目的：针对不同分娩方式对产后早期盆底肌力的影响进行探讨。方法选取初产妇80例，其中阴道分娩（顺产组）、剖宫产分娩（剖宫产组）各40例，对两组产妇产后42 d进行盆底肌力检查，并对比分析两组产妇产后42 d、3个月和6个月的Oxford骨盆底肌力评分。结果产后42 d、3个月和6个月顺产组分别有45%、65%、70%的产妇评分为良，剖宫产组分别有80%、90%、95%的产妇评分为良，各阶段剖宫产组盆底肌力检测结果均优于顺产组，且差异有统计学意义（P＜0.05）。结论分娩方式对产后早期盆底肌力有一定的影响，但选择性剖宫产是否降低盆底肌损伤的手段未得到证实，另外分娩方式对盆底肌力影响的远期性还需更深入的研究证实。%Objective According to different delivery methods to discuss the influence of early postpartum pelvic floor muscle strength.Methods To select 80 cases primipara, of which the vaginal delivery group (natural), cesarean section delivery (cesarean sections), 40 cases in each group. To check maternal postpartum 42 d pelvic lfoor muscle strength of two groups, and comparative analysis of two groups of maternal postpartum 42 d, 3 months and 6 months of Oxford pelvic lfoor muscle power rating.Results Postpartum 42 d, 3 months and 6 months natural birth group were 45%, 45% and 45% of maternal score is good, cesarean section group were 80%, 80% and 80% of maternal score is good, cesarean sections in different stages of the pelvic floor muscle testing results are better than that of natural birth group, and the difference was statistically signiifcant (P<0.05). Conclusion Childbirth way has certain influence to the early postpartum pelvic lfoor muscle strength, but is selective cesarean section lower pelvic lfoor muscles injury means not conifrmed, the other delivery way forward of the impact of pelvic lfoor muscle still need further study.
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