妊娠和分娩及产科相关因素对产后压力性尿失禁的影响.pdf

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1、安徽医药AnhuiMedicalandPharmaceuticalJournal2015May；19(5)．879．妊娠和分娩及产科相关因素对产后压力性尿失禁的影响吴龙英，韦雯雯，陶丽，颜士杰(安徽医科大学第一附属医院妇产科，安徽合肥230022)摘要：目的探讨妊娠和分娩及产科相关因素对女性产后压力性尿失禁的影响。方法应用经会阴超声成像技术，测量94例初产妇产后6～8周膀胱颈活动度及尿道旋转角度，与3O例未孕妇女行对照研究，分析妊娠和产科相关因素对压力性尿失禁的影响。结果94例人选产妇中阴道分娩组50例，剖宫产组44例，

2、两组年龄、分娩孕周、新生儿出生体重无明显差异(P>0．05)，而产前体重指数有统计学意义(P<0．05)。产后6周阴道分娩组有15例(30％)发生过压力性尿失禁(SUI)，而剖宫产组有4例(9．1％)，有统计学差异(P<0．05)。阴道分娩组、剖宫产组及未孕妇女两两相比，膀胱颈活动度及尿道旋转角度均有统计学差异(P<0．05)。Logistic回归分析显示阴道分娩、产前有SU1、产钳助产及会阴撕裂是产后压力性尿失禁的危险因素。结论妊娠和分娩是压力性尿失禁的危险因素，与剖宫产相比，阴道分娩增加产后压力性尿失禁的发生率。关键

3、词：压力性尿失禁；膀胱颈活动度；尿道旋转角度；经会阴超声doi：10．3969／j．issn．1009—6469．2015．05．018Theinfluenceofpregnancy，deliveryandobstetricfactorsonpostpartumstressurinaryincontinenceWULong—ring，WEIWen—wen，TAOLi，etal(DepartmentofGynaecologyandObstetrics，TheFirstAffiliatedHospitaltoAnhuiMed

4、icalUniversity，Hefei，Anhui230022，China)Abstract：ObjectiveThisstudywasconductedtoinvestigatetheinfluenceofpregnancy，deliveryandassociatedobstetricfactorsonfe—malepostpartumstressurinaryincontinence．MethodsComp~edthebladderneckmobilityandurethralrotationangleof94pr

5、imiparasin6to8weeksafterpostpartumwiththoseof30nulliparasbytranslabialultrasound，andanalyzedtheassociationofpregnancy，childbirthandrelatedobstetricfactorswithstressurinaryincontinence．ResultsAll94primiparasweredividedintotwogroups：50inthevaginaldelivery(VD)groupa

6、nd44inthecaesareansection(CS)group．Therewasnostatisticallysignificantdifferencebetweenthetwogroupsintermsofage，deliveryweekandbirthweight(P>0．05)，buttheantenatalbodymassindex(BMI)showedstatisticallysignif-icantdifferencebetweenthetwogroups(P<0．05)．Theprevalenceof

7、SUIinVDgroupwas15outof50(30％)，whichissignificantlydiferentfromtheCSgroupwith4outof44(9．1％)(P<0．05)．ThebladderneckmobilityandurethralrotationanglearesignificantlydiferentamongVD，CSandnulliparousgroup(AllP<0．05)．LogisticregressionanalysisshowedthatSU1wasstronglyass

8、ociatedwithvaginaldelivery，SUIduringpregnancy，forcepsdeliveryandperineallesion(P<0．05)．ConclusionsPregnancyanddeliveryarerisk~ctomforstressurinaryincontinence．