产后盆底功能障碍影响因素的调查研究

doi:10.3969/j.issn.1006-5253.2019.05.014

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摘要目的探讨产后盆底功能障碍的影响因素。方法选取2015年7月至2018年7月某医院复查的100例产妇，收集其临床资料并进行盆底功能检查，分析产妇产后盆底功能障碍的影响因素。结果 100例复查产妇中，有23例盆底功能障碍，发生率为23.00%；χ2检验结果显示，年龄、产次、孕期增加体质量、盆腔手术史、新生儿体质量、孕期合并症、分娩方式、第二产程与产妇产后盆底功能障碍有关（P<0.05）；logistic回归分析结果显示，年龄≥35岁、产次＞2次、盆腔手术史、阴道分娩、孕期增加体质量>15 kg、孕期合并症、新生儿体质量≥4 kg、第二产程延长是产妇产后盆底功能障碍的影响因素（OR=3.892、3.508、7.862、44.667、12.667、9.448、10.444、23.385，P<0.05）。结论该院产妇产后盆底功能障碍的发生率较高，应针对其影响因素加强管理，早期干预。

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	李苹

关键词 ：产后, 盆底功能障碍, 影响因素

Abstract：

Objective To discuss influence factors of postpartum pelvic floor dysfunction.Methods One hundred postpartum parturients were selected from July 2015 to July 2018 in our hospital. The clinical data were collected and the pelvic floor function was examined with routine gynecological examination. The influence factors of postpartum pelvic floor dysfunction were analyzed.Results Among the 100 postpartum parturients, 23 cases had pelvic floor dysfunction, and the incidence was 23.00%. Chi-square test results showed that age, parity, weight gain during pregnancy, history of pelvic surgery, neonatal weight, pregnancy complications, mode of delivery and second stage of labor were related to postpartum pelvic floor dysfunction. Logistic regression analysis showed that aged 35 years old and above, parity over 2 times, history of pelvic surgery, vaginal delivery, weight gain of over 15 kg during pregnancy, pregnancy complications, neonatal weight 4 kg and above, prolonged second stage of labor were influence factors for postpartum pelvic floor dysfunction (OR=3.892, 3.508, 7.862, 44.667, 12.667, 9.448, 10.444, and 23.385,P<0.05).Conclusion The incidence of postpartum pelvic floor dysfunction in parturients in our hospital is high. The monitoring and early intervention of influence factors should be emphasized and strengthened.

Key words： postpartum pelvic floor dysfunction influence factor

收稿日期: 2019-03-22

通讯作者: 李苹,Email:fhyuggjk79@163.com

引用本文:

李苹. 产后盆底功能障碍影响因素的调查研究[J]. 中国医院统计, 2019, 26(5): 367-369.
Li Ping.. Investigation and study on influence factors of postpartum pelvic floor dysfunction. journal1, 2019, 26(5): 367-369.

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［1］FORNELL EU, WINGREN G, KJLHEDE P. Factors associated with pelvic floor dysfunction with emphasis on urinary and fecal incontinence and genital prolapse: an epidemiological study［J］.Acta Obstet Gynecol Scand, 2015, 83(4):383-389.
［2］BERZUK K, SHAY B. Effect of increasing awareness of pelvic floor muscle function on pelvic floor dysfunction: a randomized controlled trial.［J］. International Urogynecology Journal, 2015, 26(6):837-844.
［3］蔡江美,寿亚琴.不同产科因素对孕产妇盆底功能的影响及盆底肌康复治疗的近期效果观察［J］.健康研究,2014,34(5):545-547.
［4］邵彤华.产后盆底功能障碍性疾病影响因素的回顾分析［J］.中国妇幼保健,2016,31(24):5342-5344.
［5］BOZKURT M, YUMRU AE, SAHIN L. Pelvic floor dysfunction, and effects of pregnancy and mode of delivery on pelvic floor［J］. Taiwanese Journal of Obstetrics & Gynecology, 2014, 53(4):452-458.
［6］林小芳,李少芬,张大贵,等.个体化行为管理在社区中老年女性压力性尿失禁患者中的应用效果［J］.中国医院统计,2016,23(5):376-377.
［7］BORTOLAMI A, VANTI C, BANCHELLI F, et al. Relationship Between Female Pelvic Floor Dysfunction and Sexual Dysfunction: An Observational Study［J］. Journal of Sexual Medicine, 2015, 12(5):1233-1241.
［8］张娜.1162例孕妇产后盆底功能障碍的发生率、影响因素及康复训练效果分析［J］.中国妇幼保健,2018，33(7):1469-1472.
［9］张珂,王澜静,焦玲洁,等.产后盆底功能障碍性疾病与盆底肌收缩力及其相关因素分析［J］.实用妇产科杂志,2014,30(10):757-759.
［10］杜亚飞,陈然,刘晶,等.产后妇女盆底功能障碍状况及其影响因素［J］.检验医学与临床,2018,15（3）：289-292.
［11］周英,刘艳.盆底肌收缩状况与妊娠早期盆底功能障碍性疾病的关系及影响因素研究［J］.临床和实验医学杂志,2015,14(17):1421-1423.
［12］[KG*2]〖ZK(]ROGERS RG, LEEMAN LM, BORDERS N, et al. Contribution of the second stage of labour to pelvic floor dysrunction: a prospective cohort compatison of nulliparous women［J］.Bjog An International Journal of Obstetrics & Gynaecolgy, 2014, 121(9):1145-1154.