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目的:探讨分娩对女性压力性尿失禁(SUI)发生的影响,为预防该疾病的发生提供理论依据。方法:对2006年1月~2006年12月期间586例足月单胎分娩初产妇进行产后7年随访。结果:选择性剖宫产组SUI的发生率为7.10%(28/394),阴道分娩组为10.93%(21/192),剖宫产组与阴道分娩组比较,差异无统计学意义(P>0.05)。产后SUI的发生与孕妇体重、年龄、第二产程时间相关(P<0.05),而与分娩方式的选择(选择性剖宫产及阴道顺产)及新生儿体重无关(P>0.05)。结论:产妇产后SUI的发生与分娩方式及新生儿体重无关,而与孕妇体重指数、年龄、第2产程时间相关。
Objective: To investigate the impact of childbirth on female stress urinary incontinence (SUI) and to provide a theoretical basis for preventing the occurrence of the disease. Methods: From January 2006 to December 2006 586 cases of full-term single-birth childbirth 7-year postpartum follow-up. Results: The incidence of SUI was 7.10% (28/394) in selective cesarean section and 10.93% (21/192) in vaginal delivery group, while there was no significant difference between cesarean section group and vaginal delivery group (P > 0.05). The incidence of postpartum SUI was related to the weight, age and duration of second stage of labor (P <0.05), but not to the choice of mode of delivery (selective cesarean and vaginal delivery) and birth weight (P> 0.05). Conclusion: The incidence of postpartum SUI in maternal age has nothing to do with the mode of delivery and birth weight, but related to the body mass index, age and the second stage of labor in pregnant women.