本文選題：妊娠和分娩 + 盆底電生理評(píng)估�。� 參考：《實(shí)用婦產(chǎn)科雜志》2016年11期

【摘要】：目的:探討產(chǎn)后盆底功能情況及產(chǎn)科因素對(duì)盆底功能的近期影響。方法:調(diào)查2014年1~12月同仁醫(yī)院分娩并于產(chǎn)后6~8周來(lái)院做檢查的2023例婦女,出院小結(jié)和產(chǎn)后檢查記錄提取產(chǎn)科相關(guān)信息,進(jìn)行盆底電生理評(píng)估,對(duì)產(chǎn)婦盆底功能與產(chǎn)科因素進(jìn)行單因素及多因素分析。結(jié)果:2023例產(chǎn)婦產(chǎn)后6~8周盆底功能評(píng)估異常率為89.67%。單因素分析結(jié)果表明,產(chǎn)次≥2次、會(huì)陰切開(kāi)、足月分娩和新生兒出生體質(zhì)量≥3500 g的產(chǎn)婦盆底功能更差。多因素分析結(jié)果顯示,產(chǎn)次≥2次的產(chǎn)婦(OR=2.529,95%CI 1.763~3.628)、新生兒出生體質(zhì)量≥3500 g(OR=1.636,95%CI 1.184~2.262)、陰道分娩(OR=1.440,95%CI 1.068~1.941)是影響產(chǎn)婦盆底功能的高危因素。對(duì)于陰道分娩產(chǎn)婦,產(chǎn)次≥2次(OR=3.460,95%CI 2.059~5.828)、會(huì)陰切開(kāi)(OR=2.297,95%CI 1.484~3.557)和足月分娩(OR=6.248,95%CI 1.824~21.399)是影響盆底功能的高危因素。結(jié)論:分娩后6~8周的產(chǎn)婦盆底功能損傷較嚴(yán)重;多產(chǎn)次、新生兒體質(zhì)量較大和陰道分娩是影響產(chǎn)后6~8周產(chǎn)婦盆底功能的因素。對(duì)于陰道分娩者,多產(chǎn)次、足月分娩、會(huì)陰切開(kāi)是另一個(gè)影響盆底功能的因素。產(chǎn)科醫(yī)生應(yīng)指導(dǎo)孕婦合理控制孕期體重,臨近預(yù)產(chǎn)期指導(dǎo)孕婦進(jìn)行kegel訓(xùn)練,降低會(huì)陰切開(kāi)率,以降低盆底功能障礙性疾病發(fā)生率。
[Abstract]:Objective: to investigate the postpartum pelvic floor function and the recent effects of obstetrical factors on pelvic floor function. Methods: 2023 women who gave birth in Tongren Hospital from January to December 2014 and came to hospital for examination at 6 weeks postpartum were investigated. The discharge summary and postpartum examination records were used to extract obstetrical information and evaluate pelvic floor electrophysiology. The pelvic floor function and obstetrical factors of parturient were analyzed by univariate and multivariate analysis. Results the abnormal rate of pelvic floor function evaluation in 8 weeks postpartum was 89.67. Univariate analysis showed that the pelvic floor function of parturient with birth times 鈮，

本文編號(hào)：1813780