摘要
目的了解产后42 d复诊女性压力性尿失禁(SUI)的患病率,并分析其相关影响因素,制定该地区女性SUI防治策略,提高产后女性生活质量。方法以2016年1月1日-6月30日在该院行产后42 d复诊产妇共2 163例为调查对象,进行问卷调查、测量身高、体质量,进行盆腔脏器脱垂量化分期系统(POP-Q)分度检查,对SUI相关因素经卡方检验、Logistic回归分析筛选出高危因素。结果产后42 d妇女中SUI患病率为38.65%。阴道分娩的SUI患病率明显高于剖宫产分娩,差异有统计学意义(χ~2=112.452 7,P<0.05);随着年龄的增加发生SUI的概率也随之增高,差异有统计学意义(χ~2_(趋势)=-5.019 0,P<0.05);随着婴儿出生体质量的增加,患病率随之升高,差异有统计学意义(χ~2_(趋势)=-2.153 0,P<0.05);随着阴道前壁脱垂级别的增加,患病率随之升高,差异有统计学意义(χ~2_(趋势)=-5.019 0,P<0.05)。多因素Logistic分析结果显示年龄、阴道分娩次数和阴道前壁脱垂POP-QⅡ度及以上3项因素的统计结果差异有统计学意义(均P<0.05)。结论产后42 d女性SUI与年龄、阴道分娩次数、阴道前壁脱垂因素有关,针对SUI的高危因素,医护人员对高危人群进行适时干预,预防和治疗女性SUI,提高产后女性生活质量。
Objective To investigate the prevalence rate of female stress urinary incontinence （SUI） at 42 days after delivery during subsequent visit, analyze the related influencing factors, formulate SUI prevention and treatment strategies for women in this area, and im- prove the quality of life of postpartum women. Methods A total of 2 163 postpartum women receiving subsequent visit at 42 days after deliv- ery from January 1 st to June 30th in 2016 were selected and surveyed by a questionnaire, measurement of height and weight was carried out, pelvic organ prolapse quantification （POP-Q） was performed, the related risk factors of SUI were analyzed by Chi-square test, logistic re- gression analysis was used to screen the high-risk factors. Results The prevalence rate of SUI was 38. 65%. The prevalence rate of SUI in vaginal delivery group was statistically significantly higher than that in cesarean section group （X^2 = 112. 452 7, P〈0. 05 ） . With the in- （Xtrend^2 =-5＂ 019 0, P〈0. 05 ） . With the in- crease of age, the probability of SUI also increased, the difference was statistically significant 2 crease of birth weight, the prevalence rate of SUI increased, the difference was statistically significant （Xtrend^2 = -2. 153 0, P〈0. 05 ） . With the increase of vaginal anterior wall prolapse grade, the prevalence rate of SUI increased, the difference was statistically significant （Xtrend^2 = -5. 019 0, P〈0.05 ） . Multivariate logistic analysis showed that there were statistically significant differences in age, the number of vaginal delivery, and vaginal anterior wall prolapse POP- Q ]I degree （ P〈0. 05 ） . Conclusion The prevalence rate of female SUI at 42 days after delivery is related to age, the number of vaginal delivery and vaginal anterior wall prolapse. In view of the high-risk factors of SUI, the doctors and nurses should timely intervene the high-risk population, prevent and treat female SUI, and improve the quality of life of postpartum women.
作者
曾金华
汪桂艳
林斯华
黄平
陈娟娟
陈淑君
谢奕嫔
ZENG Jin-Hua WANG Gui-Yan LIN Si-Hua et al(Pelvic Floor Diagnosis and Treatment Center, Xiamen Maternal and Child Health Care Hospital, Xiamen, Fujian 361001, China)
出处
《中国妇幼保健》
CAS
2017年第20期5103-5106,共4页
Maternal and Child Health Care of China
关键词
压力性尿失禁
患病率
高危因素
Stress urinary incontinence
Prevalence rate
High-risk factor
