不同分娩方式对初产妇产后性功能的影响

Impact of different modes of delivery on postpartum sexual function of primiparae

目的：比较分析不同分娩方式对初产妇产后性功能的影响.方法：以我院2011年2月至2012年10月妇产科分娩的298例初产妇作为研究对象,根据其分娩方式的不同分为顺产组（75例）、会阴侧切组（109例）和剖宫产组（114例）.分别于产后3个月、6个月及9个月对所有产妇进行产后性功能情况调查,并进行比较分析.结果：①三组产妇在产后3个月和6个月的性功能评分中,其顺产组、剖宫组的总分分别与会阴侧切组相比具有统计学意义（P＜0.05）,而顺产组与剖宫组相比差异并不明显（P＞0.05）,9个月后各组评分则均无统计学意义（P＞0.05）.②各组在3个月内性功能恢复情况以顺产组和剖宫组相对较好,侧切组影响较大,各组间比较具有统计学意义（P＜0.05）,而患者大多在3~6个月期间均能恢复性功能,并在6个月后则能完全恢复,各组间差异并无统计学意义（P＞0.05）.③三组产妇产后,顺产组产妇的性频率均高于侧切组和剖宫组,而侧切组产妇产后的性频率最低,与顺产组相比差异均具有统计学意义（P＜0.05）.结论：三种分娩方式相比,顺产有助于初产妇产后性功能水平较早恢复,其次为剖宫分娩,而阴道侧切对初产妇产后性功能影响相对较大,因此建议临床多鼓励适应产妇选择顺产进行分娩.

Objectives： To observe and analyze the impact of different delivery modes on postpartum sexual function of primiparae. Method ： 298 cases of primiparae who had their delivery in our hospital during February 2011 and October 2012 were chosen as the research subjects. According to different delivery modes, the primiparae were divided into the eutocia group （75 cases）, the episiotomy group （ 109 cases） and the cesarean section group （ 114 cases）. The investigation results of postpartum sexual function of all primiparae were compared and analyzed 3 months, 6 months and 9 months after delivery. Results： （ 1 ） The total rating scores of postpartum sexual function 3 months and 6 months after delivery in the eutocia group and the cesarean section group were different from those in the episiotomy group, and the differences were statistically significant （ P 〈 0. 05）. There were no statistically sig- nificant difference between the eutocia group and the cesarean section group （ P 〉 0. 05）. The 3 groups had no statisticaUy significant difference 9 months after delivery （ P 〉 0. 05 ）. （2） 3 months after delivery, the sexual function recovery of the eutocia group and the cesarean section group was relatively better than that of the episiotomy group, and the differences between each group were statistically significant （ P 〈 0. 05）. Most patients restored their sexual function 3 to 6 months after delivery. All patients fully restored 6 months after delivery, and differences among groups were not statistically significant （P 〉 0. 05 ）. （3） The sex frequency in the eutocia group was significantly higher than that in the other 2 groups （P 〈 0.05）. The episiotomy group showed the lowest sex frequency, and the difference compared with the eutocia group was statistically significant （ P 〈 0. 05）. Conclusion： Among the 3 modes of delivery, eutocia primiparae restore their sexual function the earliest. The episiotomy primiparae restore their sexual function the latest. Eutocia is the recommended delivery mode