剖宫产与阴道分娩对女性产后性功能的影响比较

Influence Comparison of the Sexual Function of the Woman After Cesarean Delivery and Vaginal Delivery

目的探讨剖宫产和阴道分娩对于女性产后性功能的影响。方法选取2014年2月~2015年5月接收的产妇108例,随机分为两组,各54例。对照组行阴道分娩,观察组行剖宫产分娩,对比两组产后恢复性生活时间、产后性交痛情况。结果观察组产后3个月恢复性生活情况为77.78%,优于对照组的51.85%,差异具有统计学意义（P〈0.05）;观察组产后3个月性交痛、产后6个月性交痛发生率分别为46.30%、18.52%,均低于对照组的88.89%、40.74%,差异具有统计学意义（P〈0.05）。结论相比于阴道分娩,剖宫产分娩可缩短产妇产后恢复性生活时间,降低产后性交痛发生率,但两种分娩方式在产后半年的性功能无差异,因此不能够将产后性功能情况作为选择剖宫产的原因。

Objective To discuss the influence of sexual function of the woman after cesarean delivery and vaginal delivery. Methods We selected 108 cases of puerperas at our hospital from February 2014 to May 2015,to randomly divided into two groups,each 54 cases. The control group was implemented by vaginal delivery,the treatment was cesarean delivery. We compared the recovery time of sexual life and dyspareunia after delivery of them. Results The recovery time of sexual life after three months of the treatment group was 77.78%,better than the 51.85% of the control,there was statistical significance（P〈0.05）. The dyspareunia after three months and six months was 46.30% and 18.52%,that was lower than the 88.89% and 40.74%,there was statistical significance（P〈0.05）. Conclusion To compared with the vaginal delivery,the cesarean delivery able significantly shorten the recovery time of sexual life,reduce the dyspareunia after delivery. There has no statistical significance of the sexual life after half year after delivery,thus cannot choose the cesarean delivery as the reason of the sexual life after delivery.