Objectives:To explore the impact of nature birth,episiotomy and cesarean on the postpartum sexual function of primipara.Methods:The 300 primipara in our hospital from March 201 1 to February 201 4 were selected and divided into three groups according to their mode of delivery,i.e.nature birth group (80 cases),epi-siotomy group (1 05 cases),and cesarean section group (1 1 5 cases).Their sexual functions were surveyed 2 months,5 months and 8 months after,to analyze and compare the differences among the three groups.Results:The occurrence rate of sexual dysfunction was the highest 2 months after delivery,with significant difference from those at 5 or 8 months after delivery (P <0.05).Compared with the other two groups,the incidence rate of sexual dys-function in the NVD /epi group was much higher at 2,5 and 8 months after delivery,with significant differences (P <0.05).The sexual function scores of nature birth group and cesarean group at both 2 and 5 months after deliv-ery were higher than that of the episiotomy group,with statistically significance (P <0.05),and difference between the first two groups was not significant (P >0.05),so as the difference among the three groups 8 months after deliv-ery (P >0.05).At two months after delivery,the recovery rate of sexual function in the nature birth group and ce-sarean group were 75.0% and 73.9% respectively,higher than that in the episiotomy group,with significant differ-ence (P <0.05);the recovery rate at 5 months after delivery were 91 .2% and 89.6 % respectively,higher than the episiotomy group,with significant difference (P <0.05);the recovery rate at 8 months after delivery was not significantly different among the three groups (P >0.05).Conclusion:Primipara adopting nature birth delivery has the lowest incidence rate of sexual dysfunction,highest level of sexual function and recovery rate,followed by cesarean section and episiotomy orderly.Therefore,nature birth is a better choice for primipara.%目的：探究分析顺产、会阴侧切与剖宫产三种分娩方式对初产妇产后性功能的影响。方法：选择2011年3月至2014年2月来我院分娩的300例初产妇，按照其分娩方式分为顺产组80例，会阴侧切组105例，剖宫产组115例。分别在产后2个月、5个月以及8个月对所有初产妇进行性功能状况调查，分析比较三组患者性功能状况的差异性。结果：产后2个月、5个月、8个月时的性功能障碍发生率相比，三组患者均在产后2个月后发生性功能障碍的比例最高，产后5个月、8个月后均明显降低，具有明显差异性（P ＜0.05）。NVD／epi 组与其他两组比较，产后2个月、5个月、8个月时的性功能障碍发生率均高于顺产组和剖宫产组，具有显著性差异（P ＜0.05）；三组产妇在产后2个月和5个月的性功能评分中，其顺产组、剖宫组的总分分别与会阴侧切组相比具有统计学意义（P ＜0.05），而顺产组与剖宫组相比差异并不明显（P ＞0.05），8个月后各组评分则均无统计学意义（P ＞0.05）；在产后2个月后，顺产组与剖宫组的性生活恢复的比例分别为75.0％、73.9％，与会阴侧切组相比较高，具有明显差异性（P ＜0.05），产后5个月顺产组与剖宫组的性生活恢复的比例分别为91.2％、89.6％，与会阴侧切组相比较高，具有明显差异性（P ＜0.05），产后8个月后三组患者恢复性生活的比例均较高，组间比较无差异性（P ＞0.05）。结论：顺产分娩方式使初产妇患者发生性功能障碍的比例最低，恢复性生活的比例最高，性功能水平最高，其次为剖宫分娩，而会阴侧切组对初产妇产后性功能障碍、性功能水平影响相对较大，因此建议初产妇选择顺产进行分娩。
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