产妇产后尿失禁相关因素与防治的临床研究

Clinical research and on the related factors of postpartum urinary incontinence

目的：探讨产妇产后尿失禁发生的相关因素及其预防办法。方法选择2013年4月～2014年4月在我医院收入院的120例产妇，分析产妇产后发生尿失禁的发病率及相关影响因素。结果年龄小于30岁的产妇尿失禁发生率显著低于年龄30岁以上（包含30岁）的产妇（P＜0.05），胎儿出生时体重小于4000g的产妇尿失禁发生率显著低于胎儿出生体重大于4000g（包含4000g）的产妇（P＜0.05），第二产程小于30min的产妇尿失禁发生率显著低于第二产程30min以上的产妇（P＜0.05），胎产次小于2胎次的产妇尿失禁发生率显著低于胎产次2胎次以上的产妇（含2胎次）（P＜0.05）。尿失禁发生率与年龄、孕期尿失禁、出生体重、第二产程及胎产次呈正相关性（P＜0.05）。阴道分娩组产妇尿失禁发生率显著高于剖宫产组（P＜0.05）。结论产后发生尿失禁的风险因素包括分娩方式、年龄、孕期尿失禁、出生体重、第二产程及胎产次等，临床应在上述环节采取相应防范措施，降低产妇产后尿失禁的发生率。

Objective To explore the clinical research and on the related factors of postpartum urinary incontinence. Methods 120 cases of maternal choice in 2013 April-2014 April in my hospital income homeswere all collected and its related factors of maternal morbidity of postpartum urinary incontinence were observed. Results The maternal urinary incontinence of Less than 30 years age occurred significantly below than the age 30 years（including 30 years）of the maternal（P 〈 0.05）,fetal birth weight less than 4000g of the maternal urinary incontinence rate was lower than that of fetal birth weight greater than 4000g（contains 4000g of maternal）（P 〈 0.05）;the maternal urinary incontinence rate of second stage of labor was less than 30 minutes of was lower than that of the second stage of labor for more than 30 minutes of the maternal（P 〈 0.05）.Birth time less than 2 parity groups of maternal urinary incontinence occurred significantly less than the parity of 2 above（including 2 parity,maternal parity）（P 〈 0.05）. The incidence of urinary incontinence,urinary incontinence and age during pregnancy,birth weight,the second stage of labor and birth time was positively correlated（P 〈 0.05）.Vaginal delivery group maternal urinary incontinence was significantly higher than that of cesarean section group（P 〈0.05）. Conclusion The risk factors of postpartum urinary incontinence include age,mode of delivery,maternal urinary incontinence,birth weight,the second stage of labor and birth inferior,clinical should take corresponding prevention measures in the above link, reduce the incidence of postpartum urinary incontinence.