不同分娩方式对经产妇产后性功能影响的研究(1)
[摘要] 目的 探究比較不同分娩方式对经产妇产后性功能的影响。 方法 选择2014年11月～2015年11月我院妇产科收治分娩的386例单胎经产妇作为研究对象，按分娩方式分为顺产组115例，会阴侧切组126例，剖宫产组145例。在产后6、12个月时分别对三组经产妇的性功能状况进行调查比较。 结果 会阴侧切组经产妇的性功能障碍发生率在产后6、12个月时均高于顺产组和剖宫产组，产后6个月时会阴侧切组经产妇性功能评分总分低于其他两组，性高潮、性满意度以及性交疼痛三项评分也低于其他两组，差异均具有统计学意义(P<0.05)。而顺产组和剖宫产组的两组差异不明显(P>0.05)。而在产后12月时三组经产妇性功能评分总分及各项评分均无明显差异(P>0.05)。产后6个月时会阴侧切组经产妇性生活恢复比例低于其他两组，差异具有统计学意义(P<0.05)。产后12个月时三组经产妇均已全部恢复性生活。顺产组经产妇的性频率均明显高于会阴侧切组和剖宫产组，而剖宫产组的性频率又高于会阴侧切组，以上差异均具有统计学意义(P<0.05)。 结论 经产妇选择顺产分娩时性功能水平最高，性生活恢复也最快，对产后性功能影响最小，其次为剖宫分娩，而会阴侧切的分娩方式对经产妇产后性功能影响则比较大，因此临床对于单胎顺产的经产妇也应该多鼓励其选择择顺产的分娩方式。
[关键词] 性功能；顺产；会阴侧切；剖宫产
[中图分类号] R714.4 [文献标识码] A [文章编号] 2095-0616(2017)12-65-04
Study of different delivery methods on the effects of maternal postpartum sexual function
GAO Qingcui CHENG Xiao'e LI Huifang
Baoan District Fuyong People's Hospital，Shenzhen 518103，China
[Abstract] Objective To explore and compare the different effects on the maternal postpartum sexual childbirth way. Methods 386 cases of obstetrics and gynecology hospital singletons parous women from November 2014 to November 2015 deliveries in our hospital were selected as the research object. According to the delivery way，they were divided into natural birth group with 115 examples，episiotomy group with 126 cases and cesarean delivery group with 145 cases.At 6 and 12 months respectively，the function status of three groups of multipara comparison were investigated. Results The incidence of sexual dysfunction of multipara episiotomy group at 6 and 12 months were higher than those of natural birth and cesarean section group.The time of 6 months postpartum episiotomy group with maternal sexual function scale total score was lower than the other two groups.Orgasm，sexual satisfaction and pain the three marks were lower than other two groups，the differences were statistically significant(P<0.05).The natural birth and cesarean delivery group showed no obvious difference in the two groups(P>0.05).And at the time of postpartum 12 months，maternal function grading scores and the scores of the three groups were no obvious difference(P>0.05).At 6 months postpartum， sex recovery ratio of multipara episiotomy group was lower than the other two groups，there was statistically significant difference(P<0.05).At 12 months postpartum，Puerpera in the three group were all restorative life.Multipara sexual frequency of natural birth group were significantly higher than the episiotomy group and cesarean delivery group，and cesarean sections of sexual frequency is higher than the episiotomy group，the above differences are statistically significant(P<0.05). Conclusion The sexual function level is highest when the female chooses the spontaneous delivery.Sexual recovery is also the fastest，with minimal impact on postpartum sexual function.Followed by cesarean delivery，however，delivery of perineum lateral incision has great influence on the sexual function of postpartum women.Therefore，the clinical for the single birth of the female should also be encouraged to choose the natural way of delivery., http://www.100md.com(高青翠?程晓娥?李会芳)
[关键词] 性功能；顺产；会阴侧切；剖宫产
[中图分类号] R714.4 [文献标识码] A [文章编号] 2095-0616(2017)12-65-04
Study of different delivery methods on the effects of maternal postpartum sexual function
GAO Qingcui CHENG Xiao'e LI Huifang
Baoan District Fuyong People's Hospital，Shenzhen 518103，China
[Abstract] Objective To explore and compare the different effects on the maternal postpartum sexual childbirth way. Methods 386 cases of obstetrics and gynecology hospital singletons parous women from November 2014 to November 2015 deliveries in our hospital were selected as the research object. According to the delivery way，they were divided into natural birth group with 115 examples，episiotomy group with 126 cases and cesarean delivery group with 145 cases.At 6 and 12 months respectively，the function status of three groups of multipara comparison were investigated. Results The incidence of sexual dysfunction of multipara episiotomy group at 6 and 12 months were higher than those of natural birth and cesarean section group.The time of 6 months postpartum episiotomy group with maternal sexual function scale total score was lower than the other two groups.Orgasm，sexual satisfaction and pain the three marks were lower than other two groups，the differences were statistically significant(P<0.05).The natural birth and cesarean delivery group showed no obvious difference in the two groups(P>0.05).And at the time of postpartum 12 months，maternal function grading scores and the scores of the three groups were no obvious difference(P>0.05).At 6 months postpartum， sex recovery ratio of multipara episiotomy group was lower than the other two groups，there was statistically significant difference(P<0.05).At 12 months postpartum，Puerpera in the three group were all restorative life.Multipara sexual frequency of natural birth group were significantly higher than the episiotomy group and cesarean delivery group，and cesarean sections of sexual frequency is higher than the episiotomy group，the above differences are statistically significant(P<0.05). Conclusion The sexual function level is highest when the female chooses the spontaneous delivery.Sexual recovery is also the fastest，with minimal impact on postpartum sexual function.Followed by cesarean delivery，however，delivery of perineum lateral incision has great influence on the sexual function of postpartum women.Therefore，the clinical for the single birth of the female should also be encouraged to choose the natural way of delivery., http://www.100md.com(高青翠?程晓娥?李会芳)