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目的:探讨产后尿失禁与分娩方式的关系。方法:选取2009年8月～2010年8月期间产妇308例,通过诊断分级选取初产妇产后尿失禁患者78例,对临床资料进行了回顾性分析。结果:两组产妇的年龄、体重指数、孕周、流产次数、产钳助产等情况,无统计学差异(P>0.05);两组产前尿失禁史、新生儿体重、产后腹压增加、会阴侧切术等情况,具有统计学差异(P<0.05)。可引发产后尿失禁的危险因素主要有:有产前尿失禁史、高体重新生儿、产后腹压增加、行会阴侧切术等。结论:医院在对孕妇实施接生前,应做好充分的术前准备,以利于降低初产妇产后尿失禁的发生率。
Objective: To investigate the relationship between postpartum urinary incontinence and mode of delivery. Methods: From August 2009 to August 2010, 308 pregnant women were selected and 78 cases of primipara postpartum urinary incontinence were selected by diagnostic classification. The clinical data were retrospectively analyzed. Results: There was no significant difference between the two groups in terms of age, body mass index, gestational age, number of abortions and forceps delivery (P> 0.05). The two groups had a history of prenatal urinary incontinence, newborn weight, postpartum abdominal pressure, Episiotomy circumcision and other conditions, with statistical differences (P <0.05). Can lead to postpartum urinary incontinence risk factors are: a history of pre-natal urinary incontinence, high birth weight, increased postpartum abdominal pressure, perineal excision and so on. Conclusion: The hospital should make adequate preoperative preparation before the delivery of pregnant women, in order to reduce the incidence of postpartum urinary incontinence in primipara.