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目的探讨不同分娩方式产妇产后盆底功能障碍性疾病的发生情况。方法选取2012年1月—2015年1月在浦北县妇幼保健院分娩的360例产妇,按照分娩方式的不同分为对照组(120例,剖宫产分娩)和研究组(240例,阴道分娩),测定两组盆底肌电图,并对其盆底功能障碍性疾病发生情况、盆底收缩力等进行观察。结果研究组PFD发生率为4.6%,低于对照组的33.3%,差异有统计学意义(P<0.05)。两组盆底肌活力值、峰值、速度、功值比较,差异有统计学意义(P<0.05)。研究组持续收缩值及快速收缩值高于对照组,差异有统计学意义(P<0.05)。结论剖宫产分娩方式的早期PFD发生率较高,阴道分娩时要注意产程变化,做好盆底保护措施,以免损伤盆底组织,从而降低PFD发生率,提高产妇生存质量。
Objective To investigate the incidence of pelvic floor dysfunction in different modes of delivery. Methods A total of 360 maternal women who gave birth in Pubei Maternal and Child Health Hospital from January 2012 to January 2015 were divided into control group (120 cases, cesarean section delivery) and study group (240 cases, vagina) according to different modes of delivery. Childbirth), the determination of the pelvic floor EMG, pelvic floor dysfunction and pelvic floor contractility were observed. Results The incidence of PFD in the study group was 4.6%, which was lower than that in the control group (33.3%) (P <0.05). The pelvic floor muscle activity value, peak value, speed, work value comparison, the difference was statistically significant (P <0.05). The study group continued to shrink value and rapid contraction value higher than the control group, the difference was statistically significant (P <0.05). Conclusion The incidence of PFD in cesarean delivery mode is high. Vaginal delivery should pay attention to changes in labor process and do pelvic floor protection measures to avoid damage to pelvic floor tissue, thereby reducing the incidence of PFD and improving the quality of life of pregnant women.