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目的:探讨女性产后盆底功能与分娩相关因素的关系。方法:选取产后42天复查患者380例,均为单胎,足月初产,顺产及剖宫产各190例,检测患者的盆底肌肌力及阴道动态压力,回顾性分析这些指标与产妇年龄、孕期体重增长、新生儿体重、产程及分娩方式的关系。结果:盆底功能异常患者平均年龄大、孕期增长体重多、新生儿体重高、产程较长,与盆底功能正常者比较,P<0.05,有统计学差异。经阴分娩发生盆底功能异常的几率较剖宫产患者高。结论:妊娠及分娩的多种因素均可引起盆底功能的异常。
Objective: To explore the relationship between postpartum pelvic floor function and childbirth related factors. Methods: One hundred and eighty-three cases of post-natal 42 days were enrolled in this study. All of them were singleton, full-term primiparous, cesarean and cesarean section. The pelvic floor muscle strength and vaginal dynamic pressure were measured. The correlation between these indexes and maternal age , Weight gain during pregnancy, birth weight, birth process and mode of delivery. Results: The average age of pelvic floor dysfunction patients with large, more weight during pregnancy, newborn weight, longer labor, and pelvic floor function was normal, P <0.05, with statistical differences. The incidence of pelvic floor dysfunction during vaginal delivery is higher than that of cesarean section. Conclusion: Various factors of pregnancy and childbirth can cause pelvic floor dysfunction.