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目的探讨产科因素对压力性尿失禁和盆底组织的影响。方法选取产妇1 000例,其中自然分娩和剖宫产产妇各500例,分别作为本研究的对照组与观察组。以调查问卷的形式调查患者压力性尿失禁的情况,分析产妇的年龄、分娩方式等产科因素对患者的影响。结果观察组产妇盆底肌力评分≥3分者390例(78.0%),高于对照组的260例(52.0%)(P<0.05);而观察组尿失禁发生率为44.0%,明显高于对照组的12.0%(P<0.05);1 000例产妇中产后尿失禁发生率28.0%(280/1 000),其中产妇体质量、产妇IBM指标及新生儿体质量等产科因素是导致患者出现压力性尿失禁的主要因素,发生和未发生患者指标差异较大(P<0.05)。结论阴道分娩、体质量指数增加等因素均能导致产妇的无论是阴道分娩或者选择性剖宫产都在一定程度上影响产妇的盆底肌力,其中阴道分娩后产妇盆底肌力明显较低,需要注意产后恢复。
Objective To investigate the effects of obstetric factors on stress urinary incontinence and pelvic floor tissue. Methods A total of 1000 maternal women were selected. Among them, 500 cases of spontaneous labor and cesarean section were used as control group and observation group respectively. Investigation of patients with stress urinary incontinence in the form of questionnaires, analysis of the impact of maternal age, mode of delivery and other obstetric factors on patients. Results In the observation group, 390 cases (78.0%) had pelvic floor muscle strength ≥3, which was higher than that of control group (260 cases, 52.0%) (P <0.05); while the observation group had a urinary incontinence rate of 44.0% (P <0.05). The incidence of postpartum urinary incontinence in 1 000 maternal women was 28.0% (280/1 000). The obstetric factors such as maternal body mass, maternal IBM index and neonatal body weight were the risk factors for patients The main factors of stress urinary incontinence, the occurrence and non-occurrence of patients with significant differences (P <0.05). Conclusion vaginal delivery, body mass index and other factors can lead to maternal vaginal delivery or elective cesarean delivery to a certain extent affect the pelvic floor maternal mothers, vaginal delivery after maternal pelvic floor muscle strength was significantly lower , Need to pay attention to postpartum recovery.