摘要
目的 :了解分娩对妇女盆底肌肉强度的影响 ,以及妇女产后耻骨尾骨肌 (PC肌 )强度的影响因素 ,及产后生殖保健服务中盆肌锻炼情况。方法 :采用横断面研究方法 ,将分娩活婴的 4 6 0位初产妇产后 6月PC肌强度及其相关的因素的调查资料进行分析。结果 :在产后 6月时 ,PC肌强度与阴道松弛、会阴侧切伤口长度、张力性尿失禁明显相关 (P <0 .0 5 ) ,而与分娩方式、第一、二产程时间、会阴损伤形式、产后 6月时性交疼痛、性高潮次数无显著关系 (P >0 .0 5 )。分娩后 ,76 .30 %妇女获得医院告知的盆肌保健操知识 ,在产后 4 2日接受产科随访时 ,卫生保健人员仅告知 8.5 7%妇女产后需要做盆肌保健操。产后只有 11.8%的妇女经常练习盆肌保健操。结论 :产时应正确保护盆肌 ;
Objective:To investigate the impact of childbirth on pubococcygeal muscle of primiparous women in China,understand factors associated with pubococcygeal muscle,and investigate the muscular training in postpartum health care.Methods:We inquired 460 primiparous women delivering a live birth at the First Affiliated Hospital of Chongqing Medical University between November 1,2000 and July 31,2001.It was a cross-sectional study using obstetric records and postal questionnaire survey by outpatient consultation carried out six months after delivery.Results:At six months after delivery pubococcygeal muscle strength was significantly associated with vaginal loosening,length of perineum wound,stress incontinence( P <0.05).The association with types of delivery, stages of labor,perineum injury pattern,dyspareunia or sexual orgasm was not significant ( P >0.05).About 76.30% of women received information about the muscular training after delivery,and 8.57% of women were told that they should do Kegel exercise by health care personnel at 42 days after childbirth.Only 11.8% of postnatal women often did exercise.Conclusion:Health care personnel should protect pelvic floor muscle in labor,and focus on Kegel exercise after birth.
出处
《重庆医科大学学报》
CAS
CSCD
2004年第5期657-660,共4页
Journal of Chongqing Medical University
关键词
产后
性健康
耻骨尾骨肌
产后保健
Postpartum
Sexual health
Pubococcygeal muscle
Health care
