从双重视角看妊娠期糖尿病与盆底功能障碍性疾病  

A dual perspective on gestational diabetes and pelvic floor dysfunction

作　　者：罗灿 魏冬梅 LUO Can;WEI Dong-mei(Key Laboratory of Birth Defects and Related Gynecological and Pediatric Diseases of Ministry of Education,West China Second Hospital,Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西第二医院妇产科,出生缺陷与相关妇儿疾病教育部重点实验室,四川成都610041

出　　处：《实用医院临床杂志》2025年第2期22-26,共5页Practical Journal of Clinical Medicine

基　　金：四川省科技厅重点研究项目(编号:2023YFG0128,2023YFQ0070)。

摘　　要：临床研究报道糖尿病与发生尿失禁(urinary incontinence,UI)的风险增加,剖宫产术后2年妊娠期糖尿病(gestational diabetes mellitus,GDM)患者发生UI和盆底肌肉功能障碍之间存在统计学相关性。与孕期血糖正常的女性相比,GDM女性在剖宫产后2年时UI和阴道压力降低的发生率高,GDM是妊娠期尿失禁发生的独立危险因素。GDM和盆底功能障碍性疾病(PFDs)似乎属于两个独立的健康问题,但它们之间可能存在潜在的相互关系。本综述旨在从双重视角探讨GDM与PFDs之间的潜在关联及其发病机制,并为临床干预提供理论依据。Clinical studies have reported that diabetes is associated with an increased risk of urinary incontinence(UI).There is a statistical association between UI and pelvic floor dysfunction(PFDs)in patients with gestational diabetes mellitus(GDM)after 2 years of cesarean section.Compared with women with normoglycemia during pregnancy,women with GDM have a higher incidence of UI and reduced vaginal pressure after 2 years of cesarean delivery.GDM is an independent risk factor for UI during pregnancy.GDM and PFDs appear to be two separate health problems.However,there may be an underlying relationship between them.The purpose of this review is to explore the potential association between GDM and PFDs and its pathogenesis from a dual perspective in order to provide theoretical basis for clinical intervention.

关 键 词：妊娠期糖尿病 盆底功能障碍性疾病 尿失禁 盆腔脏器脱垂 

分 类 号：R714.256[医药卫生—妇产科学] R711[医药卫生—临床医学]