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.
引文
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