产褥期生活行为方式对子宫复旧的影响
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摘要
目的分析产褥期生活行为方式等因素与子宫复旧的关系,为促进子宫复旧提供依据。方法采用病例对照研究设计,研究对象为2016年10月—2017年5月在深圳市龙华区中心医院妇保科产后42天检查时子宫复旧不良的产妇203例作为病例组,随机选取恶露干净、妇科B超无异常的产妇381例为对照组,统一进行问卷调查,采用非条件logistic回归分析产褥期生活行为方式对子宫复旧的影响。结果每日睡眠时间<6 h的产妇子宫复旧不良的危险性是每日睡眠时间6～9 h的产妇3.23倍,每天清洗身体、房间开窗通风、补钙、适量活动和产后体操有利于子宫复旧。结论倡导科学的生活行为方式,促进子宫复旧。
OBJECTIVE To analyze the relationship between puerperium life behavior and uterine involution,and provide theory evidence for better puerperium care. METHODS A case-control study was performed by enrolling 203 puerpera poor uterine involution 42 days after delivery,and 381 puerpera with lochia clean and normal gynecologic ultrasonography during Oct 2015 and May 2016,question-naires were completed by all puerpera,unconditional logistic regression analysis were used to analyze the influence of puerperium life behavior on uterine involution. RESULTS Compared with puerpera who sleep 6～9h one day,the risk of poor uterine involution by those whosleep less than 6 h one day,the odds ratio(OR)was 3.23,95%CI was 1.94～5.36;clean body everyday,ventilate the room everyday,calclum supplements,moderate exercise,physical exercises were good for uterine involution. CONCLUSION Advocating scientific puerperium life behavior,promote uterine involution.
OBJECTIVE To analyze the relationship between puerperium life behavior and uterine involution,and provide theory evidence for better puerperium care. METHODS A case-control study was performed by enrolling 203 puerpera poor uterine involution 42 days after delivery,and 381 puerpera with lochia clean and normal gynecologic ultrasonography during Oct 2015 and May 2016,question-naires were completed by all puerpera,unconditional logistic regression analysis were used to analyze the influence of puerperium life behavior on uterine involution. RESULTS Compared with puerpera who sleep 6～9h one day,the risk of poor uterine involution by those whosleep less than 6 h one day,the odds ratio(OR)was 3.23,95%CI was 1.94～5.36;clean body everyday,ventilate the room everyday,calclum supplements,moderate exercise,physical exercises were good for uterine involution. CONCLUSION Advocating scientific puerperium life behavior,promote uterine involution.
引文
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[8]吴兵连,刘芳,李凤兰,等.葡萄糖酸钙配伍缩宫素用于产后子宫复旧不良的临床观察[J].临床合理用药,2009,2(22):50-51.
[2] WEISSMANN-BRENNERA,HAASJ,BARZILAYE,et al. Added value of 3-dimensional sonography for endometrial evaluation in early puerperium[J]. Ultrasound Med,2013,32(4):587-592.
[3]曾晶,谈珍瑜.子宫复旧不全相关影响因素的研究进展[J].医学综述,2015,21(11):2000-2002.
[4]李晓勤,张瑛,孙江川,等.剖宫产与自然分娩子宫复旧情况的比较[J].重庆医科大学报,2009,34(5):640-642.
[5]成丽虹,李茜,张薇.东莞市莞城区妇女产褥期生活卫生行为与健康状况调查[J].慢性病学杂志,2017,18(3):8-10.
[6]谢幸,苟文丽.妇产科学[M].北京:人民卫生出版社,2014.
[7]徐华仙,吴兵连,杨静.产后体操计划护理对子宫复旧效果观察[J].内蒙古中医药,2010(14):166-167.
[8]吴兵连,刘芳,李凤兰,等.葡萄糖酸钙配伍缩宫素用于产后子宫复旧不良的临床观察[J].临床合理用药,2009,2(22):50-51.