威海地区4935例产妇盆底功能检测分析

Assessment on pelvic floor muscle function for 4935 postpartum women in Weihai City

目的：了解威海地区产后妇女盆底功能的情况及其影响因素。方法选取产后6～8周复查的妇女4935例，详细询问病史并记录、进行常规的妇科检查及盆底功能检测。结果盆底Ⅰ类肌纤维功能受损占34.2％，年龄、分娩方式及是否存在盆底器官脱垂和不同产次对产后6～8周的盆底Ⅰ类肌纤维功能有影响；盆底Ⅱ类肌纤维功能受损占39.2％，分娩方式、是否存在盆底器官脱垂和孕次对产后6～8周的盆底Ⅱ类肌纤维功能有影响。结论产后妇女普遍存在盆底肌肉功能受损状况，尤其对是阴道分娩及有盆腔器官脱垂者，应及早进行干预，促进盆底组织功能恢复。

Objective ToassesspelvicfloormusclefunctioninpostpartumwomeninWeihaiCity. Methods A total of 4935 women who were followed-up after 6-8 weeks after delivery were investigated.Detailed medical history was obtained,and regular pelvic examination and pelvic floor functional testing were performed. Results There were 34.2% of women who had impaired functions with pelvic floor I class muscle fibers.Age,delivery mode,prolapsed pelvic organ and parties were associated with impaired functions of pelvic floor muscle for in women 6 - 8 weeks after delivery.There were 39.2%of women who had impaired functions with pelvic floor II class muscle fibers.Delivery mode, prolapsed pelvic organ and gravidities were associated with impaired functions of pelvic floor II class muscle fiber in women after 6-8 weeks of delivery. Conclusion Impaired pelvic floor muscle function was common among postpartum women, especially among the women with vaginal delivery and prolapsed pelvic organ.