产后盆底功能障碍的危险因素分析  

Risk factors of postpartum pelvic floor dysfunction

作　　者：王雅娟[1] 张晋[1] 白枫[1] 李辉[1] WANG Yajuan;ZHANG Jin;BAI Feng;LI Hui(Department of Gynecology of the People’s Hospital of Liaoning Province,Shenyang 110016 Liaoning,China)

机构地区：[1]辽宁省人民医院妇科,辽宁沈阳110016

出　　处：《中国民康医学》2020年第17期108-110,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:分析产妇产后盆底功能障碍(PFD)的发生情况及危险因素。方法:回顾性分析2018年3月至2019年10月在该院分娩且产后进行盆底功能检查的652例产妇的临床资料,对产妇发生PFD的危险因素进行单因素分析和logistic回归分析。结果:652例产妇中156例发生PFD,发病率为23.93%;年龄>35岁、有PFD家族史、产次≥2次、第二产程延长、新生儿体质量≥4 kg及分娩时发生会阴裂伤是产妇产后发生PFD的独立危险因素。结论:产妇PFD的发病率较高,且与产妇年龄、病史、产次、分娩过程及胎儿体质量等多种产科因素有关,对伴有高危因素的产妇需重视产后盆底功能检查,及时进行康复锻炼,改善患者盆底功能。Objective:To analyze occurrence and risk factors of postpartum pelvic floor dysfunction(PFD).Methods:The parturients who underwent delivery and postpartum pelvic floor function examination in the hospital from March 2018 to October 2019 were retrospectively enrolled.The risk factors of postpartum PFD were analyzed by univariate analysis and Logistic regression analysis.Results:Of the 652 parturients,there were 156 cases(23.93%)with PFD with the incidence of 23.93%.The age>35 years old,family history of PFD,parity≥2,prolonged second stage of labor,neonatal weight≥4 kg and perineal laceration at delivery were the independent risk factors of postpartum PFD.Conclusions:The incidence of postpartum PFD is relatively high,and it is related to various obstetric factors such as maternal age,medical history,parity,delivery process and fetal weight.For the parturients with high-risk factors,it is necessary to pay attention to the postpartum pelvic floor function examination,and timely give the rehabilitation exercises to improve the patients’pelvic floor function.

关 键 词：产后 盆底功能 产后盆底功能障碍 危险因素 

分 类 号：R714.3[医药卫生—妇产科学]