产褥期产妇发生盆腔器官脱垂的临床分析

Clinical analysis of pelvic organ prolapse in puerperal women

目的对产后42 d妇女发生盆腔器官脱垂(POP)的资料进行临床分析。方法将产后42 d检查的1392例产妇作为研究对象,按照盆腔器官脱垂定量分期法(POP-Q)评估结果,分为POP组774例和无POP组618例。收集2组产妇基本资料,包括年龄、孕次、产次、文化程度、体质指数、分娩方式、产程时间、会阴破裂、新生儿体质量等,对收集的资料进行分析。结果POP发生率为55.60%(774/1392)。单因素分析结果显示,产次在2次及以上、阴道分娩、会阴撕裂(包括侧切)、第二产程延长等是发生POP的危险因素。结论产后妇女易发生POP,是由产次、分娩方式等多个危险因素共同作用的结果,在临床工作中应加强对发生POP危险因素的干预,以提高产妇的生活质量。

Objective To analyze the risk factors of pelvic organ prolapse(POP)for women after 42 days of puerperium.Methods 1392 parturients who underwent 42 days postpartum examination were were divided into two groups:POP group(774 patients)and non-POP group(618 patients)according to the results of pelvic organ prolapse quantitation(POP-Q).The basic data of parturients were collected,including age,pregnancy times,parity,degree of education,body mass index,mode of delivery,labor time,perineal rupture,neonatal body quality,etc.,and the collected data were analyzed.Results The incidence of POP was 55.60%(774/1392),the production time,vaginal delivery,perineal tear(including the lateral episiotomy)and prolonged second stage were the risk of POP factors.Conclusion Parturients are prone to POP,which is the result of the multiple risk factors,such as the number of births,delivery mode,etc.Therefore,intervention on the risk factors of POP should be strengthened in the clinical work to improve the quality of maternal life.