150例产后压力性尿失禁初产妇产时宫缩压腹压与膀胱压力的回顾性分析  

Retrospective analysis of uterine contraction pressure,abdominal pressure and bladder pressure at delivery of 150 primiparas with postpartum stress urinary incontinence

作　　者：欧有良[1] 张军[1] 周燕莉[1] 吴瑜瑜[1] 肖超群[1] 陈静[1] 周春兰[2] 秋晓 OU You-liang;ZHANG Jun;ZHOU Yan-li;WU Yu-yu;XIAO Chao-qun;CHEN Jing;ZHOU Chun-lan;QIU Xiao(不详;Department of Nursing,Nanfang Hospital,Southern Medical University,Guangzhou 510515,China)

机构地区：[1]南方医科大学南方医院妇产科,广州510515 [2]南方医科大学南方医院护理部,广州510515 [3]越南太原医药科大学妇产科系

出　　处：《妇产与遗传（电子版）》2020年第2期16-20,共5页Obstetrics-Gynecology and Genetics (Electronic Edition)

基　　金：广东省卫生健康适宜技术推广项目(SYWSJSTG006)。

摘　　要：目的探讨产时宫缩压、腹压、膀胱压力对产后压力性尿失禁的影响。方法选取2017年1月至2020年1月在南方医科大学南方医院妇产科经阴道分娩后随访中发现产后压力性尿失禁的初产妇及无产后压力性尿失禁的初产妇各150例,回顾性分析其产时宫缩压、腹压与膀胱压力。结果压力性尿失禁组和无压力性尿失禁组产时宫缩压,潜伏期腹压、膀胱压力及第三产程腹压、膀胱压力的比较差异无统计学意义(P>0.05);活跃期、第二产程压力性尿失禁组腹压、膀胱压力明显高于无压力性尿失禁组,比较差异有统计学意义(P<0.05)。第三产程膀胱生理性快速减压幅度,压力性尿失禁组明显大于无压力性尿失禁组,比较差异有统计学意义(P<0.05)。结论产后压力性尿失禁产妇,活跃期及第二产程未在安全膀胱压力容量范围内储尿;产后即刻膀胱生理性快速减压诱发产后压力性尿失禁,建议防控产妇产后压力性尿失禁应从产时开始。Objective To explore the effects of uterine contraction pressure,abdominal pressure and bladder pressure at delivery on postpartum stress urinary incontinence(SUI).Methods Primiparas who vaginal deliveried in Department of Obstetrics and Gynecology Nanfang Hospital,Southern Medical University from January 2017 to January 2020 and found with and without postpartum SUI during follow-up were selected(150 in each group),the uterine contraction pressure,abdominal pressure and bladder pressure at delivery were retrospective analysis.Results There was no significant difference in uterine contraction pressure,parturients of abdominal pressure and bladder pressure in incubation period and third stage of labor between the SUI group and the non-SUI group(P>0.05);the abdominal pressure and bladder pressure of the SUI group in the active stage and the second stage of labor were significantly higher than those in the non-SUI group(P<0.05).In the third stage of labor,the amplitude of physiological rapid decompression of bladder of the SUI group was significantly larger than that in the non-SUI group(P<0.05).Conclusions Postpartum SUI women do not store urine within the range of safe bladder pressure volume during the active stage and the second stage of labor;postpartum SUI was induced by physiological rapid decompression of bladder immediately postpartum,It’s suggested that the prevention and control of postpartum SUI should start from the time of delivery.

关 键 词：宫缩压 腹压 膀胱压力 产后压力性尿失禁 

分 类 号：R71[医药卫生—妇产科学]