不同分娩方式对产后压力性尿失禁的影响和康复治疗的有效性研究

The Effect of Different Delivery Methods on Postpartum Stress Urinary Incontinence and the Effectiveness of Rehabilitation

目的评析初产妇应用不同分娩方法(剖宫产、阴道分娩)对其压力性尿失禁的影响,研究康复治疗压力性尿失禁的价值。方法选取2017年7月31日至2019年7月31日我院接诊的初产妇80例,分组方法为随机数字表法,将产妇划分为2小组,剖宫产组和阴道分娩组各为40例。剖宫产组产妇采用剖宫产的方法进行分娩,阴道分娩组产妇则采用了常规的阴道分娩方法进行分娩。将两组产妇的尿失禁发生率、残余尿量、负面情绪、排尿状况评分以及产后尿失禁发生率进行比较。结果剖宫产组的尿失禁发生率高于阴道分娩组,(P<0.05)存在统计学意义。剖宫产组产妇的残余尿量低于对照组,(P <0.05)具有统计学意义。两组经过早期盆底康复训练后,残余尿量均优于治疗前,与治疗前相比(P <0.05)具有统计学意义。剖宫产组和阴道分娩组的负面情绪对比,(P> 0.05)无统计学意义。剖宫产组和阴道分娩组的尿失禁发生率、排尿状况评分对比,差异性显著(P <0.05)具有统计学意义。结论不同分娩方法(剖宫产、阴道分娩)对于产后压力性尿失禁的影响因素相对较大,阴道分娩相比于剖宫产,产妇更容易出现产后尿失禁这一疾病,对产妇进行早期盆底康复训练可以有效的缓解产妇身体状况,值得推广应用。

Objective To evaluate the effect of different delivery methods(cesarean section,vaginal delivery)on stress incontinence in primiparas,and to study the value of rehabilitation in the treatment of stress incontinence.Methods 80 cases of primiparas received in our hospital from July 31,2017 to July 31,2019 were selected.The grouping method was a random number table,and the puerperas were divided into 2 groups,40 cases of cesarean section group and 40 cases of vaginal delivery group.Women in the cesarean section group were delivered by cesarean section,while women in the vaginal delivery group were delivered by conventional vaginal delivery.The incidence of urinary incontinence,residual urine volume,negative mood,urinary status score and the incidence of postpartum urinary incontinence were compared between the two groups.Results The incidence of urinary incontinence in cesarean section group was higher than that in vaginal delivery group(P<0.05).The residual urine volume of women in cesarean section group was lower than that in control group(P<0.05),which was statistically significant.After early pelvic floor rehabilitation training,residual urine volume of both groups was better than that before treatment,which was statistically significant compared with that before treatment(P<0.05).The negative emotions in the cesarean section group and the vaginal delivery group were not statistically significant(P>0.05).The difference between cesarean section group and vaginal delivery group was statistically significant(P<0.05).Conclusion Different delivery method(cesarean section and vaginal delivery)for the influence factors of postpartum stress urinary incontinence is opposite bigger,than vaginal delivery in cesarean section,more prone to maternal postpartum urinary incontinence this disease,early on maternal pelvic floor rehabilitation training can effectively relieve maternal health,is worth popularization and application.