会阴侧切分娩助产对经阴道自然分娩产妇产后盆底功能的影响

Abstract
Figure/Table
References (15)
Related Citation (15)

Download: PDF (0 KB) HTML (30 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To explore the effect of lateral episiotomy on postpartum pelvic floor function of vaginal delivery.Methods The clinical data of 86 full-term pregnant women who underwent vaginal delivery in Chunliu District of Dalian Women and Children Medical Center(Group)from February 2019 to February 2021 were retrospectively analyzed.According to the midwifery technology,they were divided into lateral episiotomy group and non lateral episiotomy group,43 cases in each group.The patients in the lateral episiotomy group underwent lateral episiotomy during vaginal natural delivery,and the patients in the non lateral episiotomy group did not undergo lateral episiotomy during vaginal natural delivery.The stress urinary incontinence(SUI),perineal pain,pelvic floor muscle electromyography,pelvic organ prolapse(POP),POP stage and pelvic floor muscle strength were compared between the two groups.Results The incidence of SUI at 42 d after delivery in the lateral episiotomy group was higher than that in the non lateral episiotomy group,the visual analogue scale (VAS)score at 42 d after delivery was higher than that in the non lateral episiotomy group,and the pelvic floor muscle electromyography at 42 d after delivery was lower than that in the non lateral episiotomy group,the differences were statistically significant(P<0.05).There were no significant differences between the two groups in the incidence of POP,POP stage,shallow class Ⅰ and class Ⅱ muscle fiber strength,deep class Ⅰ and class Ⅱ muscle fiber strength at 42 d after delivery (P>0.05).Conclusion The use of lateral episiotomy in vaginal delivery can increase the incidence of SUI and perineal pain,and aggravate the damage to pelvic floor muscle function.Therefore,it is necessary to limit the use of lateral episiotomy and strictly grasp the indications of lateral episiotomy.

Key words： Transvaginal delivery Episiotomy Pelvic floor function Stress urinary incontinence

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	WANG Ying
	WEN Ying
	MA Lin
	LI Hai-ying

Cite this article:

WANG Ying,WEN Ying,MA Lin, et al. Effect of lateral episiotomy on postpartum pelvic floor function of vaginal delivery[J]. 中国当代医药, 2021, 28(32): 109-112.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I32/109

[1]	陈海燕，朱惠欢，高影嫦.超声动态观察孕妇孕期盆底结构变化的临床价值研究[J].中国超声医学杂志，2018，34（5）：449-452.
[2]	仇静波，朱玮，刘莹.妊娠晚期女性盆底功能障碍性疾病发生率及知识水平调查[J].中国妇幼保健，2019，34（7）：1636-1638.
[3]	李旻，董旭东，吕爱明，等.盆底肌电生理和生活质量量表评价会阴侧切术对初产妇产后半年内盆底肌功能的影响[J].中华医学杂志，2021，101（5）：339-344.
[4]	赵娜，蒋小芒.会阴侧切以及自然裂伤对初产妇第二产程、产后性功能、盆底肌力和肌电位的影响[J].中国妇产科临床杂志，2018，19（5）：457-458.
[5]	杨硕，李旭红.女性压力性尿失禁患者盆底整体功能分析[J].中华物理医学与康复杂志，2018，40（11）：834-839.
[6]	李志毅，朱兰，徐涛，等.中国城市地区女性盆腔器官脱垂临床流行病学调查[J].中华医学杂志，2019，99（11）：857-861.
[7]	刘达宾，孙秀丽，杨欣，等.盆腔器官脱垂患者压力式盆底肌力特征分析[J].中国妇产科临床杂志，2018，19（2）：115-117.
[8]	王春燕，虎斌，孙辉.ActiveX控件型VAS量规的设计和信度评价[J].中国医学教育技术，2011，25（5）：532-534.
[9]	杜文玲，白莉莉，李志家，等.会阴不侧切无保护与会阴侧切的分娩效果比较[J].中国妇幼健康研究，2019，30（10）：1285-1288.
[10]	杜亚飞，陈然，刘晶，等.产后妇女盆底功能障碍状况及其影响因素[J].检验医学与临床，2018，15（3）：289-292.
[11]	黄赛琼，陈静，武卉.妊娠晚期及产后6周的盆底电生理指标分析[J].生殖医学杂志，2019，28（8）：954-957.
[12]	丁韵萍，夏志军，许海楠.妊娠和分娩对盆底结构与功能的影响[J].临床与病理杂志，2018，38（6）：1351-1356.
[13]	谈存梅，杨菊兰，刘睿，等.自由体位分娩对会阴损伤及产后盆底肌力影响的研究[J].检验医学与临床，2020，17（23）：3484-3486.
[14]	丁金玉，刘雪琴，李龙倜，等.阴道分娩产妇不同助产方式的应用效果及盆底功能评估[J].海军医学杂志，2020，41（6）：714-716.
[15]	徐晓琳，付利平.会阴侧切对初产产妇盆底肌功能及性功能影响研究[J].中国性科学，2018，27（9）：78-81.