【摘要】：目的探討椎管內(nèi)阻滯用于分娩鎮(zhèn)痛對(duì)初產(chǎn)婦早期盆底功能和盆底功能障礙性疾病(PFD)發(fā)生的影響。方法隨機(jī)選擇我院陰道分娩并于分娩后6~8周復(fù)查的初產(chǎn)婦292例,根據(jù)分娩方式均分為椎管內(nèi)阻滯分娩鎮(zhèn)痛組(A組)和非鎮(zhèn)痛組(B組),檢測(cè)盆底肌力、疲勞度和動(dòng)態(tài)壓力以評(píng)估產(chǎn)后早期盆底功能;采用一般問卷調(diào)查和盆底器官脫垂(POP-Q)法了解產(chǎn)后早期PFD發(fā)生情況,記錄兩組產(chǎn)婦早期盆底功能受損及壓力性尿失禁(SUI)、盆腔器官脫垂(POP)的發(fā)生率。結(jié)果產(chǎn)后6~8周盆底功能受損發(fā)生率A組為87例(59.6%),B組為94例(64.4%),兩組盆底功能受損發(fā)生率差異無統(tǒng)計(jì)學(xué)意義;產(chǎn)后6~8周POP的發(fā)生率A組為55例(37.7%),B組為61例(41.8%);SUI的發(fā)生率A組6例(4.1%),B組為5例(3.4%);兩組POP、SUI發(fā)生率差異無統(tǒng)計(jì)學(xué)意義。結(jié)論陰道分娩可使產(chǎn)后早期發(fā)生盆底功能損傷,椎管內(nèi)分娩鎮(zhèn)痛不增加產(chǎn)后早期盆底損傷的風(fēng)險(xiǎn)并有改善女性盆底功能受損的可能。
[Abstract]:Objective to investigate the effect of spinal block on early pelvic floor function and pelvic floor dysfunction (PFD) in parturients. Methods 292 parturients with vaginal delivery in our hospital were randomly divided into spinal block delivery analgesia group (group A) and non-analgesia group (group B) according to the delivery mode. Pelvic floor muscle strength, fatigue and dynamic pressure were measured to evaluate the pelvic floor function in the early postpartum period. General questionnaire survey and pelvic floor organ prolapse (POP-Q) were used to investigate the occurrence of PFD in the early postpartum period. The incidence of (POP) in early pelvic floor dysfunction and stress urinary incontinence (SUI), pelvic organ prolapse was recorded in the two groups. Results the incidence of pelvic floor dysfunction in group A was 87 cases (59.6%), B group, 94 cases, 64.4%), but there was no significant difference in the incidence of pelvic floor function damage between the two groups, the incidence of POP in group A was 55 cases (37.7%), B group, 61 cases, 41.8%); SUI group, 6 cases, 4.1%), B group, 5 cases, 3.4%). There was no significant difference in the incidence of POP,SUI between the two groups. Conclusion vaginal delivery can cause pelvic floor function injury in the early postpartum period. Intraspinal labor analgesia does not increase the risk of early postpartum pelvic floor injury and may improve the damage of female pelvic floor function.
【作者單位】： 廣西省南寧市婦幼保健院麻醉科;北京大學(xué)第一醫(yī)院麻醉科;廣西省南寧市婦幼保健院婦�？�;
【基金】：南寧市科技攻關(guān)與新產(chǎn)品試驗(yàn)(20133189)
【分類號(hào)】：R714.3

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本文編號(hào)：2504053