初产妇产后6周盆底电生理指标及盆腔器官脱垂分度状况全国多中心横断面研究

发布时间：2018-03-31 10:24

  本文选题：初产妇　切入点：盆底功能障碍性疾病　出处：《中国实用妇科与产科杂志》2015年05期

【摘要】：目的获得中国初产妇产后早期盆底电生理指标及盆腔器官脱垂分度情况及危险因素分析。方法自2011年10月在广西、广东、河北、河南、山西5省开展多中心横断面研究,在产后6周对产妇基本情况、产科情况及盆底电生理指标和盆腔器官脱垂分度(POP-Q)数据进行采集和统计学分析。结果共入组1327例初产妇,产后6周的盆底电生理指标显示,Ⅰ类肌肌力3级以上的占47.5%,Ⅱ类肌肌力3级以上的占43.6%,盆底动态压力为(61.8±29.2)cm H2O。A3反射正常率为66.7%。分娩时会阴裂伤(OR=1.48;95%CI 1.11~1.97)和工作体位以站位为主(OR=1.57;95%CI 1.06~2.33)是发生Ⅰ类肌早期肌力下降的危险因素。盆底障碍性疾病家族史是Ⅰ类肌和Ⅱ类肌疲劳度异常的危险因素。盆腔器官脱垂分度中,第二产程延长是后壁Ap点(OR=10.02,95%CI 1.88~53.49)和Bp点(OR=5.57,95%CI 1.19~26.01)下移的危险因素,会阴裂伤是中盆腔C点(OR=1.54,95%CI 1.14~2.09)和D点(OR=2.61,95%CI 1.51~4.53)下移的危险因素。结论约半数初产妇产后早期盆底电生理指标处于受损状态,会阴裂伤和家族遗传史是其危险因素。第二产程延长和会阴裂伤是产后早期POP-Q分度位点下移的危险因素。
[Abstract]:Objective to obtain the electrophysiological indexes of pelvic floor and the degree of pelvic organ prolapse and risk factors analysis in early postpartum period in China. Methods Multi-center cross-sectional study was carried out in Guangxi, Guangdong, Hebei, Henan and Shanxi provinces since October 2011. After 6 weeks of postpartum, the data of basic condition, obstetrical condition, pelvic floor electrophysiological index and pelvic organ prolapse were collected and statistically analyzed. Results 1327 primipara women were enrolled in the study, and the pelvic floor electrophysiological indexes were found at 6 weeks postpartum. 47.5% of Class 鈪，

本文编号：1690322