分娩镇痛对初产妇产后早期盆底功能影响.docVIP

分娩镇痛对初产妇产后早期盆底功能影响 　　 摘要：目的 探讨分娩镇痛对产后早期盆底功能的影响。方法 随机选择在我院经阴道分娩产后6～8周的足月初产妇为研究对象，分为分娩镇痛组（50例）和非分娩镇痛组（186例）。通过检测盆底肌纤维肌力、疲劳度，观察分析分娩镇痛对盆底功能的影响。结果 分娩镇痛组I类肌纤维肌力异常者占58%（29/50），疲劳度异常者占2%（1/50），II类肌纤维肌力异常者占30%（15/50），疲劳度异常者占10%（5/50），非分娩镇痛组I类肌纤维肌力异常者占56.99%（106/186），疲劳度异常者占15.59%（29/186），II类肌纤维肌力异常者占48.92%（91/186），疲劳度异常者占14.52%（27/186），两组比较II类肌纤维肌力、I类肌纤维疲劳度差异均有统计学意义（Plt;0.05），分娩镇痛组比非分娩镇痛组II类肌纤维疲劳度有降低趋势。结论 分娩镇痛可减轻分娩时对盆底组织的损伤，有利于保护盆底功能。 　　 关键词??分娩镇痛;盆底功能;肌纤维肌力;肌纤维疲劳度 　　 中图分类号：R711.2 文献标识码：A 　　Effects of Labor Analgesia on Early Postpartum Pelvic Floor 　　（ZHENG Xiao-jing，CUI Jin-hui，CHEN Qin，LI Ling，FAN Jian-hui. Department of Obstetrics， The Third Affiliated Hospital of Sun Yat-sen University， Guangzhou 510630， People’s Republic of China） 　　Abstract： Objective To investigate the impact of labor analgesia on early postpartum pelvic floor dysfunction. Method Randomly selected primipara who were divided into two groups， underwent pelvic floor muscle strength screen in 6～8 weeks postpartum and their obstetric factors were recorded. Results In labor analgesia group and non labor analgesia group， the abnormal rates of type I muscle fiber strength were 58%（29/50）and 56.99%（106/186）; the abnormal rates of type II muscle fiber strength were 30%（15/50）and 48.92%（91/186）; the abnormal rates of type I muscle fiber fatigue were 2%（1/50）and 15.59%（29/186）; the abnormal rates of type II muscle fiber fatigue were 10%（5/50） and 14.52%（27/186）. There were significant differences of type II muscle fiber strength and type I muscle fiber fatigue between the two groups（Plt;0.05）. The labor analgesia group had lower abnormal ratio of type II muscle fiber fatigue compared with non labor analgesia group，but there were no statistic differences. Conclusions Labor analgesia could reduce damage to the pelvic floor during childbirth，and be beneficial to protecting pelvic floor function. 　　Key words： labor analgesia; pelvic floor function; pelvic floor muscle strength; pelvic floor muscle fatigue