剖宫产与自然分娩者产后6~8周盆底功能状况的比较和相关因素分析
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赣州市南康区妇幼保健院

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赣州市指导性科技计划项目(编号:GZ2024ZSF407);


Comparison of pelvic floor function and analysis of related factors between cesarean section and natural delivery at 6-8 weeks postpartum#
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    摘要:

    目的:探讨剖宫产与自然分娩者产后6~8周盆底功能状况,并分析其影响因素。方法:? 选取2023年9月-2024年8月于赣州市南康区妇幼保健院分娩的80例产妇,并依据分娩方式分为自然分娩组(n=56)与剖宫产组(n=24),比较分娩结局与产后6~8周盆底功能。依据盆底功能情况分为正常组(n=48)与异常组(n=32),分析影响因素。结果:自然分娩组产后2h出血量、盆底Ⅰ类、Ⅱ类肌纤维肌力等级均显著低于剖宫产组,总产程时长显著高于剖宫产组(P<0.05)。正常组与异常组年龄、是否合并糖尿病、高血压、便秘、产次、分娩方式、孕期体质量指数(Body mass index,BMI)增加、胎儿体重及产后24h出血量具有显著差异(P<0.05)。多因素分析结果显示,年龄≥35岁、存在便秘、分娩方式为自然分娩、孕期BMI增加≥10kg/m2、胎儿体重≥3500g为产妇产后6~8周盆底功能异常的独立危险因素(P<0.05)。结论:剖宫产与自然分娩的分娩方式对产妇产后6~8周盆底功能具有显著影响,需予以高度重视。

    Abstract:

    Objective: To investigate the pelvic floor function in patients with cesarean section and natural delivery at 6 to 8 weeks postpartum, and to analyze its influencing factors.Methods:? A total of 80 women who gave birth in Nankang Maternal and Child Health Hospital of Ganzhou City from September 2023 to August 2024 were selected and divided into natural delivery group (n=56) and cesarean section group (n=24) according to delivery mode. The outcomes of delivery and pelvic floor function at 6-8 weeks postpartum were compared. According to the pelvic floor function, they were divided into normal group (n=48) and abnormal group (n=32), and the influencing factors were analyzed.Results:? 2h postpartum blood loss, class Ⅰ and class Ⅱ muscle strength of pelvic floor in natural delivery group were significantly lower than those in cesarean section group, and total labor duration was significantly higher than that in cesarean section group (P < 0.05). There were significant differences between normal group and abnormal group in age, diabetes mellitus, hypertension, constipation, time of delivery, mode of delivery, increase of BMI during pregnancy, fetal weight and 24h postpartum blood loss (P < 0.05). The results of multivariate analysis showed that age ≥35 years old, constipation, natural delivery mode, BMI increase ≥10kg/m2 during pregnancy, and fetal weight ≥3500g were independent risk factors for pelvic floor dysfunction at 6-8 weeks postpartum (P < 0.05).Conclusion:? Cesarean section and natural delivery have significant effects on pelvic floor function at 6~8 weeks postpartum, which should be paid more attention to.

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许晓琴.剖宫产与自然分娩者产后6~8周盆底功能状况的比较和相关因素分析[J].四川生理科学杂志,2025,47(6):

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  • 收稿日期:2025-04-17
  • 最后修改日期:2025-04-30
  • 录用日期:2025-05-09
  • 在线发布日期: 2025-06-22
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