剖宫产手术并发症对产妇未来生殖健康及性功能的影响

陈海青等

[摘要] 目的 探讨剖宫产手术并发症对产妇未来生殖健康及性功能的影响。 方法 选择2007年1月～2011年12月期间在我院产科行剖宫产手术的154例产妇为研究对象，产妇均为初产妇。将154例产妇按照术中、术后是否发生并发症分为观察组（76例）和对照组（78例）。统计两组受试者产后3、6、9个月FSFI评分、性生活恢复情况、性生活频率，记录两组受试者随访期间生活质量。 结果 观察组产妇产后3、6个月FSFI评分、性功能障碍情况均低于同期对照组，差异有统计学意义（P<0.05）。观察组产妇产后3个月、6个月、9个月在相当或多于孕前的性生活频率上均低于同期对照组，差异有统计学意义（P<0.05）。 观察组产妇产后3个月性生活恢复情况逊于同期对照组，差异有统计学意义（P<0.05），但两组产妇产后6个月、9个月性生活恢复情况无统计学差异（P>0.05）。结论 剖宫产手术相关并发症对产妇产后近远期性功能及生殖健康可造成不同程度的影响，预防剖宫产手术并发症的发生对保护产妇身心健康至关重要。

[关键词] 剖宫产；并发症；生殖健康；性功能；生活质量

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，FSFI 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.