复诊的300例产妇，分组为剖宫产组120例和阴道自然分娩组180例。两组产妇都有盆底肌的康复训练，比较训练前后盆底肌力与阴道压力状况。结果 比较两组产妇的盆底肌 I类肌纤维和II类肌纤维的收缩压和持续时间，发现无差异统计学意义(P>0.05);阴道自然分娩组与剖宫产组产妇的阴道压力无明显不同，差异无统计学意义(P>0.05)。但是经过盆底肌康复训练后，盆底肌力和阴道压力明显比治疗前更优。结论 剖宫产和阴道自然产这两种生产方式对盆底肌的损伤情况基本相仿，阴道压力异常情况相当。而相应的盆底肌康复训练对于改善盆底肌功能有显著作用。
关键词：剖宫产;阴道自然分娩;盆底肌;康复治疗
Comparison of effects of different modes of delivery on postpartum pelvic floor function and rehabilitation treatment
Abstract Objective To explore the effects of different modes of delivery on postpartum pelvic floor function，and to carry out rehabilitation treatment and observation. Methods A retrospective analysis of 300 cases of women who returned to the hospital from September 2018 to November 2018 in the postpartum period was divided into 120 cases of cesarean section and 180 cases of vaginal delivery. Both groups of women had rehabilitation training for the pelvic floor muscles，comparing the pelvic floor muscle strength and vaginal pressure before and after training. Results The systolic blood pressure and duration of pelvic floor muscle I and II muscle fibers of the two groups were compared. The difference was statistically significant(P>0.05). The vaginal pressure of the vaginal natural delivery group and the cesarean section was not obvious. The difference was not statistically significant(P>0.05). However，after pelvic floor muscle rehabilitation training，the pelvic floor muscle strength and vaginal pressure were significantly better than before treatment. Conclusion Both the cesarean section and the vaginal natural production have similar effects on the pelvic floor muscle injury，and the abnormal vaginal pressure is quite similar. The corresponding pelvic floor muscle rehabilitation training has a significant effect on improving pelvic floor muscle function.
Key words：cesarean section;vaginal natural delivery;pelvic floor muscle;rehabilitation therapy
分娩和懷孕是人类的正常生理过程，分娩有剖宫产和阴道自然分娩两种方式[1]，但无论哪种分娩方式都会给女性带来不良影响。有研究表明，分娩是一种独立的造成盆底肌障碍的因素。盆底肌功能对女性健康来说具有很重要的意义，因此对产妇产后盆底肌进行修复的功能性治疗就显得尤为重要。对我院2018 年9 月至2018年11月300 例的不同分娩方式产妇的盆底肌功能进行对比，并进行盆底肌的康复训练。
1资料与方法
1.1 一般资料 选取我院2018 年9月至2018年11月产后5周来院复诊的300例产妇，将其分析整理为2组：剖宫产组(120例)，年龄为23～34岁;阴道自然分娩组(180例)，年龄为22～35岁。本次资料分析研究经过了患者本人的同意。比较剖宫产组和阴道自然分娩组的年龄大小和基本临床指标等资料，无差异统计学意义(P>0.05)，具有一定的可比性。
1.2 纳入及排除标准[2] 纳入标准：①认知功能均正常的产妇;②产妇伤口无感染;③自愿进行盆底肌康复训练。排除标准：①分娩过程中使用器械助产的产妇;②心功能及精神异常的产妇;③有其他生殖系统疾病的产妇。, 百拇医药(吕桂雪 曹勋荣 张俊玲)
关键词：剖宫产;阴道自然分娩;盆底肌;康复治疗
Comparison of effects of different modes of delivery on postpartum pelvic floor function and rehabilitation treatment
Abstract Objective To explore the effects of different modes of delivery on postpartum pelvic floor function，and to carry out rehabilitation treatment and observation. Methods A retrospective analysis of 300 cases of women who returned to the hospital from September 2018 to November 2018 in the postpartum period was divided into 120 cases of cesarean section and 180 cases of vaginal delivery. Both groups of women had rehabilitation training for the pelvic floor muscles，comparing the pelvic floor muscle strength and vaginal pressure before and after training. Results The systolic blood pressure and duration of pelvic floor muscle I and II muscle fibers of the two groups were compared. The difference was statistically significant(P>0.05). The vaginal pressure of the vaginal natural delivery group and the cesarean section was not obvious. The difference was not statistically significant(P>0.05). However，after pelvic floor muscle rehabilitation training，the pelvic floor muscle strength and vaginal pressure were significantly better than before treatment. Conclusion Both the cesarean section and the vaginal natural production have similar effects on the pelvic floor muscle injury，and the abnormal vaginal pressure is quite similar. The corresponding pelvic floor muscle rehabilitation training has a significant effect on improving pelvic floor muscle function.
Key words：cesarean section;vaginal natural delivery;pelvic floor muscle;rehabilitation therapy
分娩和懷孕是人类的正常生理过程，分娩有剖宫产和阴道自然分娩两种方式[1]，但无论哪种分娩方式都会给女性带来不良影响。有研究表明，分娩是一种独立的造成盆底肌障碍的因素。盆底肌功能对女性健康来说具有很重要的意义，因此对产妇产后盆底肌进行修复的功能性治疗就显得尤为重要。对我院2018 年9 月至2018年11月300 例的不同分娩方式产妇的盆底肌功能进行对比，并进行盆底肌的康复训练。
1资料与方法
1.1 一般资料 选取我院2018 年9月至2018年11月产后5周来院复诊的300例产妇，将其分析整理为2组：剖宫产组(120例)，年龄为23～34岁;阴道自然分娩组(180例)，年龄为22～35岁。本次资料分析研究经过了患者本人的同意。比较剖宫产组和阴道自然分娩组的年龄大小和基本临床指标等资料，无差异统计学意义(P>0.05)，具有一定的可比性。
1.2 纳入及排除标准[2] 纳入标准：①认知功能均正常的产妇;②产妇伤口无感染;③自愿进行盆底肌康复训练。排除标准：①分娩过程中使用器械助产的产妇;②心功能及精神异常的产妇;③有其他生殖系统疾病的产妇。, 百拇医药(吕桂雪 曹勋荣 张俊玲)