阴道分娩产妇产后盆底功能障碍恢复影响因素分析

Analysis of Influence on Recovery of Pelvic Floor Dysfunction after Vaginal Delivery

目的探讨阴道分娩产妇产后盆底功能障碍恢复影响因素分析及相关措施。方法选择2020年1月至2022年1月进行阴道分娩产妇140例,其中发生产后盆底功能障碍50例作为观察组,未发生产后盆底功能障碍90例作为对照组。通过对两组进行自编问卷调查,对阴道分娩产妇产后出现盆底功能障碍的相关资料进行多因素Logistic回归分析,并针对相关因素危险进行干预。结果单因素分析结果表明:阴道分娩产妇产后盆底功能障碍恢复的因素与年龄、分娩次数、孕期增重、产后便秘、第二产程时间、新生儿体质量、既往盆腔手术史差异有统计学意义(P<0.05);多因素Logistic回归分析结果表明:分娩次数(β=1.276,OR=3.584,95%CI=2.484~6.321)、产后便秘(β=1.561,OR=6.423,95%CI=5.692~8.461)、第二产程时间(β=1.425,OR=4.091,95%CI=3.236~4.562)、既往盆腔手术史(β=2.931,OR=1.034,95%CI=0.282~4.341)是影响阴道分娩产妇产后盆底功能障碍恢复的危险因素(P<0.05)。结论阴道分娩产妇产后盆底功能障碍恢复的影响因素较多,临床上应明确阴道分娩产妇产后盆底功能障碍恢复的影响因素,根据可能的影响因素进行干预,有助于医师及早进行治疗。

Objective To explore the impact of multiple Logistic regression analysis and related measures on postpartum pelvic floor dysfunction recovery of women who delivered vaginally.Methods A total of 140 women who underwent vaginal delivery from January 2020 to January 2022 were selected,including 50 cases with postpartum pelvic floor dysfunction as the observation group and 90 cases without postpartum pelvic floor dysfunction as the control group.Multiple Logistic regression analysis was conducted on the data related to pelvic floor dysfunction after vaginal delivery,and intervention was conducted according to the risk of related factors.Results Univariate results showed that the recovery factors of pelvic floor dysfunction after vaginal delivery were statistically significant with age,number of deliveries,weight gain during pregnancy,postpartum constipation,time of the second stage of labor,newborn body weight and previous pelvic surgery history(P<0.05).Multivariate Logistic regression analysis showed that:number of deliveries(β=1.276,OR=3.584,95%CI=2.484-6.321),postpartum constipation(β=1.561,OR=6.423,95%CI=5.692-8.461),time of the second stage of labor(β=1.425,OR=4.091,95%CI=3.236-4.562)and previous pelvic surgery history(β=2.931,OR=1.034,95%CI=0.282-4.341)were risk factors affecting the recovery of pelvic floor dysfunction after vaginal delivery(P<0.05).Conclusion There are many factors affecting the recovery of postpartum pelvic floor dysfunction in women who delivered vaginally.Clinically,it is necessary to clarify the factors influencing the recovery of postpartum pelvic floor dysfunction in women who delivered vaginally,and to intervene according to the possible factors,which can help doctors to conduct early treatment.