产后盆底功能障碍与盆底肌肉收缩力相关性研究

Correlation between Postpartum Pelvic Floor Dysfunction and Pelvic Floor Muscle Contractility

目的分析女性盆底功能障碍(PFD)与盆底肌肉收缩功能及影响因素的相关性。方法病例方便选择2017年7月—2019年3月在该医院产后60 d内发生PFD的100例产妇,以民族、年龄±3岁匹配选取200名同期分娩后盆底功能正常女性为对照组。对两组女性临床资料调查,并测量盆底肌肉功能,运用条件Logistic回归分析PFD发生的影响因素。结果300份问卷,病例组100份,对照组200份,有效回复率100.00%,且新生儿体重、分娩方式、糖尿病史或妊娠期糖尿病和会阴Ⅰ度或Ⅱ度裂伤与PFD发生呈正相关,其OR值分别为6.674、22.259、13.025和6.233。结论PFD女性盆底肌肉收缩功能显著降低,新生儿体重、分娩方式、糖尿病史或妊娠期糖尿病以及会阴部Ⅰ度、Ⅱ度裂伤是产后盆底功能障碍的危险因素。

Objective To analyze the correlation between pelvic floor dysfunction(PFD)and pelvic floor muscle contraction and its influencing factors.Methods Convenient select a total of 100 women with PFD occurred in the hospital from July 2017 to March 2019 in the 60-day postpartum period.A total of 200 women with normal pelvic floor function after delivery at the same time were selected as the control group.The clinical data of the two groups of women were investigated,and the pelvic floor muscle function was measured.Conditional logistic regression was used to analyze the influencing factors of PFD.Results 300 questionnaires,100 cases in the case group,200 in the control group,the effective response rate was 100.00%,and the neonatal weight,mode of delivery,history of diabetes or gestational diabetes and perineal degree Ⅰ or Ⅱ degree laceration and PFD occurred statistically.The positive correlation of meanings has OR values of 6.674,22.259,13.025 and 6.233,respectively.Conclusion PFD female pelvic floor muscle contraction function is significantly reduced,neonatal weight,mode of delivery,diabetes or gestational diabetes and perineal Ⅰ degree,Ⅱ degree laceration is a risk factor for postpartum pelvic dysfunction.