压力性尿失禁分娩因素的Logistic回归分析  

Logistic regression analysis of birth factors of stress urinary incontinence

作　　者：熊岩砚 Xiong Yanyan(The Maternity and Infant Hospital of Shenyang City,Shenyang,Liaoning110016)

机构地区：[1]沈阳市妇婴医院,辽宁沈阳110016

出　　处：《基层医学论坛》2022年第5期7-10,共4页The Medical Forum

摘　　要：目的研究压力性尿失禁(SUI)分娩因素并进行Logistic回归分析明确。方法将2019年2月—2020年2月于沈阳市妇婴医院进行分娩的产妇500例纳入研究,通过《国际尿失禁咨询委员会尿失禁简表》(ICI-Q-SF)对所有产妇开展问卷调查,并按照调查结果的差异分作SUI组与非SUI组。通过自制的基线资料调查表对所有受试者的非产科因素以及产科因素进行统计、记录,并采用Logistic回归分析明确SUI与分娩因素的关系。结果500例产妇SUI发病率为39.80%(199/500),包括轻度167例、中度29例、重度3例,占比分别为33.40%,5.89%,0.60%。SUI组年龄≥30岁、孕期BMI<25 kg/m^(2)人数占比均高于非SUI组(P<0.05)。SUI组孕周<37周、既往分娩次数>1次、阴道分娩、会阴损伤、多胎人数占比均高于非SUI组(P<0.05)。多因素Logistic回归分析显示:年龄≥30岁、孕前BMI<25 kg/m^(2)、既往分娩次数>1次、阴道分娩、会阴损伤、多胎均是SUI发生的独立危险因素(OR>1,P<0.05)。结论SUI的发生和年龄、孕期BMI、孕周、分娩方式、会阴损伤、胎数密切相关,值得临床重点关注。Objective To study the delivery factors of stress urinary incontinence(SUI)and to conduct Logistic regression analysis.Methods From February 2019 to February 2020,500 cases of women giving birth in hospital were included in the study.A questionnaire survey was conducted on all the pregnant women by ic-Q-SF,and the women were divided into SUI group and non-SUI group according to the difference of the survey results.Non-obstetric factors and obstetric factors of all subjects were counted and recorded by a self-made baseline data questionnaire.Logistic regression analysis was used to clarify the relationship between SUI and the factors of childbirth.Results The incidence of SUI in 500 maternal patients was 39.80%(199/500),including 167 cases,29 cases and 3 cases of mild,moderate and severe SUI,accounting for 33.40%,5.89%and 0.60%,respectively.In the SUI group,the proportion of people aged≥30 years and BMI<25 kg/m^(2) during pregnancy was higher than that in the non-SUI group(P<0.05).In the SUI group,the proportion of gestational week<37 weeks,number of previous deliveries>1,vaginal delivery,perineal injury and multiple births was higher than that in the non-sui group(P<0.05).Multiple Logistic regression analysis showed that age≥30 years old,BMI<25kg/m^(2) before pregnancy,number of previous deliveries>1,vaginal delivery,perineal injury and multiple pregnancies were all independent risk factors for SUI(OR>1,P<0.05).Conclusion The occurrence of SUI is closely related to age,BMI during pregnancy,gestational week,delivery mode,injury,and number of pregnancies,and deserves clinical attention.

关 键 词：压力性尿失禁 分娩因素 LOGISTIC回归分析 产科 

分 类 号：R714.7[医药卫生—妇产科学]