无痛分娩与尿失禁关系的探讨

Discussion on the Relationship Between Painless Childbirth and Urinary Incontinence

目的 探讨无痛分娩与尿失禁的关系。方法 以问卷方式对本市2所小学1~3年级学生家长及1所幼儿院婴幼儿家长共900人进行尿失禁发病情况调查;比较无痛分娩与非无痛分娩、首次无痛分娩与二次无痛分娩尿失禁的发生情况。结果 收回有效问卷为469份;无痛分娩尿失禁发病率显著低于非无痛分娩（P〈0.05）,首次与二次无痛分娩产妇发生尿失禁发生率无显著差异（P〉0.05）。结论 无痛性分娩可降低尿失禁发病率,值得临床推广应用。

Objective To investigate the relationship between painless childbirth （first and secondary） and the incidence of urinary incontinence. Methods Questionnaire was used for investigation of incidence of urinary incontinence among 900 cases of parents of grade 13 students from two local primary schools and one local kindergarten. The incidences of urinary incontinence were compared between painless childbirth and non：painless childbirth, and between first painless childbirth and secondary painless childbirth. Results 469 cases were involved in this study. The incidence of urinary incontinence of painless childbirth was significantly lower than that of non-painless childbirth （P 〈0.05）. No statistical difference was found in incidence of urinary incontinence between first painless childbirth and secondary painless childbirth （P〉0.05）. Conclusions Painless childbirth can reduce the incidence of urinary incontinence, which is worthy of clinical application.