摘要
目的:分析阴道分娩产妇的产后盆底肌力改变及盆腔脏器脱垂情况,探讨盆底肌力受损的高危因素。方法:选择2015年4月至6月复旦大学附属妇产科医院门诊进行产后复查的阴道分娩产妇288例,回顾性分析其产后6周盆底功能检查结果。通过调阅住院病历获取其临床数据,对影响产后盆底肌力的因素进行Logistic回归分析。结果:288例产妇中,252例(87.5%)产后出现盆底肌力受损。其中,149例(51.7%)阴道前壁膨出,29例(10.1%)阴道后壁膨出,7例(2.4%)产妇子宫脱垂。单因素与多因素Logistic回归分析均显示,仅新生儿体质量与盆底肌力受损相关(P<0.05),而产妇年龄、产次、分娩孕周、体质指数、产钳助产、第一产程时间、第二产程时间及侧切等产科因素与盆底肌力受损无相关性。结论:妊娠和分娩易导致盆底肌力异常及盆腔脏器脱垂;在各产科因素中,新生儿体质量与盆底肌力受损明显相关。
Objective：To analyze the changes of maternal pelvic muscle strength after vaginal delivery and to explore the risk factors for pelvic muscle damage.Methods：Totally 288 postpartum women,who all vaginally delivered in Obstetrics and Gynecology Hospital of Fudan University,were enrolled in the study between April and June in 2015.Their pelvic floor screening results were retrospectively summarized.Their clinical data were obtained by retrieving their medical,and then the potential influencing factors of postpartum pelvic muscle damage were analyzed via Logistic regression analysis. Results：Among 288 postpartum women,252 cases （87.5%）encountered postpartum pelvic muscle damage.149 cases （51.7%）were diagnosed with anterior vaginal wall prolapse,29 cases （10.1%）with posterior vaginal wall prolapse,and 7 cases （2 .4%）with uterine prolapse.Logistic univariate analysis and multivariate analysis both showed that only newborn birth weight was associated with pelvic muscle damage （P〈0.05 ）,but other obstetric factors such as maternal age,parity, gestational age,body mass index,forceps delivery,the time of first/second stage of labor and episiotomy were not associated with pelvic muscle damage.Conclusions：Pregnancy and childbirth are important factors leading to pelvic muscle abnormalities and pelvic organ prolapse.Pelvic muscle damage were significantly correlated with newborn birth weight.
出处
《中国临床医学》
2017年第1期51-55,共5页
Chinese Journal of Clinical Medicine
关键词
盆底肌力
盆腔脏器脱垂
阴道分娩
产后
pelvic muscle strength
pelvic organ prolapse
vaginal delivery
postpartum
