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目的:探索产后尿失禁发生的相关因素及防治措施。方法:选择2010年6月～2011年6月420例产妇,分析产后尿失禁的发病率及相关因素。结果:<30岁组产妇尿失禁发生率显著低于≥30岁产妇(P<0.05),胎儿出生体重<4 000 g组产妇尿失禁发生率显著低于胎儿出生体重≥4 000 g组(P<0.05),第二产程<30 min组产妇尿失禁发生率显著低于第二产程≥30 min组(P<0.05),胎产次<2胎次组产妇尿失禁发生率显著低于胎产次≥2胎次组(P<0.05)。尿失禁发生率与年龄、孕期尿失禁、出生体重、第二产程及胎产次呈正相关性(P<0.05)。阴道分娩组产妇尿失禁发生率显著高于剖宫产组(P<0.05)。结论:产后发生尿失禁的风险因素有:分娩方式、年龄、孕期尿失禁、出生体重、第二产程及胎产次等,应在上述环节强化防范措施,以降低产妇产后尿失禁的发生率。
Objective: To explore the related factors and prevention measures of postpartum urinary incontinence. Methods: 420 maternal women from June 2010 to June 2011 were selected to analyze the incidence and related factors of postpartum urinary incontinence. Results: The incidence of urinary incontinence in women <30 years old was significantly lower than that of women aged> 30 years old (P <0.05). The incidence of urinary incontinence in fetuses with birth weight <4 000 g was significantly lower than that in fetuses ≥ 4000 g <0.05). The incidence of urinary incontinence in the second stage of labor was significantly lower than that in the second stage of labor (P <0.05), and the incidence of urinary incontinence in the second trimester was significantly lower than that of the fetus Times ≥2 parity group (P <0.05). The incidence of urinary incontinence was positively correlated with age, pregnancy incontinence, birth weight, second stage of labor and births (P <0.05). The incidence of urinary incontinence in vaginal delivery group was significantly higher than that in cesarean section group (P <0.05). Conclusions: The risk factors of postpartum urinary incontinence are: mode of delivery, age, incontinence during pregnancy, birth weight, second stage of labor and births. Prevention measures should be strengthened in the above aspects to reduce the incidence of postpartum incontinence.