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目的:探讨无保护分娩技术对单胎初产妇分娩后3个月性功能的影响。方法:选择2014年9月至11月在东南大学附属中大医院产科住院、足月妊娠并经阴道分娩的符合入组条件的单胎初产妇进行研究,采用随机数字表法将产妇分为无保护分娩技术组与会阴侧切术组。应用性功能量表(female sexual function index,FSFI)调查产后3个月产妇的各种性生活问题。结果:除失访的7人外最终纳入研究103人,即无保护分娩技术组52例和会阴侧切术组51例,两组产妇年龄、受教育程度、流产次数等差异均无统计学意义(P>0.05)。与会阴侧切术组相比,无保护分娩技术组产妇产后3个月性满意度明显升高,性交疼痛明显减轻;两组性唤起、性高潮的评分、性欲、阴道润滑情况比较差异无统计学意义(P>0.05);无保护分娩技术组产妇的性生活频率高于侧切术组,差异具有统计学意义(P=0.012)。结论:与会阴侧切术相比,无保护分娩技术有利于产妇产后3个月性功能的恢复,主要表现在产后3个月性满意度明显升高,性交疼痛明显减轻,性生活频率提高。
Objective: To explore the effect of unprotected childbirth on sexual function of single mothers after 3 months of delivery. Methods: From September to November 2014, we selected maternal single-fetus women who were hospitalized in full-term pregnancy with vaginal delivery in the obstetrics and gynecology department of the Affiliated Zhongda Hospital of Southeast University from September 2014 to November. The random number table was used to divide maternal Protection of childbirth technical group and episiotomy lateral group. The female sexual function index (FSFI) was used to investigate various sexual problems of mothers during the first 3 months of delivery. Results: In addition to the loss of 7 people were eventually included in the study of 103 people, that is, 52 cases of unprotected childbirth and 51 cases of episiotomy, the two groups of maternal age, education level, the number of abortion and other differences were not statistically significant ( P> 0.05). Compared with the episiotomy group, unprotected childbirth technical group 3 months postpartum sexual satisfaction was significantly increased, pain during intercourse significantly reduced; two groups of arousal, orgasm scores, libido, vaginal lubrication was no significant difference in statistics (P> 0.05). The frequency of maternal sexual life in unprotected childbirth group was higher than that in the lateral group, the difference was statistically significant (P = 0.012). CONCLUSION: Compared with episiotomy, unprotected childbirth is beneficial to the recovery of sexual function of maternal postpartum 3 months postpartum. It is mainly manifested in 3 months postpartum sexual satisfaction increased significantly, sexual intercourse pain was significantly reduced, sexual life increased.