陳海青等

[摘要] 目的 探討剖宮產(chǎn)手術(shù)并發(fā)癥對(duì)產(chǎn)婦未來(lái)生殖健康及性功能的影響。 方法 選擇2007年1月～2011年12月期間在我院產(chǎn)科行剖宮產(chǎn)手術(shù)的154例產(chǎn)婦為研究對(duì)象，產(chǎn)婦均為初產(chǎn)婦。將154例產(chǎn)婦按照術(shù)中、術(shù)后是否發(fā)生并發(fā)癥分為觀察組（76例）和對(duì)照組（78例）。統(tǒng)計(jì)兩組受試者產(chǎn)后3、6、9個(gè)月FSFI評(píng)分、性生活恢復(fù)情況、性生活頻率，記錄兩組受試者隨訪期間生活質(zhì)量。 結(jié)果 觀察組產(chǎn)婦產(chǎn)后3、6個(gè)月FSFI評(píng)分、性功能障礙情況均低于同期對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。觀察組產(chǎn)婦產(chǎn)后3個(gè)月、6個(gè)月、9個(gè)月在相當(dāng)或多于孕前的性生活頻率上均低于同期對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。 觀察組產(chǎn)婦產(chǎn)后3個(gè)月性生活恢復(fù)情況遜于同期對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05），但兩組產(chǎn)婦產(chǎn)后6個(gè)月、9個(gè)月性生活恢復(fù)情況無(wú)統(tǒng)計(jì)學(xué)差異（P>0.05）。結(jié)論 剖宮產(chǎn)手術(shù)相關(guān)并發(fā)癥對(duì)產(chǎn)婦產(chǎn)后近遠(yuǎn)期性功能及生殖健康可造成不同程度的影響，預(yù)防剖宮產(chǎn)手術(shù)并發(fā)癥的發(fā)生對(duì)保護(hù)產(chǎn)婦身心健康至關(guān)重要。

[關(guān)鍵詞] 剖宮產(chǎn)；并發(fā)癥；生殖健康；性功能；生活質(zhì)量

Influence of maternal operation complications after caesarean section on future reproductive health and sexual function

CHEN Haiqing1 HUANG Hefeng2

1.Department of Obstetrics and Gynecology， Zhejiang Xiaoshan Hospital，Hangzhou 311200，China；2.The Affiliated Obstetrics and Gynecology Hospital of Zhejiang University Medical College， Hangzhou 310006，China

[Abstract] Objective To investigate the effects of caesarean operation complications of maternal future reproductive health and sexual function. Methods From January 2007 to December 2011， 154 cases of pregnant women in our hospital with obstetric cesarean section operation were selected as the object of study period， and all pregnant women were primipara. 154 parturient women were divided into the observation group （76 cases） and the control group （78 cases） according to whether there are complications during and after operation. FSFI score， recovery of sexual life， sexual life frequency， quality of life of the subjects between the two groups 3， 6， 9 months postpartum were recorded. Results 3， 6 months postpartum，F(xiàn)SFI score， sexual dysfunction during follow-up in the observation group were lower than those in the control group during the same period， with the statistically significant difference（P<0.05）. 3， 6， 9 months postpartum， the sexual life frequency of equal and more than before in the observe group were lower than those in the control group during the same period， with the statistically significant difference （P<0.05）. The sex life recovery in the observation group was worse than that in the control group 3 months postpartum， but there was no significant difference in the sex life recovery 6， 9 months postpartum between the two groups （P>0.05）. Conclusion Caesarean operation on postpartum complications related to short and long-term sexual function and reproductive health can cause varying degrees of impact， prevention section occurred palace production operation complications on maternity protection of physical and mental health is very important.