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目的探讨不同分娩方式对孕产妇压力性尿失禁的影响及阴道分娩后压力性尿失禁的相关因素。方法选取2012年1月至2014年1月于成都市金牛区沙河源社区卫生服务中心妇产科分娩的产妇319例,其中阴道分娩组188例,剖宫产组131例,对阴道分娩组和剖宫产组孕产妇压力性尿失禁发生情况进行比较,并对阴道分娩组孕产妇发生压力性尿失禁的影响因素进行分析。结果阴道分娩组产妇压力性尿失禁发生率26.59%显著高于剖宫产组的4.58%,差异有统计学意义(P<0.05);产妇孕期尿失禁、新生儿出生体质量≥4000 g及胎产次为第2胎者压力性尿失禁发生率显著提高,差异有统计学意义(P<0.05)。结论不同的分娩方式对压力性尿失禁有一定的影响,而剖宫产压力性尿失禁的发生率较阴道分娩发生率低。
Objective To investigate the effects of different modes of delivery on maternal stress urinary incontinence and related factors of stress urinary incontinence after vaginal delivery. Methods From January 2012 to January 2014, 319 pregnant women and mothers gave birth in obstetrics and gynecology department of Shaheyuan community health service center in Jinniu district of Chengdu City, including 188 cases in vaginal delivery group and 131 cases in cesarean section group. Cesarean section maternal stress urinary incontinence were compared, and vaginal delivery group maternal stress urinary incontinence factors were analyzed. Results The incidence rate of stress urinary incontinence in vaginal delivery group was significantly higher than that in cesarean section group (26.59%, 4.58%, P <0.05). Maternal pregnancy urinary incontinence, newborn birth weight ≥ 4000 g and fetal The incidence of stress urinary incontinence was significantly higher in the second fetus (P <0.05). Conclusion Different modes of delivery have some effect on stress urinary incontinence, while the incidence of stress urinary incontinence in cesarean section is lower than that of vaginal delivery.