产后妇女盆底肌功能的影响因素研究

The influence factors of the pelvic floor muscle function among postpartum women

目的了解产后妇女盆底肌功能的主要影响因素。方法选取2013年在江西省广丰县妇幼保健院分娩的1 290例产后妇女进行盆底肌功能检测,并进行问卷调查,分析年龄、产次、分娩方式、新生儿体重与盆底肌功能的关系。结果产后妇女盆底肌功能良好者205例(15.89%)、盆底肌功能低下者1 040例(80.62%),无盆底肌功能者45例(3.49%);低龄组盆底肌功能良好率高于高龄组(P﹤0.05);剖宫产组盆底肌功能状况优于阴道分娩组(P﹤0.05)。结论年龄和分娩方式是产后妇女盆底肌功能的影响因素,应针对未达到肌力标准者开展盆底肌功能康复治疗。

Objective To explore influence factors of the pelvic floor muscle function among postpartum women. Methods1 290 postpartum women in Guangfeng County Maternal and Child Health Hospital during 2013 were examined the pelvic floor muscle function and conducted questionnaire. The relationship between maternal age,production time,delivery mode,birth weight and the pelvic floor muscle function were analyzed. Results There were 205 postpartum women（ 15. 89 %） of good pelvic floor muscle function,1 040 postpartum women（ 80. 62 %） of pelvic floor muscle dysfunction,and 45 postpartum women（ 3. 49 %） of pelvic floor muscle non- function. The ratio of good pelvic floor muscle function in low age group was higher than that of high age group（ P ﹤0. 05）,the pelvic floor muscle function of cesarean section group was better than that of vaginal delivery group（ P ﹤ 0. 05）.Conclusion The maternal age and delivery mode are influence factors of the pelvic floor muscle function among postpartum women,it should carry out the recovery treatment on postpartum women of pelvic floor muscle dysfunction or non- function.