产后盆底功能障碍的相关危险因素调查分析

Investigation and analysis of risk factors of postpartum pelvic floor dysfunction

目的:探讨产妇产后盆底功能障碍(PFD)的相关危险因素。方法:将1035例产妇产后42d是否发生PFD分为PFD组(145例)和对照组(890例),收集可能影响产后PFD发病的相关因素,采用单因素和多因素Logistic回归法来筛选产后PFD发病的相关危险因素。结果:产后PFD的发病率为14.0%(145/1035);多因素分析显示,影响产后PFD发病的因素包括年龄(OR=1.716)、孕期增重(OR=2.307)、阴道分娩(OR=3.529)、第二产程停滞或延长(OR=3.184)、孕期压力性尿失禁(OR=5.392)等因素。结论:产后PFD发病率较高,其发病的高危因素包括高龄、孕期增重过多、阴道分娩、第二产程停滞或延长及孕期压力性尿失禁等,应针对这些高危因素制订必要的防治措施。

[Objective]To explore the related risk factors of postpartum pelvic floor dysfunction( PFD). [Method]1035 mothers were divided into PFD group( 145 cases) and control group( 890 cases) according to whether their PFD occurred 42 days postpartum. Relevant factors that may influence the incidence of postpartum PFD were collected. Univariate and multivariate Logistic regression methods were used to screen the risk factors associated with postpartum PFD.[Result]The incidence of postpartum PFD was 14. 0%( 145/1035). Multivariate analysis showed that the factors influencing postnatal PFD included age( OR = 1. 716),weight gain during pregnancy( OR = 2. 307),vaginal delivery( OR = 3. 529),stagnation or prolongation of the second stage of labor( OR = 3. 184) and urinary incontinence( OR= 5. 392). [Conclusion]The incidence of postpartum PFD is higher. The risk factors include the incidence of advanced age,excessive weight gain during pregnancy,vaginal delivery,the second stage of labor stagnation or prolonged and pregnancy stress urinary incontinence. We should formulate essential prevention and cure measures to aim directly these high risk factors.