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产后妇女盆底功能障碍性疾病发生情况分析 被引量:26

An investigation of prevalence of pelvic floor dysfunction of postpartum women
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摘要 目的了解苏州市区产后妇女盆底功能障碍性疾病发生情况和主要的影响因素。方法在产后42天检查时对无子宫出血的1061名产妇行常规妇科检查,判断其是否患有盆底功能障碍性疾病,同时运用自制调查表了解其孕产期情况,询问孕期及产后是否有盆底功能障碍的症状;并对结果进行统计学分析。结果苏州市区产后妇女盆底功能障碍性疾病的患病率为2.26%。多次妊娠分娩的女性盆底功能障碍性疾病的发生率明显高于初次妊娠分娩妇女(Х^2=9.62,P〈0.01),第二产程延长的女性盆底功能障碍性疾病的发生率明显高于产程正常妇女(校正Х^2=15.96,P〈0.01)。结论分娩次数、第二产程延长对产后妇女盆底功能障碍性疾病的发生有影响,朱发现孕期体重过度增加和新生儿出生体重对产后女性盆底功能障碍性疾病的影响。 Objective To investigate factors that influence prevalence of postpartum female pelvic floor dysfunction (FPFD) in Suzhou city. Methods At 42 days after delivery, 1 061 women who had not uterine bleeding received routine gynecological examination and were judged whether the woman suffered from pelvic floor dysfunctional diseases. The women also were investigated with a self-designed questionnaire for gravidity and parturition and symptoms of pelvic floor dysfunction in pregnancy and delivery. The results were analysed with Х^2 test. Results The prevalence rate of postpartum FPFD was 2.26% in Suzhou. The prevalence rate of PFD among those women who had multiple pregnancy and parturition histories was significantly higher than that of those primiparae (Х^2 = 9.62, P 〈 0. 01 ). The prevalence rate of PFD among those women with prolonged the second stage of labor was significantly higher than those with normal the second stage of labor (adjusted Х^2 = 15.96 ,P 〈 0.01 ). Conclusion The multiple parturition and prolonged the second stage of labor are influencing factors of poatpartum FPFD, while maternal over-gain in body weight during pregnancy and birth weight of the neonate are not its risk factors.
出处 《中国妇幼健康研究》 2010年第1期35-37,共3页 Chinese Journal of Woman and Child Health Research
关键词 女性盆底功能障碍 产后 分娩次数 第二产程 female pelvic floor dysfunction ( FPFD ) postpartum parity the second stage of labor
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