经产妇产后发生SUI的高危因素及其处理措施分析  

Analysis of high-risk factors and management measures for postpartum SUI in multipara

作　　者：许艺凤 林娜红 XU Yi-feng;LIN Na-hong(Department of Obstetrics,Zhangpu County Hospital,Zhangzhou 363200,China)

机构地区：[1]漳浦县医院产科,363200 [2]厦门大学附属中山医院产科一区,361000

出　　处：《中国现代药物应用》2024年第19期26-30,共5页Chinese Journal of Modern Drug Application

摘　　要：目的分析经产妇产后压力性尿失禁(SUI)发生的高危因素及处理措施。方法选取101例经产妇,统计其产后半年SUI发生情况;另收集其一般资料,比较产后发生SUI与产后未发生SUI经产妇的一般资料情况,并采用多因素Logistic回归分析经产妇产后发生SUI的高危因素。结果101例经产妇中,产后发生SUI 26例,占比25.74%(26/101)。产后发生SUI与产后未发生SUI经产妇的文化水平、职业、吸烟史、饮酒史、流产史比较,差异无统计学意义(P>0.05);产后发生SUI经产妇年龄>35岁18例(69.23%)、孕前体质量指数(BMI)≥24 kg/m^(2)20例(76.92%)、产次≥2次15例(57.69%)、第二产程延长(>2 h)17例(65.38%)、阴道分娩15例(57.69%)、有妊娠期糖尿病18例(69.23%)、有便秘19例(73.08%)、新生儿体重≥4 kg 16例(61.54%),产后未发生SUI经产妇年龄>35岁23例(30.67%)、孕前BMI≥24 kg/m^(2)30例(40.00%)、产次≥2次18例(24.00%)、第二产程延长(>2 h)14例(18.67%)、阴道分娩19例(25.33%)、有妊娠期糖尿病22例(29.33%)、有便秘27例(36.00%)、新生儿体重≥4 kg 21例(28.00%)。产后发生SUI经产妇年龄>35岁、孕前BMI≥24 kg/m^(2)、产次≥2次、第二产程延长(>2 h)、阴道分娩、有妊娠期糖尿病、有便秘、新生儿体重≥4 kg占比均高于产后未发生SUI经产妇,差异有统计学意义(P<0.05)。Logistic回归分析显示:年龄>35岁[OR=5.087,95%CI=(1.935,13.375)]、孕前BMI≥24 kg/m^(2)[OR=5.000,95%CI=(1.798,13.902)]、产次≥2次[OR=4.318,95%CI=(1.685,11.069)]、第二产程延长(>2 h)[OR=8.230,95%CI=(3.043,22.262)]、阴道分娩[OR=4.019,95%CI=(1.576,10.248)]、有妊娠期糖尿病[OR=5.420,95%CI=(2.055,14.297)]、有便秘[OR=4.825,95%CI=(1.799,12.941)]、新生儿体重≥4 kg[OR=4.114,95%CI=(1.612,10.503)]为经产妇产后发生SUI的独立危险因素(P<0.05)。结论年龄>35岁、孕前BMI≥24 kg/m^(2)、产次≥2次、第二产程延长(>2 h)、阴道分娩、有妊娠期糖尿病、有便秘、新生儿体�Objective To analyze the high-risk factors and management measures for postpartum stress urinary incontinence(SUI)in multipara.Methods 101 cases of multipara were selected to count the occurrence of SUI in the 6-month postpartum period;their general information was also collected to compare the general information of multipara who had postpartum SUI with those who did not have postpartum SUI,and multivariate Logistic analysis was used to analyze the high-risk factors for the occurrence of postpartum SUI in multipara.Results Among 101 multipara,26 cases of postpartum SUI occurred,accounting for 25.74%(26/101).There was no statistically significant difference in the comparison of education level,occupation,smoking history,drinking history,and abortion history of multipara with postpartum SUI and those without postpartum SUI(P>0.05).Among the multipara with postpartum SUI,18 cases(69.23%)were aged>35 years,20 cases(76.92%)had a pre-pregnancy body mass index(BMI)≥24 kg/m^(2),15 cases(57.69%)had≥2 deliveries,17 cases(65.38%)had a prolonged(>2 h)second stage of labor,15 cases(57.69%)had vaginal deliveries,18 cases(69.23%)had gestational diabetes mellitus,19 cases(73.08%)had constipation,16 cases(61.54%)had neonatal weight≥4 kg.Among the multipara without postpartum SUI,23 cases(30.67%)were aged>35 years,30 cases(40.00%)had a pre-pregnancy BMI≥24 kg/m^(2),18 cases(24.00%)had≥2 deliveries,14 cases(18.67%)had a prolonged second stage of labor(>2 h),19 cases(25.33%)had a vaginal delivery,22 cases(29.33%)had gestational diabetes mellitus,27 cases(36.00%)had constipation,21 cases(28.00%)had neonatal weight≥4 kg.The percentages of multipara>35 years of age,pre-pregnancy BMI≥24 kg/m^(2),≥2 deliveries,prolonged second stage of labor(>2 h),vaginal delivery,gestational diabetes mellitus,constipation,and neonatal weight≥4 kg of multipara with postpartum SUI were higher than those without postpartum SUI(P<0.05).Logistic regression analysis showed that age>35 years[OR=5.087;95%CI=(1.935,13.375)],pre-pregnancy BMI�

关 键 词：经产妇 压力性尿失禁 妊娠期糖尿病 便秘 

分 类 号：R473.71[医药卫生—护理学]