不同分娩方式对初产妇盆底功能近期影响及其心理干预研究-妇产科学专业论文.docxVIP

万方数据 万方数据 目 录 中文摘要 ·············································································1 英文摘要 ·············································································3 英文缩写 ·············································································6 研究论文 不同分娩方式对初产妇盆底功能近期影响及其心理干预研究 前言 ·············································································7 材料与方法 ····································································8 结果 ·············································································11 附表 ·············································································13 讨论 ·············································································17 结论 ·············································································24 参考文献 ·······································································25 综述 不同分娩方式对初产妇盆底功能近期影响及其心理干预研究 现状············································································29 致谢 ···················································································36 个人简历 ·············································································37 中 中 文 摘 要 PAGE 10万方数据 PAGE 10 万方数据 不同分娩方式对初产妇盆底功能近期影响及其心理干预研究 摘 要 目的：探讨不同分娩方式对初产妇盆底功能近期影响，分析其心理干 预措施。 方法：病例组分为两组，自然分娩组和剖宫产组，分别选择就诊于河 北医科大学第一医院产科初产妇，年龄在 20-35 岁之间，两组各 50 例。 对照组选择就诊于河北医科大学第一医院产科正常未孕妇女 30 例，对不 同分娩方式初产妇在产后 6 周进行 SAS 量表调查问卷、PFIQ-7 及 PISQ-12 进行问卷调查，了解产后 6 周不同分娩方式产妇心理状态及盆底功能改变 情况，利用盆底功能障碍诊断治疗仪（PHENIX U8）监测产后盆底功能 情况：盆底电生理指标变化：阴道动态压力、阴部神经参数、盆底肌肉疲 劳度、生物场景反射。了解产后 6 周不同分娩方式产妇盆底电生理指标改 变情况。对产后无焦虑状态盆底功能障碍性疾病的产妇进行比较，利用盆 底功能障碍诊断治疗仪了解不同分娩方式在产后无焦虑状态情况下，不同 分娩方式产妇盆底电生理指标改变情况。对产后有焦虑状态盆底功能障碍 性疾病的产妇进行比较，利用盆底功能障碍诊断治疗仪了解不同分娩方式 在产后有焦虑状态情况下，不同分娩方式产妇盆底电生理指标改变情况。 结果：阴道分娩组、剖宫产组与对照组一般情况比较，年龄、孕前体 重指数、职业及受教育程度比较差异无统计学意义（P0.05）。分娩后不 同分娩方式的产妇均会出现不同程度的焦虑状态，差异有统计学意义 （P0.05）。并且不同分娩方式产后近期均会出现不同程度的盆底功能障 碍，差异有统计学意义（P0.05）。对不同分娩方式初产妇在产后 6 周， 阴道分娩组与剖宫产组分别与对照组比较，在阴道动态压力、阴部神经参 数、盆底肌肉疲劳度、生物场景反射之间比较，差异有统计学意义(P＜ 0.05)。产后无焦虑状态盆底功能障碍性疾病的产妇比较，阴道动态压力、 阴部神