剖宮產對女性產后性功能與生活質量的影響探討

李桂英+李桂芬+安小巧+朱榮芬

【摘要】目的：分析研究順產與剖宮產對婦女產后的生活治療與性功能的影響。方法：通過橫斷面研究方法對2012年2月至2014年2月在我院分娩的400例初產婦臨床資料實施研究，依據分娩的方式分成對照組與觀察組，對照組婦女為剖宮產，觀察組婦女為順產，每組200例，所選取的400例產婦分別在45d、3個月以及半年內的性生活的恢復比重、性交痛出現率和性生活的滿意程度和產后生活治療實施對比分析。結果：婦女產后45d與產后3個月，對照組與觀察組在恢復性生活的人數，性交痛的出現率以及性生活滿意程度等幾個方面的差異有統計學意義（P<0.05）；另外產后的半年觀察組與對照組在性生活的滿意度、心絞痛的出現率等方面差異沒有統計學意義（P>0.05）。結論：產婦產后的3個月時間段內，剖宮產以及順產能夠直接影響產婦的性功能；而產后的半年之后，此兩種生產方式對產婦的性功能基本沒有影響；和剖宮產的產婦實施對比發現，觀察組的生活質量相對對照組更高。

【關鍵詞】 剖宮產；性功能；生活質量

Effect of cesarean section onfemale postpartum sexual function and quality of lifeLI Guiying1， LI Guifen2， AN Xiaoqiao3， ZHU Rongfen1. 1.Department of Obstetrics and Gynecology， Jing County Second Peoples Hospital， Hengshui 053511， Hebei， China； 2.Department of Obstetrics and Gynecology， Hengshui Halison International Peace Hospital， Hengshui 053000， Hebei， China； 3.Department of Obstetrics and Gynecology， Hengshui Second Peoples Hospital， Hengshui 053000， Hebei， China

【Abstract】Objectives： To study the effect of cesarean section on female postpartum sexual function and quality of life. Methods： Cross-sectional study was done on clinical data of 400 cases of unipara， who were treated in our hospital from February 2012 to February 2014. According to mode of delivery， they were divided into control group and observation group. Control group was cesarean section group and observation group was natural labor group， with 200 cases in each group. Sex life proportion， sexual pain occurrence rate and sexual satisfaction of selected women 45 days， three-month and six months after treatment were compared and analyzed. Results： The differences in sex life proportion， sexual pain occurrence rate and sexual satisfaction between control group and observation group 45 days and three-month after the treatment were statistically significant （P <0.05）； six months after the treatment， the differences in sex life proportion， sexual pain occurrence rate and sexual satisfaction between control group and observation group was not statistically significant （P> 0.05）. Conclusion： A period of three months postpartum， cesarean section and natural labor can directly affect female sexual function and after six months， the two modes have no difference on effecting womens sexual function. Comparing with caesarean section group， the quality of life in the observation group is relatively higher.

【Key words】Cesarean section； Sexual function； Quality of life

【中圖分類號】R719.8【文獻標志碼】A

就目前醫療技術而言，在臨床中終止妊娠的方法只有兩種，即剖宮產以及順產，剖宮產以及順產各有其優勢[1]。所謂順產就是通過陰道實施分娩，此類分娩的方式對于胎兒肺泡擴張非常有利，這樣就能夠使得胎兒分娩出生之后更加容易建立自主的呼吸[2]。而剖宮產則需要利用切開下腹腔，之后將子宮切口把胎兒取出，此類手術操作以及過程實際上較為簡單、安全，很多時候是醫護人員在處理妊娠式在高危情況下和異常分娩的重要方法[3]。……