| 袁嘉琪,张琳娜,卢邦春.初产妇阴道分娩后尿失禁的高危因素分析[J].上海护理,2018,18(S1): |
| 初产妇阴道分娩后尿失禁的高危因素分析 |
| Risk factors of urinary incontinence for Primiparae after vaginal delivery |
| DOI： |
| 中文关键词: 尿失禁 产后 初产妇 阴道分娩 高危因素 |
| 英文关键词:urinary incontinence Postpartum Primiparae Vaginal delivery Risk factors |
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| 中文摘要: |
| 目的: 探讨初产妇足月阴道分娩后尿失禁发生的高危因素。方法: 收集2017年1月至2017年4月在国际和平妇幼保健院产后6～8周复诊的经阴道足月分娩的初产妇1211例。同时行尿失禁问卷调查,根据结果分为产后尿失禁组(178例)和非尿失禁组(1033例,对照组),用单因素和多因素Logistic回归分析各种产科因素与产后早期尿失禁发生的相关性。结果:在1211例阴道分娩的初产妇中,孕期尿失禁的发生率为25.76%(312/1211),产后尿失禁的发生率为14.70% (178/1211)；产后尿失禁组的年龄、第二产程时长显著大于对照组,两组比较差异有统计学意义(P=0.000,0.020)；而比较两组产妇分娩孕周、孕前体重指数(BMI)、孕期体重增加量、产时BMI、新生儿出生体重、会阴裂伤率、会阴侧切率以及产钳助产率,两组差异均无统计学意义(P=0.890,0.052,0.592,0.107,0.097,0.916,0.491,0.887)。多因素Logistic回归分析显示,产妇年龄大于35岁(OR=2.219,95%CI:1.124～4.382,P=0.022)以及第二产程大于2小时(OR= 1.660,95%CI:1.018～2.706,P=0.042)是产后UI发生的独立高危因素。结论: 初产妇阴道分娩产后尿失禁的发生与年龄及第二产程有关。产后尿失禁发生率高,应加强产妇盆底疾病的预防及重视产后康复训练,尤其是具有高危因素的产妇。 |
| 英文摘要: |
| Objective To investigate risk factors of urinary incontinence (UI) in early postpartum period among unipara women after vaginal delivery. Methods From January to April 2017,a total of 1211 primiparous women after vaginal delivery were recruited．UI was assessed at 6-8 weeks postpartum,using the questionnaire survey system. Logistic regression analysis was used to estimate the relative odds of each factor. Results Of 1211 participants,14.70% (178/1211)cases after pregnancy had UI as UI group and 1033 cases had no UI as control group.There were significant difference at age, the second period of delivery between the two groups(P=0.000,0.020).There were no significant difference at delivery pregnancy week,BMI before pregnancy,ponderal growth during pregnancy,BMI when delivery,fetal birthweight, perineal tear and episiotomy, and forceps delivery between the two groups(P=0.890,0.052,0.592,0.107,0.097,0.916,0.491,0.887).The results of nonconditional multivariate logistic regression analysis showed that the age(＞35 years)(OR=2.219,95%CI:1.124～4.382,P=0.022)and the second stage of delivery(＞120 minutes)(OR=1.660,95%CI:1.018～2.706,P=0.042)were independent risk factors for UI.Conclusions Postpartum UI is relevant to a variety of factors including the age, the second stage of delivery. The incidence of postpartum UIamong primiparous women after vaginal delivery was high.Early prevention for UI and training should be strengthened,specially for those who are at risk of UI. |
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