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目的探究产科相关因素对产后盆腔器官脱垂(POP)的影响,为临床预防女性POP的发生提供依据。方法选取2013年6月-2016年6月该院收治住院的103例孕妇为研究对象,产后通过查阅病例收集孕妇年龄、产程、产次、合并疾病、分娩情况、胎儿体重等基线资料;采用女性盆腔器官脱垂定量检查(POP-Q)诊断患者POP发生情况;采用Logistics回归模型研究孕妇POP的发生因素。结果孕妇产后POP的发生率为47.57%,前壁脱垂30例(61.22%),后壁脱垂9例(18.37%),子宫脱垂10例(20.41%);Logistics回归分析显示,第二产程越长(OR=1.605)、阴道分娩(OR=3.684)、孕期体重指数(BMI)较高(OR=1.836)及胎儿体重较高(OR=2.542)是孕妇发生POP的危险因素。结论孕妇产后POP的发生率较高,孕妇第二产程越长、孕期BMI越高、胎儿体重越大是孕妇POP发生的危险因素。
Objective To investigate the influence of obstetrics-related factors on postpartum pelvic organ prolapse (POP) and provide the basis for clinical prevention of POP in women. Methods A total of 103 pregnant women admitted to our hospital from June 2013 to June 2016 were enrolled in this study. Baseline data including maternal age, labor course, delivery time, combined disease, delivery status and fetal body weight were collected after delivery. The pelvic organ prolapse quantitative examination (POP-Q) diagnosis of POP in patients; the use of Logistics regression model of POP in pregnant women. Results The incidence of postpartum POP in pregnant women was 47.57%, anterior wall prolapse in 30 cases (61.22%), posterior wall prolapse in 9 cases (18.37%) and uterine prolapse in 10 cases (20.41%). Logistics regression analysis showed that the second The longer duration of labor (OR = 1.605), vaginal delivery (OR = 3.684), higher BMI during pregnancy (OR = 1.836) and higher fetal weight (OR = 2.542) were risk factors for POP in pregnant women. Conclusion The incidence of postpartum POP in pregnant women is high, the longer the second stage of pregnancy, the higher the BMI during pregnancy and the heavier the fetus are the risk factors of POP in pregnant women.