健康产妇近期盆底肌力相关因素研究分析
摘要
目的探讨产妇近期盆底肌力的相关影响因素。方法对2018年1月至6月重庆市妇幼保健院的2 400例产后6周女性进行盆底功能评估,对近期盆底肌力(I类肌纤维和II类肌纤维)的影响因素进行单因素和多因素分析。结果分娩次数(OR=1.704, 95%CI:1.248～2.272),分娩方式(OR=2.036, 95%CI:1.362～2.635)是盆底I类肌纤维肌力的影响因素,同样,分娩次数(OR=1.651, 95%CI:1.235～2.263),分娩方式(OR=1.894,95%CI:1.374～2.736)也是盆底II类肌纤维肌力的影响因素。结论分娩方式及分娩次数是影响近期盆底肌力的危险因素,应加强围产期盆底知识宣教,提高产妇盆底功能评估意识,降低远期盆底功能障碍性疾病的发生。
引文
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[6]叶茜,钮琳玮,赵玲.产妇盆底功能情况调查及产科因素对盆底近期影响分析研究[J].实用妇产科杂志, 2016, 32(11):843-846.
[7]卢潭敏.女性产后盆底功能与分娩相关因素的分析[J].中国妇幼保健, 2015, 30(14):2240-2242.
[8]Wesnes SL, Lose G. Preventing urinary incontinence during pregnancy and postpartum:a review[J]. Int Urogynecol J, 2013,24(6):889-899.
[9]石玉萍,梁小红,于燕,等.产后女性盆底功能状况调查研究[J].中国妇幼保健, 2017, 32(2):364-366.
[10]李旻,石婧,吕秋波,等.再生产妇产后早期盆底肌力受损的多因素分析[J].中华医学杂志, 2018, 98(11):818-822.
[2]Navarro BB, Torres LM, de la VP, et al. The evaluation of pelvic floor muscle strength in women with pelvic floor dysfunction:A reliability and correlation study[J]. Neurourol Urodyn, 2018,37(1):269-277.
[3]Metz M, Junginger B, Henrich W, et al. Development and Validation of a questionaire for the assessment of pelvic floor disorders and their risk factors during pregnancy and post partum[J].Geburtshilfe Frauenheilkd, 2017; 77(4):358–365.
[4]Quiroz LH, Pickett SD, Peck JD, et al. Increasing age is a risk factor for decreased postpartum pelvic floor strength[J]. Female Pelvic Med Reconstr Surg, 2017, 23(2):136-140.
[5]Bossano CM, Townsend KM, Walton AC, et al. The maternal childbirth experience more than a decade after delivery[J]. Am J Obstet Gynecol, 2017, 217(3):342. el-342. e8.
[6]叶茜,钮琳玮,赵玲.产妇盆底功能情况调查及产科因素对盆底近期影响分析研究[J].实用妇产科杂志, 2016, 32(11):843-846.
[7]卢潭敏.女性产后盆底功能与分娩相关因素的分析[J].中国妇幼保健, 2015, 30(14):2240-2242.
[8]Wesnes SL, Lose G. Preventing urinary incontinence during pregnancy and postpartum:a review[J]. Int Urogynecol J, 2013,24(6):889-899.
[9]石玉萍,梁小红,于燕,等.产后女性盆底功能状况调查研究[J].中国妇幼保健, 2017, 32(2):364-366.
[10]李旻,石婧,吕秋波,等.再生产妇产后早期盆底肌力受损的多因素分析[J].中华医学杂志, 2018, 98(11):818-822.