女性盆底功能障碍性疾病相关危险因素分析

Risk Factors for Female Pelvic Floor Dysfunction

目的探讨女性盆底功能障碍性疾病(FPFD)相关危险因素。方法选取我院2013年10月-2015年7月收治的1007例FPFD患者为观察组,另选我院同期体检的健康女性352例作为对照组。记录2组患者相关临床资料,采用Logistic回归分析影响FPFD的危险因素。结果两组单因素分析比较结果显示:子宫切除术、绝经情况、清洁度≥Ⅲ度、乳酸杆菌、年龄、孕次、产次是影响FPFD的因素(P<0.05);Logistic回归分析结果显示:清洁度≥Ⅲ度、乳酸杆菌、年龄非影响FPFD的独立危险因素(P>0.05);子宫切除术、绝经、孕次>3次、产次>3次为影响FPFD的独立危险因素(P<0.001)。结论存在子宫切除术史、绝经、孕产次数>3次的女性易患FPFD。

Objective To investigate the risk factors for female pelvic floor dysfunction（ FPFD）.Methods A total of 1007 cases of FPFD patients admitted to our hospital between October 2013 and July 2015 were selected as the observation group while another 352 healthy women were selected as the control group.The clinical data of the two groups was recorded,and Logistic regression analysis was used to analyze the risk factors of female pelvic floor dysfunction.Results The results of univariate analysis showed that hysterectomy,menopause,cleanliness≥Ⅲ,lactobacilli,age,the number of times of pregnancy and parity were the factors that affected the chance of FPFD（ P〈0.05）.Logistic regression analysis showed that cleanliness≥Ⅲ degrees,lactobacillus and age had no effect on independent risk factors of FPFD（ P〉 0.05）.Hysterectomy,menopause,more than three pregnancies,and over three parities were considered independent risk factors of FPFD（ P〈0.001）.Conclusion Women who have received hysterectomy,or are through menopause or have been pregnant more than three times are more susceptible to pelvic floor dysfunction.