产妇盆底功能情况调查及产科因素对盆底功能的近期影响分析研究

发布时间：2018-04-28 04:32

  本文选题：妊娠和分娩 + 盆底电生理评估　； 参考：《实用妇产科杂志》2016年11期

【摘要】：目的:探讨产后盆底功能情况及产科因素对盆底功能的近期影响。方法:调查2014年1~12月同仁医院分娩并于产后6~8周来院做检查的2023例妇女,出院小结和产后检查记录提取产科相关信息,进行盆底电生理评估,对产妇盆底功能与产科因素进行单因素及多因素分析。结果:2023例产妇产后6~8周盆底功能评估异常率为89.67%。单因素分析结果表明,产次≥2次、会阴切开、足月分娩和新生儿出生体质量≥3500 g的产妇盆底功能更差。多因素分析结果显示,产次≥2次的产妇(OR=2.529,95%CI 1.763~3.628)、新生儿出生体质量≥3500 g(OR=1.636,95%CI 1.184~2.262)、阴道分娩(OR=1.440,95%CI 1.068~1.941)是影响产妇盆底功能的高危因素。对于阴道分娩产妇,产次≥2次(OR=3.460,95%CI 2.059~5.828)、会阴切开(OR=2.297,95%CI 1.484~3.557)和足月分娩(OR=6.248,95%CI 1.824~21.399)是影响盆底功能的高危因素。结论:分娩后6~8周的产妇盆底功能损伤较严重;多产次、新生儿体质量较大和阴道分娩是影响产后6~8周产妇盆底功能的因素。对于阴道分娩者,多产次、足月分娩、会阴切开是另一个影响盆底功能的因素。产科医生应指导孕妇合理控制孕期体重,临近预产期指导孕妇进行kegel训练,降低会阴切开率,以降低盆底功能障碍性疾病发生率。
[Abstract]:Objective: to investigate the postpartum pelvic floor function and the recent effects of obstetrical factors on pelvic floor function. Methods: 2023 women who gave birth in Tongren Hospital from January to December 2014 and came to hospital for examination at 6 weeks postpartum were investigated. The discharge summary and postpartum examination records were used to extract obstetrical information and evaluate pelvic floor electrophysiology. The pelvic floor function and obstetrical factors of parturient were analyzed by univariate and multivariate analysis. Results the abnormal rate of pelvic floor function evaluation in 8 weeks postpartum was 89.67. Univariate analysis showed that the pelvic floor function of parturient with birth times 鈮，

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