摘要
目的 分析高龄产妇产后早期压力性尿失禁(stress urinary incontinence, SUI)的影响因素,为预防和治疗该病提供依据。方法 选择2019年6月至2022年6月间在安徽医科大学附属宿州医院妇产科进行盆底筛查的83例高龄产妇为研究对象,其中43例为病例组(诊断为SUI),40例为对照组(无SUI)。使用一般资料调查表收集受试者基本情况与分娩资料,并进行单因素分析和二元Logistic多因素回归模型的多因素分析,评价模型的拟合优度。结果 单因素分析结果显示,病例组、对照组之间的分娩次数、分娩方式、胎儿是否足月、婴儿出生体重、孕前BMI、孕期体重增加、第二产程时长、是否进行盆底功能锻炼、妊娠合并症情况均存在统计学差异(P<0.05)。多因素分析结果显示,分娩次数、胎儿是否足月、孕期体重增加、第二产程时长、是否进行盆底功能锻炼、妊娠合并症均是影响高龄产妇产后早期SUI发生的独立影响因素(P<0.05)。模型系数的Omnibus检验结果表明,该模型总体有统计学意义(χ^(2)=78.846,P<0.001),内戈尔科R方=0.818(接近1),说明回归模型的拟合度较好。霍斯默-莱梅肖检验结果显示,P=0.682>0.05,说明模型拟合优度较高。结论 分娩次数、胎儿是否足月、孕期体重增加、第二产程时长、是否进行盆底功能锻炼、妊娠合并症均是影响高龄产妇产后早期SUI发生的独立影响因素,应该在临床中予以重视和处理。
Objective To analyze the influencing factors of early postpartum stress urinary incontinence(SUI)in elderly women,and to provide evidence for the prevention and treatment of the disease.Methods From June 2019 to June 2022,eighty-three elderly women who underwent pelvic floor screening in the Department of Obstetrics and Gynecology of Suzhou Hospital Affiliated with Anhui Medical University were selected as research objects,of which forty-three cases were the case group(diagnosed as SUI),and forty cases were the control group(diagnosed as non-SUI).The general information questionnaire was used to collect the basic information of the subjects and the delivery data,and the univariate analysis and the multivariate analysis of the binary Logistic multivariate regression model were performed to evaluate the goodness of fit of the model.Results The results of single factor analysis showed that the number of deliveries between the case group and the control group,the mode of delivery,whether the fetus was full-term,the birth weight of the baby,BMI before pregnancy,weight gain during pregnancy,the length of the second stage of labor,whether to perform pelvic floor functional exercise,there were statistical differences in pregnancy complications(P<0.05).The results of multivariate analysis showed that the number of deliveries,whether the fetus was full-term,weight gain during pregnancy,the length of the second stage of labor,whether pelvic floor functional exercise was performed,and pregnancy complications were all independent factors affecting the occurrence of early postpartum SUI in elderly women(P<0.05).The Omnibus test results of the model coefficients showed that the model was statistically significant overall(χ^(2)=78.846,P<0.001),and Negorko’s R square=0.818(close to 1),indicating that the regression model fit well.The results of the Hosmer-Lemechaud test showed that P=0.682>0.05,indicating that the goodness of fit of the model was high.Conclusion The number of deliveries,whether the fetus is full-term,weight gain during pregnancy,the length of the second stage of labor,whether to perform pelvic floor functional exercises and pregnancy complications are all independent factors affecting the occurrence of early postpartum SUI in elderly women and should be paid attention to in clinical practice.
作者
张倩
黄艳
ZHANG Qian(North Anhui Health Vocational College,Suzhou 234000,Anhui,China)
出处
《牡丹江医学院学报》
2024年第1期64-68,共5页
Journal of Mudanjiang Medical University
基金
安徽省高校科研项目(2022AH053139)。
关键词
高龄产妇
产后早期
压力性尿失禁
LOGISTIC回归模型
影响因素
advanced maternal age
early postpartum period
stress urinary incontinence
Logistic regression model
influencing factors
