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目的:探讨自然分娩和剖宫产分娩对女性盆底功能及其康复治疗的影响。方法:选取我院2015年10月至2016年10月期间进行分娩的产妇200例,分为自然分娩组和剖宫产分娩组,各100例。进行盆底功能比较,并分析康复治疗的实际效果。结果:自然分娩组的阴道脱垂率为70%,明显高于剖宫产分娩组的32%;治疗前,剖宫产分娩组在盆底肌力评分和15s内收缩次数上都要明显高于自然分娩组。治疗后,自然分娩组和剖宫产分娩组的盆底肌力评分和15s内收缩次数都显著提升,但两组之间并无显著性差异。结论:自然分娩相较于剖宫产分娩对于盆底功能的影响更大,但自然分娩自主恢复效果好,辅以外界治疗,在最终康复水平上同剖宫产分娩差异不大。
Objective: To investigate the effects of spontaneous delivery and cesarean delivery on female pelvic floor function and rehabilitation. Methods: 200 maternal women who gave birth during October 2015 to October 2016 in our hospital were selected and divided into two groups: natural delivery group and cesarean delivery group, each with 100 cases. Pelvic floor function comparison, and analysis of the actual effect of rehabilitation. Results: The rate of vaginal prolapse in spontaneous delivery group was 70%, which was significantly higher than that in cesarean section delivery group. Before cesarean section delivery group, the pelvic floor muscle strength score and the number of contractions within 15s were significantly higher In the natural childbirth group. After treatment, the pelvic floor muscle strength score and the number of contractions in 15s in spontaneous delivery group and cesarean delivery group increased significantly, but there was no significant difference between the two groups. CONCLUSION: Compared with cesarean delivery, spontaneous delivery has a greater impact on pelvic floor function, but spontaneous spontaneous recovery of spontaneous delivery is good, supplemented by external treatment, with little difference in the final rehabilitation level with cesarean delivery.