摘要
目的探讨盆腔脏器脱垂和尿失禁发病的高危因素,为其一级、二级预防提供理论依据。方法对2014年10月至2015年2月在该院盆底康复科诊疗的548例妇女行盆腔器官脱垂定量分期法(POP-Q)评估及盆底肌肌力检测,并采集调查对象的一般资料和病史,了解其盆腔脏器脱垂、尿失禁等症状及盆底肌肌力等情况,并对其进行统计分析。结果盆腔脏器脱垂单因素分析发现,年龄、盆底肌功能、分娩方式对盆腔脏器脱垂均有影响(P<0.01),多元logistic回归分析发现,盆底肌功能、分娩方式对盆腔脏器脱垂有影响(P<0.01)。尿失禁的单因素分析发现,年龄、盆底肌功能、分娩方式、产后时间对尿失禁有影响(P<0.01),多元logistic回归分析发现,年龄、盆底肌功能、分娩方式对尿失禁有影响(P<0.01)。结论盆底肌功能不良、阴道顺产是盆腔脏器脱垂的高危因素,盆底肌功能不良、阴道顺产、高龄是尿失禁的高危因素。有盆底肌功能不良、阴道顺产和高龄这些高危因素的患者应该加强盆底肌功能锻炼,必要时进行盆底肌功能康复治疗,避免或延缓疾病的发生、发展。
Objective To investigate the high risk factors of pelvic organ prolapse and urinary incontinence to provide the theoretical basis for its primary and secondary prevention. Methods Totally 548 women treated in the pelvic floor rehabilitation department of our hospital from October 2014 to February 2015 were performed the evaluation by the pelvic organ prolapse quantitative staging method （POP-Q） and pelvic floor muscle testing. The general data and disease history of the patients were collected for understanding their pelvic organ prolapse, urinary incontinence and pelvic muscle force, etc. and performed the statistical analysis. Results The univariate analysis results found that the age,pelvic floor muscle function and delivery mode all had the influence on pelvic organ prolapse （P〈0.01） ;the multivariate logistic regression analysis results found that the pelvic floor muscle function and delivery mode had the influence on pelvic organ prolapse （P〈0.01）. The univariate analysis results of urinary incontinence found that the age, pelvic floor muscle function, delivery mode and postpartum time had the influence on urinary in continence （P〈0.01 ） ;the multivariate logistic regression analysis results found that the age, pelvic floor muscle function and delivery mode had the influence on urinary incontinence （P〈0.01）. Conclusion Pelvic floor muscle dysfunction and vaginal spontaneous delivery are the high risk factors of pelvic organ prolapse. Pelvic floor muscle dysfunction, vaginal spontaneous delivery and advanced age are the high risk factors of urinary incontinence. The patients with these high risk factors should strengthen the exercise of pelvic floor muscle function and conduct the treatment of pelvic floor functional rehabilitation if necessary to avoid and delay the occurrence and development of the pelvic organ prolapse or urinary incontinence.
出处
《现代医药卫生》
2016年第5期675-677,共3页
Journal of Modern Medicine & Health
关键词
尿失禁
脱垂
年龄因素
骨盆
高危因素
Urinary incontinence
Prolapse
Age factors
Pelvis
High risk factors
