Huang Li-Hua, Lai Yu-Fen, Chen Gin-Den, Lee Maw-Sheng, Ng Soo-Cheen
Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan; Department of Nursing, Chung Shan Medical University Hospital, Taichung, Taiwan; Department of Maternity Care Center, Chung Shan Medical University Hospital, Taichung, Taiwan.
Department of Physical Therapy, Chung Shan Medical University Hospital, Taiwan.
Taiwan J Obstet Gynecol. 2019 Jan;58(1):68-71. doi: 10.1016/j.tjog.2018.11.013.
To evaluate the effect of far-infrared radiation on postpartum perineal pain and sexual function in primiparous women undergoing an episiotomy and 2nd degree perineal laceration.
From May 2016 to May 2017, primiparous women with term pregnancies and vaginal deliveries with an episiotomy due to obstetric indications and 2nd degree perineal lacerations were invited to participate in this study. Women were randomly assigned into a far-infrared (FIR) group and a control group. Visual Analogue Scale (VAS) was used to evaluate the perineal pain immediately postpartum, and at 1 week and 6 weeks postpartum. Pelvic Organ Prolapse Urinary Incontinence Sexual Questionnaire (PISQ-12) was used to evaluate sexual function at 6 weeks, 3 months and 6 months postpartum.
The data of the control group (n = 22) and FIR group (n = 18) were analyzed. Most of the women had minor perineal pain one week after delivery (1.1 ± 0.9 in control group vs 1.4 ± 1.5 in FIR group) and there was no significant difference between groups. The FIR group had a higher PISQ-12 total score at 3 months (35.4 ± 6.4 vs 34.7 ± 5.7) and 6 months (36.4 ± 5.6 vs 35.6 ± 5.7) postpartum compared with the control group but there was no statistically significant difference.
Our study did not show any additional benefit of postpartum far-infrared radiation on primiparous women undergoing an episiotomy and 2nd degree perineal lacerations.
评估远红外辐射对接受会阴切开术和Ⅱ度会阴裂伤的初产妇产后会阴部疼痛及性功能的影响。
2016年5月至2017年5月，邀请因产科指征行会阴切开术及Ⅱ度会阴裂伤的足月妊娠、经阴道分娩的初产妇参与本研究。将产妇随机分为远红外（FIR）组和对照组。采用视觉模拟评分法（VAS）评估产后即刻、产后1周和6周时的会阴部疼痛情况。采用盆腔器官脱垂尿失禁性功能问卷（PISQ-12）评估产后6周、3个月和6个月时的性功能。
分析了对照组（n = 22）和FIR组（n = 18）的数据。大多数产妇在产后1周时会阴部疼痛较轻（对照组为1.1±0.9，FIR组为1.4±1.5），两组间无显著差异。与对照组相比，FIR组在产后3个月（35.4±6.4对34.7±5.7）和6个月（36.4±5.6对35.6±5.7）时PISQ-12总分较高，但差异无统计学意义。
我们的研究未显示产后远红外辐射对接受会阴切开术和Ⅱ度会阴裂伤的初产妇有任何额外益处。
