714名初产妇孕晚期尿失禁发生状况及其影响因素研究  

Occurrence status of urinary incontinence at late pregnancy in 714 primiparas and its influencing factors

作　　者：何建珍 古慧贤 欧有良[3] 陈玲 黄舒蓉 蔡文智 HE Jianzhen;GU Huixian;OU Youliang;CHEN Ling;HUANG Shurong;CAI Wenzhi(Department of Nursing,Shenzhen Hospital of Southern Medical University,Shenzhen, Guangdong 518110,China;Department of Obstetrics and Gynecology,People′s Hospital of Nanhai District,Foshan,Guangdong 528200,China;Department of Obstetrics and Gynecology,Nanfang Hospital of Southern Medical University,Guangzhou,Guangdong 510515,China)

机构地区：[1]南方医科大学深圳医院护理部,广东深圳518110 [2]广东省佛山市南海区人民医院妇产科,528200 [3]南方医科大学南方医院妇产科,广州510515

出　　处：《重庆医学》2018年第12期1603-1606,共4页Chongqing medicine

基　　金：广东省深圳市宝安区科技创基金(2016CX313);南方医科大学护理科研专项资金(Z2016005)

摘　　要：目的分析广东省初产妇孕晚期尿失禁的现状及其影响因素。方法采用方便抽样法对2015年6月至2016年3月期间广东省3家医院714名初产妇进行回顾性调查。采用尿失禁问卷表简表中文版调查初产妇孕晚期尿失禁的发生状况并分析其影响因素。结果孕晚期尿失禁发生率为26.9%(192/714),其中压力性尿失禁占67.2%(129/192)。孕晚期尿失禁患者和非尿失禁患者的孕前BMI、流产史比较差异有统计学意义(P<0.05)。多因素Logistic回归结果显示,孕前BMI与孕晚期尿失禁的发生相关(OR=1.077,P<0.05)。结论孕前BMI是初产妇孕晚期发生尿失禁的独立危险因素。Objective To investigate the current status of urinary incontinence(UI)at the third trimester of pregnancy among primiparas in Guangdong Province.Methods The convenience sampling method was adopted to conduct the retrospective analysis on 714 primiparas in 3 hospitals of Guangdong Province from June 2015 to March 2016.International Consultation on Incontinence Questionnaire Urinary Incontinence Short-Form Chinese was used to investigate the occurrence status of UI at the third trimester of pregnancy among primiparas.And its influencing factors were analyzed.Results Among 714 primiparas,192 cases(26.9%)developed UI during the third trimester of pregnancy,in which stress UI accounted for 67.2%(129/192).The prepregnancy BMI and abortion had statistical difference between the UI patients and non-UI patients(P<0.05).The multivariate Logistic regression results showed that pre-pregnancy BMI was correlated with UI at the trimester stage of pregnancy(OR=1.077,P<0.05).Conclusion Pre-pregnancy BMI might be an independent risk factor of UI occurrence at the third trimester of pregnancy.

关 键 词：孕期 尿失禁 人体质量指数 

分 类 号：R714.1[医药卫生—妇产科学]