本文選題：初產(chǎn)婦　切入點(diǎn)：盆底功能障礙性疾病　出處：《中國(guó)實(shí)用婦科與產(chǎn)科雜志》2015年05期

【摘要】：目的獲得中國(guó)初產(chǎn)婦產(chǎn)后早期盆底電生理指標(biāo)及盆腔器官脫垂分度情況及危險(xiǎn)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(chǎn)后6周對(duì)產(chǎn)婦基本情況、產(chǎn)科情況及盆底電生理指標(biāo)和盆腔器官脫垂分度(POP-Q)數(shù)據(jù)進(jìn)行采集和統(tǒng)計(jì)學(xué)分析。結(jié)果共入組1327例初產(chǎn)婦,產(chǎn)后6周的盆底電生理指標(biāo)顯示,Ⅰ類肌肌力3級(jí)以上的占47.5%,Ⅱ類肌肌力3級(jí)以上的占43.6%,盆底動(dòng)態(tài)壓力為(61.8±29.2)cm H2O。A3反射正常率為66.7%。分娩時(shí)會(huì)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(xiǎn)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(xiǎn)因素。盆腔器官脫垂分度中,第二產(chǎn)程延長(zhǎng)是后壁Ap點(diǎn)(OR=10.02,95%CI 1.88~53.49)和Bp點(diǎn)(OR=5.57,95%CI 1.19~26.01)下移的危險(xiǎn)因素,會(huì)陰裂傷是中盆腔C點(diǎn)(OR=1.54,95%CI 1.14~2.09)和D點(diǎn)(OR=2.61,95%CI 1.51~4.53)下移的危險(xiǎn)因素。結(jié)論約半數(shù)初產(chǎn)婦產(chǎn)后早期盆底電生理指標(biāo)處于受損狀態(tài),會(huì)陰裂傷和家族遺傳史是其危險(xiǎn)因素。第二產(chǎn)程延長(zhǎng)和會(huì)陰裂傷是產(chǎn)后早期POP-Q分度位點(diǎn)下移的危險(xiǎn)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(hào)：1690322