第一产程使用腹压与产后盆底功能障碍性疾病的相关性分析  

作　　者：汤小霞[1] 

机构地区：[1]江苏省泰州市人民医院妇产科,225300

出　　处：《浙江临床医学》2016年第8期1443-1444,共2页Zhejiang Clinical Medical Journal

摘　　要：目的探讨第一产程频繁使用腹压与产后盆底功能障碍性疾病（PDF）的发生是否存在相关性。方法 对2014年1月至2015年1月妊娠足月分娩的625例初产妇进行回顾性问卷调查，第一产程频繁使用腹压的产妇设为观察组，未频繁使用腹压的设为对照组，将观察组及对照组的年龄及分娩时体重指数（BMI）进行统计学分析，再将两组发生盆底器官脱垂（POP）及压力性尿失禁（SUI）的比例进行统计学分析。结果观察组及对照组年龄及分娩时BIM差异无统计学意义（P〉0．05），观察组发生产后POP比例为61．8％，对照组37．9％，观察组发生产后SUI比例40．8％，对照组11．6％，差异有统计学意义（P〈0．05）。结论第一产程使用腹压可明显增加产后发生PDF的几率。Objective To explore the first stage of labor of frequent use of abdominal pressure with the incidence of postpartum pelvic floor functional disorder if there were some correlation she could find. Methods In our hospital between January 2014 and January 2015 full-term pregnancy in hospital childbirth 625 cases of primipara had retrospective questionnaire survey, the first stages of frequent use of the maternal abdominal pressure was set to the team, not frequently used abdominal pressure was set to the control group, the group and the control group ＂age and Pregnancy weight index ＂ of statistical analysis, and then two groups the proportion of pelvic organ prolapse and stress urinary incontinence for statistical analysis. Results The group and the control group ＂age and Pregnancy weight index＂ there was no statistically significant difference, the team in postpartum pelvic organ prolapse, 61.8% in the control group 37.9.6%, the team in postpartum stress urinary incontinence ratio of 40.8%, the control group 11.6%, the difference was statistically significant. Conclusions The first stage of labor use abdominal pressure can obviously increase the risk of postpartum pelvic floor functional disorder occurred.

关 键 词：第一产程 腹压 盆底功能障碍性疾病 

分 类 号：R711[医药卫生—妇产科学]