保健服务对会阴侧切分娩性问题影响的研究

Study on influence of health protection service on sexual problems of puerperal women undergoing perineum side-incision delivery

[目的]了解产后对产妇进行性健康宣教后各种性问题的发生率。[方法]对280例会阴侧切分娩活婴的初产妇(健康宣教组)进行产后性健康宣教及随访,与280例会阴侧切分娩活婴未进行产后性健康宣教及随访的初产妇(对照组)的产前与产后性问题调查资料进行分析。[结果]产前1年两组性问题调查资料比较差异无统计学意义,产后4个月,两组在性交疼痛、阴道干涩、阴道松弛影响性生活、性高潮障碍、性欲低下、性厌恶、会阴切口疼痛方面差异有统计学意义。对照组在产后42d左右到医院随访率为56.4%,健康宣教组为96.8%。[结论]产后对产妇进行性生活、性保健咨询、随访、治疗,使产妇更重视性生活质量,充分认识到科学性生活的重要性,进而降低了产后性问题的发生率。

Objective： To know about the influence of puerperal sex health education on incidence of sexual problems of puerperal women undergoing perineum side-incision delivery. Methods. A total of 280 primipara under- going perineum side- incision delivery and given birth to living infants were selected as health education group, and puerperal sexual health education were carried out and followed up. Another 280 primipara who didn＇t accept puerperal sexual health education were taken as control group. Then the data of prenatal and puerperal sexual problems in both groups were analyzed-and compared. Results： there was no statistical significant difference in sexual problems between both groups in one year before delivery. However, there were statistical significant differences in terms of dyspareunia, vaginal dry, vaginal relaxation influencing sex life, sexual orgasm disorder, lower sexual desire, sexual aversion and perineum incision pain of the two group primipara at four months after delivery. The rate of follow - up of control group was 56.4% at 42 days after delivery, 96.8% in health education group. Conclu- sion： Carrying out puerperal consult, follow - up and treatment on sexual health for puerpera may make them think highly of quality of sexual life and know about the importance of scientific sexual life, so as to decrease the inci- dence of puerperal sexual problems.