单胎初产妇产后性生活质量与分娩方式的相关性研究

Study on the correlation between postpartum sexual life quality and delivery modes in primiparous women with singleton pregnancy

目的研究单胎初产妇产后性生活质量与分娩方式的相关性,为临床科学选择分娩方式,改善产后性生活质量提供依据。方法选取2014年9月-2015年9月在该院住院分娩的200例单胎初产妇为研究对象,采用女性性功能指数评估量表(FSFI)分别在产后3个月、6个月及9个月时对产妇性生活质量进行评估。根据分娩方式进行分组,分为剖宫产组(80例),会阴侧切组(58例),正常产组(62例)。结果 3种分娩方式产后6个月和9个月FSFI评分均显著高于产后3个月(均P<0.05);会阴侧切产后各时间点FSFI评分均显著低于其他两种分娩方式(P<0.05);产后3个月时剖宫产组评分显著高于其他两组(P<0.05);产后9个月会阴侧切组产妇性交痛评分显著低于其他两组(P<0.05);会阴侧切组产后3个月和6个月性功能障碍发生率显著高于其他两组(P<0.05);剖宫产组和正常产组产后各时间点性功能障碍发生率比较差异无统计学意义(P>0.05)。结论剖宫产有助于产后性生活质量的早期恢复,但在产后6个月以后剖宫产组与正常产组比较没有差异,会阴侧切产后性生活质量低于其他两种分娩方式,临床应注意掌握其适应证。

Objective To research the correlation between postpartum sexual life quality and delivery modes in primiparous women with singleton pregnancy,provide a basis for scientifically selecting delivery modes and improving postpartum sexual life quality. Methods A total of 200 primiparous women with singleton pregnancy who gave birth to their babies in the hospital from September 2014 to September 2015 were selected,female sexual function index（ FSFI） was used to assess the quality of sexual life at 3,6,and 9 months after delivery. All the primiparous women were divided into cesarean delivery group（ 80 women）,episiotomy group（ 58 women）,and spontaneous labor group（ 62 women） according to delivery modes. Results In the three groups,FSFI scores at 6 and 9 months after delivery were statistically significantly higher than those at 3 months after delivery（ all P〈0.05）. FSFI scores at different time points in episiotomy group were statistically significantly lower than those in the other two groups（ P〈0.05）. FSFI score at 3 months after delivery in cesarean delivery group was statistically significantly higher than those in the other two groups（ P〈0.05）. Dyspareunia score at 9 months after delivery in episiotomy group were statistically significantly lower than those in the other two groups（ P〈0.05）. The incidence rates of sexual dysfunction at 3 and6 months after delivery in episiotomy group were statistically significantly higher than those in the other two groups（ P〈0.05）. There was no statistically significant difference in the incidence rates of sexual dysfunction at different time points between cesarean delivery group and spontaneous labor group（ P〈0.05）. Conclusion Cesarean section is helpful to early recovery of postpartum sexual life quality,but there is no statistically significant difference at 6 months after delivery between caesarean section and spontaneous labor,postpartum sexual life quality among the women undergoing episiotomy is lower than those among the women undergoing caesarean section and spontaneous labor,more attention should be paid to the clinical indications.