摘要
目的探讨新形势下产妇产后压力性尿失禁状况,分析其危险因素。方法选取2021年6月—2022年12月在福州市中心医院分娩的442名初产妇、328名经产妇为研究对象。根据有无产后压力性尿失禁将初产妇分为压力性尿失禁组(135例)、无压力性尿失禁组(307例);将经产妇分为压力性尿失禁组(193例)、无压力性尿失禁组(135例)。比较两组上述各因素,分别采用单因素和多因素logistic回归分析确定产妇产后压力性尿失禁的影响因素。结果442例初产妇中出现压力性尿失禁135例(30.5%),年龄增大(B=0.132,P=0.048)、新生儿体质量增加(B=0.03,P=0.000)、第二产程延长(B=0.40,P=0.000)、会阴侧切(B=0.175,P=0.042)为温州市初产妇产后压力性尿失禁危险因素,剖宫产为保护性因素(B=-17.660,P=0.000)。328例经产妇中出现压力性尿失禁193例(58.8%),仅年龄(t=12.119,P=0.000)、分娩方式(χ^(2)=26.336,P=0.000)为影响因素。经产妇和初产妇发生压力性尿失禁差异有统计学意义(χ^(2)=61.662,P=0.000)。结论该地区初产妇产后压力性尿失禁与产妇年龄、新生儿体质量等因素有关,经产妇发生压力性尿失禁比例明显高于初产妇。临床可进行针对性干预,以降低其产后压力性尿失禁发生率。
Objective To explore the status of postpartum stress urinary incontinence in postpartum women under the new situation and analyze its risk factors.Methods We choosed to give birth in Wenzhou Central Hospital from June 2021 to December 2022,442 primiparas and 328 multiparas were selected as the research subjects.Collect maternal data based on whether there is postpartum stressUrinary incontinence divided primiparas into a stress urinary incontinence group of 135 cases and a non stress urinary incontinence group of 307 cases;Divide multiparas into a stress urinary incontinence group of 193 cases and a non stress urina-ry incontinence group of 135 cases.Compare the above factors in two groups and use single factor and multivariate logistic regression analysis to determine the influencing factors of postpartum stress urinary incontinence in primiparas.Results Among the 442 primiparas,135 cases(30.5%)developed stress urinary incontinence.Older age(B=0.132,P=0.048),neonatal body weight increase(B=0.03,P=0.000),prolonged time of the second stage of labor(B=0.40,P=0.000),and perineal lateral resection(B=0.175,P=0.042)were the risk factors for postpartum stress urinary incontinence in Wenzhou primiparas,while cesarean section was a protective factor(B=-17.660,P=0.000).193 out of 328 multiparas(58.8%)experienced stress urinary incontinence,with only age(t=12.119,P=0.000)and delivery method(χ^(2)=26.336,P=0.000)as influencing factors.There is a statistically significant difference in the occurrence of stress urinary incontinence between multiparas and primiparas(χ^(2)=61.662,P=0.000).Conclusion Postpartum stress urinary incontinence in primiparas in this region is related to factors such as maternal age and neonatal body weight.The proportion of stress urinary incontinence in multiparas is significantly higher than that in primiparas.Targeted inter-ventions can be carried out clinically to reduce the incidence of postpartum stress urinary incontinence.
作者
王勉勉
吴洁丽
占思思
WANG Mian-mian;WU Jie-li;ZHAN Si-si(Department of Obstetrics and Gynecology,Wenzhou Central Hospital,Wenzhou,Z hejiang325000,China)
出处
《中国妇幼保健》
CAS
2024年第20期4009-4012,共4页
Maternal and Child Health Care of China
基金
浙江省温州市级科技计划项目(Y20220430)。
关键词
初产妇
经产妇
压力性尿失禁
多因素分析
Primipara
Multipara
Stress urinary incontinence
Multifactor analysis
