發(fā)布時間：2018-03-31 10:24

  本文選題：初產婦　切入點：盆底功能障礙性疾病　出處：《中國實用婦科與產科雜志》2015年05期

【摘要】：目的獲得中國初產婦產后早期盆底電生理指標及盆腔器官脫垂分度情況及危險因素分析。方法自2011年10月在廣西、廣東、河北、河南、山西5省開展多中心橫斷面研究,在產后6周對產婦基本情況、產科情況及盆底電生理指標和盆腔器官脫垂分度(POP-Q)數(shù)據(jù)進行采集和統(tǒng)計學分析。結果共入組1327例初產婦,產后6周的盆底電生理指標顯示,Ⅰ類肌肌力3級以上的占47.5%,Ⅱ類肌肌力3級以上的占43.6%,盆底動態(tài)壓力為(61.8±29.2)cm H2O。A3反射正常率為66.7%。分娩時會陰裂傷(OR=1.48;95%CI 1.11~1.97)和工作體位以站位為主(OR=1.57;95%CI 1.06~2.33)是發(fā)生Ⅰ類肌早期肌力下降的危險因素。盆底障礙性疾病家族史是Ⅰ類肌和Ⅱ類肌疲勞度異常的危險因素。盆腔器官脫垂分度中,第二產程延長是后壁Ap點(OR=10.02,95%CI 1.88~53.49)和Bp點(OR=5.57,95%CI 1.19~26.01)下移的危險因素,會陰裂傷是中盆腔C點(OR=1.54,95%CI 1.14~2.09)和D點(OR=2.61,95%CI 1.51~4.53)下移的危險因素。結論約半數(shù)初產婦產后早期盆底電生理指標處于受損狀態(tài),會陰裂傷和家族遺傳史是其危險因素。第二產程延長和會陰裂傷是產后早期POP-Q分度位點下移的危險因素。
[Abstract]:Objective to obtain the electrophysiological indexes of pelvic floor and the degree of pelvic organ prolapse and risk factors analysis in early postpartum period in China. Methods Multi-center cross-sectional study was carried out in Guangxi, Guangdong, Hebei, Henan and Shanxi provinces since October 2011. After 6 weeks of postpartum, the data of basic condition, obstetrical condition, pelvic floor electrophysiological index and pelvic organ prolapse were collected and statistically analyzed. Results 1327 primipara women were enrolled in the study, and the pelvic floor electrophysiological indexes were found at 6 weeks postpartum. 47.5% of Class 鈪，

本文編號：1690322