阜阳市912例产后妇女压力性尿失禁的影响因素分析

The influencing factor analysis of stress urinary incontinence in 912 postpartum women in Fuyang

目的：了解阜阳市产后妇女压力性尿失禁（SUI）的发病情况并分析其影响因素。方法：选择于阜阳市第一人民医院进行产前检查并于分娩后6-8周复查的孕产妇作为调查对象,共912例。采用问卷调查了解产妇产后SUI发生情况,并分析孕产妇相关因素对产后SUI发生的影响。结果：阜阳市产后妇女SUI的患病率为39.5%。随产妇年龄增高,SUI患病率增高（P〈0.01）;孕20周体质量指数越大,发生SUI风险越大（P〈0.05）;剖宫产产妇SUI的患病率显著低于阴道顺产和产钳助产产妇（P〈0.01）。控制混杂因素后,多因素logistic回归分析显示,产妇高龄是产后SUI的危险因素,相对于阴道顺产和产钳助产,剖宫产可降低SUI的发生风险（P〈0.01）。结论：产后妇女SUI的发生受年龄和分娩方式的影响。

Objective： To investigate the incidence of the stress urinary incontinence（ SUI） in postpartum women from Fuyang,and analyze its influencing factors. Methods： A total of 912 postpartum women for 6 to 8 weeks from the First People＇ s Hospital of Fuyang were selected. The incidence of SUI in postpartum women were investigated,and the influence factors on SUI were analyzed. Results：The incidence of postpartum SUI was 39. 5%,the morbidity of SUI increased with the increasing of the age of postpartum women（ P〈0. 01）,The large BMI in pregnant woman with 20 weeks of gestation could easy lead to the SUI（ P〈0. 05）. The morbidity of SUI in cesarean section puerpera was significantly lower than that in vaginal delivery and forceps delivery puerperas（ P〈0. 01）. Multivariate analysis showed that the elderly age was the risk factor of SUI,and compared with the vaginal delivery and forceps delivery,the cesarean section can reduce the risks of SUI（ P〈0. 01）. Conclusions： Age and delivery mode can affect the occurrence of SUI in postpartum women.