不同分娩方式对围绝经期女性盆底功能影响的研究

Study on the effect of different delivery modes on pelvic floor function of perimenopausal women

目的:探讨不同分娩方式对围绝经期妇女盆底功能的影响。方法:随机选择2005年9月～2009年9月该院妇保科就诊的围绝经期妇女77例,其中初产为剖宫产者36例、阴道顺产者41例,采用盆底肌力检测法、阴道检查法对盆底肌力及有无阴道萎缩进行评价并对比研究。结果:剖宫产组盆底肌力≤3分者达77.8%(28/36),≥4分者占22.2%(8/36);阴道分娩组≤3分者达78.0%(32/41),≥4分者占22.0%(9/41),差异无统计学意义(P>0.05)。而阴道萎缩率剖宫产组为38.9%(14/36),阴道分娩组17.1%(7/41),差异有统计学意义(P<0.05)。结论:两种分娩方式对围绝经期女性盆底肌力影响不明显,但阴道分娩者阴道萎缩的发生率低于剖宫产组,提示阴道分娩对围绝经期女性的阴道萎缩有一定保护作用。

Objective：To explore the effect of different delivery modes on pelvic floor function of perimenopausal women.Methods：77 perimenopausal women who went to the hospital for medical examination from September 2005 to September 2009 were selected randomly,including 36 women choosing cesarean section and 41 women choosing vaginal delivery;the pelvic floor muscle force and vaginal atrophy or not were evaluated by pelvic floor muscle force detection and vaginal examination,then the results were compared.Results：In cesarean section group,the proportions of pelvic floor muscle force≤3 and ≥4 were 78.0%（28/36） and 22.0%（8/36）,respectively;in vaginal delivery group,the proportions of pelvic floor muscle force≤3 and ≥4 were 38.9%（14/36） and 17.1%（7/41）,respectively,there was significant difference（P0.05）.Conclusion：The difference of effects of two kinds of delivery modes on pelvic floor function of perimenopausal women is not obvious,but the incidence of vaginal atrophy in vaginal delivery group is significantly lower than that in cesarean section group,which indicates that vaginal delivery plays a certain protective role in perimenopausal women.