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目的:了解产妇产后6~8周盆底功能情况,探讨妊娠和分娩对女性盆底功能的影响。方法:选取2010年3月1日~2011年2月28日在深圳市罗湖区妇幼保健院产后门诊就诊、产后6~8周、恶露干净的产妇,征得产妇同意后进行盆底功能检测,检测盆底肌力、POP-Q数值。结果:共检测产妇1 831例,盆底浅层Ⅰ类肌力均值为(3.39±1.98)、Ⅱ类肌力均值为(2.78±1.43)、深层Ⅰ类肌力均值为(3.50±1.64)、Ⅱ类肌力均值为(2.97±1.32);盆腔器官脱垂861例,发生率为47.02%,其中阴道前壁脱垂479例(26.16%)、阴道后壁脱垂413例(22.56%)、子宫脱垂101例(5.15%)。结论:妊娠、分娩对妇女的盆底功能造成一定的损伤,影响盆底肌力水平,容易导致盆腔器官脱垂。
Objective: To understand the postpartum pelvic floor function 6 to 8 weeks to explore the pregnancy and childbirth on female pelvic floor function. Methods: Selected from March 1, 2010 ~ February 28, 2011 in Luohu District, Shenzhen Maternal and Child Health Hospital postpartum clinics, 6 to 8 weeks postpartum, lochia clean mothers, maternal consent with pelvic floor function test, Detection of pelvic floor muscle strength, POP-Q values. RESULTS: A total of 1 831 pregnant women were examined. The mean muscular strength of type Ⅰ in shallow pelvic floor was (3.39 ± 1.98), the average muscular strength of type Ⅱ was (2.78 ± 1.43), the average muscular strength of type Ⅰ in deep muscular (3.50 ± 1.64) (2.97 ± 1.32); 861 cases of pelvic organ prolapse, the incidence rate was 47.02%, including 479 cases (26.16%) of anterior vaginal wall prolapse and 413 cases (22.56%) of posterior vaginal wall prolapse, Uterine prolapse in 101 cases (5.15%). Conclusion: Pregnancy and childbirth cause certain damage to the pelvic floor function of women and affect pelvic floor muscle strength, which can lead to the pelvic organ prolapse.