不同因素对产妇产后尿失禁及生活质量的影响
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摘要
目的探讨不同因素对产妇产后尿失禁和生活质量的影响。方法选取2017年6月至2018年6月在我院分娩后6～8周复查的产妇318例,按照分娩方式分为剖宫产组、阴道顺产组和儿头吸引组,比较三组的尿失禁发生率;根据产妇是否发生尿失禁分为尿失禁组和非尿失禁组,比较两组产妇的生活质量评分。结果儿头吸引组产妇的尿失禁发生率显著高于阴道顺产组、剖宫产组,阴道顺产组的尿失禁发生率显著高于剖宫产组(P <0.05)。318例产妇产后发生尿失禁61例,尿失禁组产妇的情感职能、健康状况、社会职能评分及总分均显著低于非尿失禁组产妇(P <0.05)。结论儿头吸引、阴道顺产相对于剖宫产能增加产后尿失禁发生率,尿失禁对产妇的生活质量具有显著的不良影响。
Objective To explore the effects of different factors on postpartum urinary incontinence and quality of life of puerperas.Methods 318 cases of puerperas with re-examination 6 ～ 8 weeks after delivery in our hospital from June 2017 to June 2018 were selected and divided into the cesarean section group, vaginal delivery group and fetal head suction group according to the mode of delivery; The incidence of urinary incontinence was compared among the three groups. According to urinary incontinence or not, the puerperas were divided into urinary incontinence group and non-urinary incontinence group; The scores of life quality were compared between the two groups.Results The incidence of urinary incontinence in the fetal head suction group was significantly higher than that in the vaginal delivery group and the cesarean section group(P <0.05); The incidence of urinary incontinence in the vaginal delivery group was significantly higher than that in the cesarean section group(P <0.05). 61 cases had urinary incontinence after delivery in 318 cases; The total score, and scores of emotional function, health status and social function of the urinary incontinence group were significantly lower than those of the non-urinary incontinence group(P <0.05). Conclusions In relation to cesarean section, fetal head suction and vaginal delivery will increase the incidence of postpartum urinary incontinence, and urinary incontinence has a significant adverse effect on maternal quality of life.
Objective To explore the effects of different factors on postpartum urinary incontinence and quality of life of puerperas.Methods 318 cases of puerperas with re-examination 6 ～ 8 weeks after delivery in our hospital from June 2017 to June 2018 were selected and divided into the cesarean section group, vaginal delivery group and fetal head suction group according to the mode of delivery; The incidence of urinary incontinence was compared among the three groups. According to urinary incontinence or not, the puerperas were divided into urinary incontinence group and non-urinary incontinence group; The scores of life quality were compared between the two groups.Results The incidence of urinary incontinence in the fetal head suction group was significantly higher than that in the vaginal delivery group and the cesarean section group(P <0.05); The incidence of urinary incontinence in the vaginal delivery group was significantly higher than that in the cesarean section group(P <0.05). 61 cases had urinary incontinence after delivery in 318 cases; The total score, and scores of emotional function, health status and social function of the urinary incontinence group were significantly lower than those of the non-urinary incontinence group(P <0.05). Conclusions In relation to cesarean section, fetal head suction and vaginal delivery will increase the incidence of postpartum urinary incontinence, and urinary incontinence has a significant adverse effect on maternal quality of life.
引文
[1]袁佳英,陈武荣,赵锦萍,等.回顾性分析190例产后妇女尿失禁发病情况及影响因素[J].中国病案, 2016, 17(4):40-42.
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[5] Handa VL, Pierce CB, Munoz A, et al. Longitudinal changes in over-active bladder and stress incontinence among parous women[J].Neurourol Urodyn, 2015, 34(4):356-361.
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[7] Song QX, Balog BM, Kerns J, et al. Long-term effects of simulatedchildbirth injury on function and innervation of the urethra[J]. Neu-rourol Urodyn, 2015, 34(4):381-386.
[8]王小榕.产后尿失禁与盆底表面肌电的关系及其影响因素研究[J].中国医药导报, 2016, 13(36):133-136.
[9] Brown S, Gartland D, Perlen S, et al. Consultation about urinary andfaecal incontinence in the year after childbirth:a cohort study[J].BJOG, 2015, 122(7):954-962.
[10]李智卿.针灸联合盆底生物反馈治疗产后尿失禁临床研究[J].河南中医, 2016, 36(2):281-282.
[11]孙绍骞,董宏飞,王艳峰,等.电刺激结合Crede手法治疗对产后尿失禁的疗效观察[J].中国妇幼保健, 2015, 30(36):6661-6662.
[2]马立苹.盆底生物反馈训练联合针灸对产后尿失禁患者疗效的影响[J].河北医药, 2017, 39(15):2362-2364, 2368.
[3]袁佳英,严兰平,韩代花.女性产后尿失禁与其远期尿失禁患病的联系[J].中国妇幼保健, 2016, 31(20):4122-4124.
[4]王彦英,王淑,王丽萍. 82例初产妇分娩方式与产后尿失禁关系回顾性分析[J].河南医学高等专科学校学报, 2017, 29(2):157-158.
[5] Handa VL, Pierce CB, Munoz A, et al. Longitudinal changes in over-active bladder and stress incontinence among parous women[J].Neurourol Urodyn, 2015, 34(4):356-361.
[6]周磊清,卢芳芳,李琳.电刺激和生物反馈疗法治疗女性压力性尿失禁的临床效果[J].现代医院, 2018, 18(10):1522-1524.
[7] Song QX, Balog BM, Kerns J, et al. Long-term effects of simulatedchildbirth injury on function and innervation of the urethra[J]. Neu-rourol Urodyn, 2015, 34(4):381-386.
[8]王小榕.产后尿失禁与盆底表面肌电的关系及其影响因素研究[J].中国医药导报, 2016, 13(36):133-136.
[9] Brown S, Gartland D, Perlen S, et al. Consultation about urinary andfaecal incontinence in the year after childbirth:a cohort study[J].BJOG, 2015, 122(7):954-962.
[10]李智卿.针灸联合盆底生物反馈治疗产后尿失禁临床研究[J].河南中医, 2016, 36(2):281-282.
[11]孙绍骞,董宏飞,王艳峰,等.电刺激结合Crede手法治疗对产后尿失禁的疗效观察[J].中国妇幼保健, 2015, 30(36):6661-6662.