产后体重对压力性尿失禁发生的影响  

The influence of postpartum weight on the occurrence of stress urinary incontinence

作　　者：宋羽曼 杨闪闪 江华[1] SONG Yuman;YANG Shanshan;JIANG Hua(Department of Gynecology and Obstetrics,Women′s Hospital,Affiliated to Nanjing Medical University,Nanjing Maternity and Child Health Care Hospital,Nanjing 210004,Jiangsu Province,China;不详)

机构地区：[1]南京医科大学附属妇产医院/南京市妇幼保健院妇女保健科,210004 [2]南京医科大学逸夫医院公共卫生科

出　　处：《中国生育健康杂志》2024年第6期531-535,共5页Chinese Journal of Reproductive Health

基　　金：江苏省妇幼保健协会科研课题(FYX202005);江苏省妇幼保健科研(F202326)。

摘　　要：目的分析产后体重对产后压力性尿失禁(SUI)的影响。方法研究对象来源于2018年1月—12月在南京市妇幼保健院产后检查的产妇,随机选择产后6周产妇6500例,由专人进行问卷调查,盆底表面肌电检测,其中6338例(97.5%)妇女返回了有效的回应问卷。将6338例产妇分为产后SUI组(540例)和对照组(5798例),采用中华人民共和国卫生行业标准——成人体重判定(WS/T 428-2013)的分类标准分为低体重(BMI<18.5kg/m^(2))、体重正常(18.5 kg/m^(2)≤BMI<24 kg/m^(2))、超重(24 kg/m^(2)≤BMI<28 kg/m^(2))和肥胖(BMI≥28 kg/m^(2)),对产后体重与产后SUI间的关系进行分析,评估不同产后体重组SUI的程度及对生活的影响程度,对不同产后体重组SUI和正常组的盆底肌电值进行比较。结果产后SUI患病率为8.5%,低体重组、体重正常组、超重组和肥胖组产后SUI的患病率分别是6.1%、8.0%、9.7%和11.0%,患病率随着产后BMI的增加逐渐上升(P=0.037)。多因素Logistic回归分析显示,产后超重组和产后肥胖组发生SUI分别是产后体重正常组的1.36倍(95%CI:1.09~1.68)和1.67倍(95%CI:1.11~2.53)。结论产后超重和肥胖是产后SUI的高危因素,尽早做好产后体重管理,有利于减少产后SUI的发生风险。Objective To analyze the influence of postpartum weight on postpartum stress urinary incontinence(SUI)after childbirth.Methods Data were collected from January to December 2018 from 6,500 postpartum women undergoing postpartum examinations at Nanjing Maternity and Child Health Care Hospital.Among them,6,338 women(97.5%)returned valid response questionnaires after being randomly selected for questionnaire surveys and pelvic surface electromyography testing.The 6,338 postpartum women were divided into the postpartum SUI group(540 cases)and the control group(5,798 cases).According to the classification criteria of adult weight determination in the People′s Republic of China Health Industry Standard—Classification of Adult Weight(WS/T 428-2013),participants were classified into underweight(BMI<18.5 kg/m^(2)),normal weight(18.5 kg/m^(2)≤BMI<24 kg/m^(2)),overweight(24 kg/m^(2)≤BMI<28 kg/m^(2)),and obese(BMI≥28 kg/m^(2))groups.The relationship between postpartum weight and postpartum SUI was analyzed,and the severity and impact of SUI on life in different postpartum weight groups were assessed.The pelvic floor electromyography values of the SUI and normal groups with different postpartum weights were compared.Results The incidence of postpartum SUI was 8.5%.The incidence rates of postpartum SUI in the underweight,normal weight,overweight,and obese groups were 6.1%,8.0%,9.7%,and 11.0%,respectively.The incidence rate increased gradually with increasing postpartum BMI(P=0.037).Multivariate logistic regression analysis showed that the occurrence of SUI in the postpartum overweight group and postpartum obese group was 1.36 times(95%CI:1.09-1.68)and 1.67 times(95%CI:1.11-2.53)higher,respectively,than that in the postpartum normal weight group.Conclusion Postpartum overweight and obesity are high-risk factors for postpartum SUI.Early management of postpartum weight is beneficial for reducing the risk of postpartum SUI occurrence.

关 键 词：产后 BMI 压力性尿失禁(SUI) 

分 类 号：R17[医药卫生—妇幼卫生保健] R71[医药卫生—公共卫生与预防医学]