178例产妇对产后盆底功能障碍认知行的调查

Analysis of cognition and behavior in postpartum rehabilitation of pelvic floor

对2014年1-6月在我院行产后42d复诊的178例产妇进行盆底功能障碍相关问题问卷调查及盆底肌力体检，问卷参考尿失禁影响问卷简版、盆底功能影响问卷简版与盆底器官脱垂／尿欠禁性功能问卷简版自行设计。178例中，初产妇130例，二次产妇48例，均对产后盆底功能障碍的表现、预防、治疗欠缺了解，两者差异无统计学意义。在盆底肌力减退方面自知率与检出率，初产妇为9．2％（12／130）和14．6％（19／130），经产妇为10．4％（5／48）和16．7％（8／48），脏器脱垂自知率与检出率初产妇为0．8％（1／130）和2．3％（3／130），经产妇为0（0／48）和8．3％（4／48），差别有显著性。而盆底功能障碍的相关知识大多来自长辈、同事，占53．1％（95／178），通过医护宣传获知的占15．5％（27／178）。仅44．4％（12／27）的患者在盆底功能障碍症状明显状态下才有治疗需求。因此产后盆底功能障碍等相关知识的宣教需加强。

From January 2014 to June 2014, a total of 178 primiparas and biparas scheduled for a 42-day postpartum follow-up visit at our hospital were examined. And their pelvic floor dysfunctions were evaluated according to the surveys of incontinence impact questionnaire, short form （ IIQ-7 ） , pelvic floor impact questionnaire-7 （PFIQ-7） and pelvic organ prolapse/urinary incontinence sexual questionnaire （P1SQ. 12）. And 130 primiparas and 48 biparas lacked an understanding of performance, prevention and treatment for postpartum pelvic floor dysfunction. And two groups showed no significant difference. The self- discovery and detection rates of decreased pelvic myodynamie were 9.2% and 14.6% in primiparas versus 10.4% and 16.7% in biparas. The self-discovery and detection rates of pelvic organ prolapse were 0.8% and 2.3% in primiparas versus 0.0% and 8.3% in biparas. And the difference was statistically significant. Most related knowledge came from parents and colleagues in 53.1% （95/178） and doctors and nurses in 15.5% （ 27/178 ）. Only about 44.4% （ 12/27 ） women with prominent symptoms of pelvic floor dysfunction requested treatments. Therefore the related knowledge of postpartum pelvic floor dysfunction should be strengthened.