不同分娩方式对产妇产后性功能的影响

Effects of different delivery modes on postpartum sexual function of parturient

目的:分析和探讨将不同分娩方式应用于产妇对其产后性功能的影响。方法:选择2015年3月~2017年3月在大冶市人民医院分娩的84例产妇作为临床研究病例,根据分娩方式不同将其分成两组。对照组42例,给予阴道分娩进行生产;观察组42例,采用剖宫产方式生产。比较两组产妇产后盆底肌力评分、性生活恢复时间和性功能评分。结果:产后3个月观察两组情况,观察组产妇性生活恢复率69.05%、盆底肌力评分(4.13±0.96)分、性欲(5.33±0.92)分、性高潮(10.98±1.31)分、性唤起(10.86±1.23)分、阴道润滑情况(15.98±1.56)分、性交疼(6.82±1.45)分、性满意度(8.25±1.32)分,对照组产妇性生活恢复率(42.86%)、盆底肌力评分(3.29±0.34)分、性欲(3.56±0.04)分、性高潮(7.76±1.32)分、性唤起(6.63±1.24)分、阴道润滑情况(12.66±1.43)分、性交疼(3.28±1.29)分、性满意度(5.76±1.97)分。观察组产妇各项评分均明显优于对照组,其差异均具有统计学意义(均P<0.05)。两组产妇产后6个月性生活恢复率、盆底肌力评分和性生活各项指标评分比较,其差异均无统计学意义(均P>0.05)。结论:产后初期阴道分娩方式对女性的性功能影响高于剖宫产方式,但随着时间推移,两种分娩方式对产妇性功能影响均恢复正常且差异无统计学意义(P>0.05)。

Objective： To analyze and explore the impact and evaluation of different delivery modes on clinical efficacy,and to study the effect on the sexual function of puerpera. Methods： 84 pregnant woman in Daye People＇s Hospital from March 2015 to March 2017 were selected and,according to different delivery modes,were divided into two groups. The control group（ n = 42） received vaginal delivery,and the observation group（ n = 42） received cesarean section. The postpartum pelvic floor muscle strength score,sexual life recovery time and sexual function score of the two groups were compared. Results： At three months after delivery,the sexual recovery rate（ 69. 05%）,pelvic floor muscle strength score（ 4. 13 ± 0. 96）,sexual desire（ 5. 33 ± 0. 92）,orgasm（ 10. 98 ±1. 31）,sexual arousal（ 10. 86 ± 1. 23）,vaginal lubrication（ 15. 98 ± 1. 56）,sexual intercourse pain（ 6. 82 ±1. 45）,and sexual satisfaction（ 8. 25 ± 1. 32） in the observation group were significantly better than those in the control group [sexual recovery rate（ 42. 86%）,pelvic floor muscle strength score（ 3. 29 ± 0. 34）,sexual desire（ 3. 56 ± 0. 04）,orgasm（ 7. 76 ± 1. 32）,sexual arousal（ 6. 63 ± 1. 24）,vaginal lubrication（ 12. 66 ± 1. 43）,sexual intercourse pain（ 3. 28 ± 1. 29）,sexual satisfaction（ 5. 76 ± 1. 97） ],and the differences were statistically significant（ P〈0. 05）. There were no significant differences in sexual life recovery rate,pelvic floor muscle strength score and indicators of sexual life between the two groups at six months after delivery（ P〉〈0. 05）. Conclusions：The effect of vaginal delivery on female sexual function is higher than that of cesarean section at early stage after delivery. However,the effects of the two delivery modes on sexual function decreased over time without significant difference（ P〉0. 05）.