高龄产妇产后尿潴留发生的影响因素分析

Study on the influencing factors of postpartum urinary retention in elderly puerperae

目的探讨高龄产妇产后尿潴留发生的影响因素。方法病例对照研究。抽取2019年1月至2023年10月在驻马店市中心医院分娩的300例高龄产妇,根据产妇产后是否发生尿潴留,将其分为发生组(26例)和未发生组(274例)。收集产妇基线资料,比较两组产妇的基线资料,采用多因素Logistic回归分析高龄产妇产后尿潴留发生的影响因素。结果发生组产妇总产程时间≥12 h占比、分娩镇痛占比、产钳助产占比、新生儿体质量≥4 kg占比、焦虑自评量表(SAS)评分均高于未发生组产妇(P均<0.05)。Logistic回归分析结果显示,总产程时间≥12 h、分娩镇痛、产钳助产、新生儿体质量≥4 kg、高SAS评分均为高龄产妇产后尿潴留发生的危险因素(OR均>1,P均<0.05)。结论高龄产妇产后尿潴留发生风险较高,且总产程时间、分娩镇痛、产钳助产、新生儿体质量、SAS评分为高龄产妇产后尿潴留发生的影响因素。

Objective To investigate the influencing factors of postpartum urinary retention in elderly puerperae.Methods A total of 300 elderly puerperae who delivered in Zhumadian Central Hospital from January 2019 to October 2023 were included for the case-control study,and they were divided into the occurrence group(26 cases)and the non occurrence group(274 cases)according to whether the puerpera had urinary retention after delivery.The baseline data of puerperae were collected,and the baseline data of the two group were compared.The influencing factors of postpartum urinary retention in elderly puerperae were analyzed by multivariate logistic regression analyses.Results The proportion of duration of labor≥12 hours,the proportion of labor analgesia,the proportion of forceps assisted delivery,the proportion of newborn body weight≥4 kg,and self-rating anxiety scale(SAS)score in the occurrence group were all higher than those in the non occurrence group(all P<0.05).Logistic regression analysis revealed that the total duration of labor≥12 h,labor analgesia,forceps assisted delivery,neonatal body mass≥4 kg,and high SAS score were all risk factors for postpartum urinary retention in elderly puerperae(all OR>1,all P<0.05).Conclusions The risk of postpartum urinary retention in elderly puerperae is high.The total duration of labor,labor analgesia,forceps assisted delivery,neonatal body mass,SAS score are the influencing factors of postpartum urinary retention in elderly puerperae.