2641例产妇产后盆底功能筛查结果分析

Analysis on screening results of pelvic floor function in 2641 postpartum women

目的筛查2641例产妇产后盆底功能,为预防产妇盆底功能损伤提供依据。方法选取2014年6月-2015年6月在张家港市妇幼保健所进行产后体检的2641例产妇作为研究对象,检查盆底功能,统计盆底功能障碍性疾病(PFD)的发病情况及肌力异常情况。结果2641例产妇中,PFD 1266例(47.9%)。随着产妇年龄增大,产妇肌力异常、尿失禁、子宫脱垂发生率明显升高,且不同年龄段之间比较差异有统计学意义(P<0.05)。经阴道分娩、经产妇、分娩时新生儿为巨大儿的产妇肌力异常发生率明显高于剖宫产、初产妇、分娩时新生儿为非巨大儿的产妇,差异有统计学意义(P<0.05)。结论及时对产妇产后盆底功能进行筛查对PFD的诊断和促进人们对该病的认识有很大帮助。

Objective To screen pelvic floor function of 2641 postpartum women,provide a basis for prevention of maternal pelvic floor function injury.Methods A total of 2641 postpartum women undergoing postpartum physical examination in Zhangjiagang Maternal and Child Health Care Institute from June 2014 to June 2015 were selected,the incidence rates of pelvic floor dysfunction(PFD)and muscle strength abnormalities were counted.Results Among 2641 postpartum women,the incidence rate of PFD was 47.9%(1266 postpartum women).With the increase of maternal age,the incidence rates of muscle strength abnormalities,urinary incontinence,and prolapse of uterus increased significantly,there were statistically significant differences among the postpartum women in different age groups(P<0.05).The incidence rate of muscle strength abnormalities in postpartum women undergoing transvaginal delivery,multipara,giving birth to macrosomia were statistically significantly higher than those in postpartum women undergoing cesarean section,primipara,giving birth to normal weight infants(P<0.05).Conclusion Timely screening of pelvic floor function is helpful for diagnosis of PFD and cognition of this disease.