摘要
目的:分析经阴道分娩产妇子宫复旧不良的影响因素.方法:回顾性选择平桥区妇幼保健院2019年7月至2020年6月收治的191例经阴道分娩产妇为研究对象.根据子宫复旧情况,将这191例产妇分为子宫复旧不良组(n=47)和子宫复旧良好组(n=144).将可能影响经阴道分娩产妇子宫复旧的因素纳入自变量并赋值,经Logistic回归分析找出影响经阴道分娩产妇子宫复旧不良的因素.结果:两组患者年龄、孕次、产次、妊娠合并症、羊水早破、妊娠类型、产后出血比较,差异无统计学意义(P>0.05).经Logistic回归分析发现,人工或混合喂养方式、有子宫肌瘤、子宫收缩乏力、无产后子宫按摩是经阴道分娩产妇子宫复旧不良的独立危险因素(OR=2.856、4.138、2.685、2.957,P<0.05).结论:人工或混合喂养方式、有子宫肌瘤、子宫收缩乏力、无产后子宫按摩是经阴道分娩产妇子宫复旧不良的影响因素.临床应对此类产妇进行早期评估并及时制定合理干预措施,促进产妇子宫复旧.
Objective:To analyze the influencing factors of poor uterine involution in vaginal delivery puerperas.Methods:A total of 191 cases of vaginal delivery puerperas treated in Pingqiao District Maternal and Child Health Hospital from July 2019 to June 2020 were selected as research subjects.According to the condition of uterine involution,the puerperas were divided into the poor uterine involution group(n=47)and the good uterine involution group(n=144).The general data of puerperas were compared.And the factors that might affect uterine involution of vaginal delivery puerperas were included in the independent variables and assigned values.Logistic regression analysis was used to find out the influencing factors of poor uterine involution in vaginal delivery puerperas.Results:The age,gravidity,parity,pregnancy complications,premature rupture of amniotic fluid,pregnancy type and postpartum hemorhage were compared between the two groups,and there was no statistically significant difference found(P>0.05).Logistic regression analysis showed that artificial or mixed feeding,uterine fibroids,uterine inertia and no postpartum uterine massage were the influencing factors of poor uterine involution in vaginal delivery puerperas(OR=2.856,4.138,2.685,2.957;P<0.05).Conclusion:Artificial or mixed feeding,uterine fibroids,uterine inertia and no postpartum uterine massage are the influencing factors of poor uterine involution in vaginal delivery puerperas.Early clinical evaluation should be carried out and reasonable intervention measures should be formulated in time to promote uterine involution of puerperas.
作者
刘毳
李静
LIU Cui;LI Jing(Department of Obstetrics,Pingqiao District Maternal and Child Health Hospital,Xinyang 464095,China;Xinyang Central Hospital,Xinyang 464099,China)
出处
《四川解剖学杂志》
2022年第3期22-24,共3页
Sichuan Journal of Anatomy
关键词
子宫复旧
阴道分娩
子宫收缩乏力
子宫肌瘤
Uterine involution
Vaginal delivery
Uterine inertia
Uterine fibroids
