产后早期盆底肌康复治疗对不同分娩方式产妇盆底康复效果与性功能的影响

Effect of early postpartum pelvic floor muscle rehabilitation therapy on pelvic floor rehabilitation and sexual function of women choosing different delivery modes

目的研究产后早期盆底肌康复治疗对不同分娩方式产妇盆底康复效果与性功能的影响。方法选取76例在产后5周复诊的产妇,包括42例剖宫产,34例阴道分娩。对两组产妇进行盆底肌康复训练,比较两组治疗前后盆底肌力及性功能状况。结果治疗后,剖宫产组的I类肌纤维的持续收缩压、持续时间及II类肌纤维的快速收缩压、收缩个数和阴道产组比较无统计学差异(P>0.05)。治疗后,剖宫产产妇的静息压[(48.21±4.55)cmH2O]明显高于阴道产组[(37.54±3.12)cmH2O],差异具有统计学意义(P<0.05),剖宫产组的盆底收缩压[(48.78±4.21)cmH2O]和阴道产组[(47.97±4.18)cmH2O]比较无明显统计学差异(P>0.05)。剖宫产组在治疗后的性欲程度、性高潮状况、阴道润滑状况、性满意度及性功能总分较阴道产组无统计学差异(P>0.05)。结论不同分娩方式产妇在产后采取早期盆底肌康复治疗,均能有效改善产妇在产后的盆底肌功能及性功能。

Objective To research the effect of early postpartum pelvic floor muscle rehabilitation therapy on pelvic floor rehabilitation and sexual function of women choosing different delivery modes. Methods Seventy-six postpartum women receiving subsequent visit at 5 weeks after delivery were selected, including 42 women undergoing cesarean section and 34 women choosing vaginal delivery. The women in the two groups underwent pelvic floor muscle rehabilitation therapy, the pelvic floor muscle strength and sexual function before and after treat- ment in the two groups were compared. Results After treatment, there was no statistically significant difference in continuous systolic blood pressure and duration time of type 1 muscle fiber, rapid systolic blood pressure and contraction number of type II muscle fiber between cesarean section group and vaginal delivery group （P〉0. 05） ; resting pressure in cesarean section group was （48.21 ±4. 55 ） emil20, which was statistically significantly higher than that in vaginal delivery group [ （37.54±3.12） emil20] （P〈0. 05）, there was no statistically sig- nificant difference in pelvic floor systolic pressure between cesarean section group [ （48.78±4. 21 ） emH20] and vaginal delivery group [ （47.97±4. 18） cmHzO] （P〉0. 05）; there was no statistically significant difference in degree of sexual desire, orgasm, vaginal lubrica- tion, sexual gratification, and the total score of sexual function between cesarean section group and vaginal delivery group （ P〉0. 05 ） . Conclusion Early postpartum pelvic floor muscle rehabilitation therapy can effectively improve pelvic floor muscle function and sexual function of women choosing different delivery modes.