产后早期盆腔脏器脱垂的危险因素  

Risk factors for early postpartum pelvic organ prolapse

作　　者：陈璐璐 赵冰[1] 郑雪芹[1] 徐锋 王莹莹 王肖帆 胡孟彩[1] 吴惠琰[1] 王岩[1] CHEN Lu-lu;ZHAO Bing;ZHENG Xue-qin;XU Feng;WANG Ying-ying;WANG Xiao-fan;HU Meng-cai;WU Hui-yan;WANG Yan(Department of Gynecology and Obstetrics,the Third Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,Henan Province,China)

机构地区：[1]郑州大学第三附属医院妇产科,河南郑州450052

出　　处：《新乡医学院学报》2018年第4期282-284,共3页Journal of Xinxiang Medical University

基　　金：国家自然科学基金青年基金项目(编号:81300469)

摘　　要：目的探讨产后早期盆腔脏器脱垂(POP)的危险因素,为预防及尽早治疗盆底功能障碍性疾病提供临床依据。方法选择2015年1月至2016年12月于郑州大学第三附属医院分娩的产妇4 037例,于产后6~8周进行盆底功能评估和POP定量分度法评分,并搜集产妇的相关临床资料,分析产后POP的危险因素。结果 4 037例产妇中发生POP者3 509例,未发生POP者528例,POP发生率为86.9%(3 509/4 037)。多因素logistic回归分析显示,顺产、新生儿体质量过高、Ⅰ类肌纤维疲劳度异常、Ⅱ类肌纤维肌力异常为产妇产后早期POP的独立危险因素(P<0.05)。结论产后早期盆底功能自我恢复差,POP发生率较高;产后早期POP的影响因素较多,应加强孕前及围生期盆底知识宣教,以减少盆底功能障碍性疾病的发生。Objective To investigate the risk factors for early postpartum pelvic organ prolapse(POP),and to provide clinical basis for the early prevention and treatment of pelvic floor dysfunction.Methods A total of 4 037 parturients who delivered in the Third Affiliated Hospital of Zhengzhou University from January 2015 to December 2016 were selected.The pelvic floor function assessment and POP quantitative score were performed at 6-8 weeks after childbirth,and the clinical data of the parturients were collected,then the risk factors for postpartum POP were analyzed.Results In 4 037 cases,there were 3 509 cases of POP and 528 cases without POP,and the incidence of POP was 86.9%(3 509/4 037).Multivariate logistic regression analysis showed that eutocia,high body mass of newborns,typeⅠmuscle fiber fatigue and abnormal muscle strength of typeⅡmuscle fiber were the independent risk factors for early postpartum POP(P<0.05).Conclusions Early postpartum pelvic floor function recovery is poor,and the incidence of POP is high.There are many influencing factors for POP in early postnatal period,the progestation and perinatal pelvic floor knowledge education should be strengthened,so as to reduce the incidence of pelvic floor dysfunction.

关 键 词：盆腔脏器脱垂 盆底功能障碍性疾病 盆底肌 危险因素 

分 类 号：R714.6[医药卫生—妇产科学]