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初产妇产后早期盆底功能障碍性疾病与分娩相关因素分析 被引量:6

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摘要 目的探讨初产妇分娩相关因素对产后早期盆底功能障碍性疾病(PFD)的影响,为临床防治提供依据。方法选取经阴道试产且产后6周复查出现盆腔脏器脱垂(POP)的初产妇93例(POP组)和经阴道试产且产后6周复查未出现POP的初产妇80例(无POP组),记录两组产科因素并进行比较。结果POP组持续性枕横位、持续性枕后位、活跃期停滞或延长、第二产程停滞或延长的发生率均明显高于无POP组[67.74%(63/93)比6.25%(5/80)、24.73%(23/93)比0、50.54%(47/93)比10.00%(8/80)、29.03%(27/93)比2.50%(2/80)],差异有统计学意义(P〈0.05)。POP组阴道助产、急产的发生率高于无POP组[30.11%(28/93)比0、8.60%(8/93)比2.50%(2/80)],顺产的发生率低于无POP组[48.39%(45/93)比83.75%(67/80)],差异均有统计学意义(P〈0.05);两组剖宫产的发生率比较差异无统计学意义(P〉0.05)。结论产时合并持续性枕横位、枕后位,活跃期停滞或延长、第二产程停滞或延长、阴道助产等是分娩损伤致产后早期PFD的主要因素。而正确识别并及时处理产程异常,避免产程延长是减少产伤致PFD的关键。
作者 邓桂霞
出处 《中国医师进修杂志》 2013年第27期41-42,共2页 Chinese Journal of Postgraduates of Medicine
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