检验医学与临床2018，Vol.15Issue(3)：289-292,4.DOI:10.3969/j.issn.1672-9455.2018.03.001
产后妇女盆底功能障碍状况及其影响因素
Status of pelvic floor dysfunction and its influencing factors in postpartum women
摘要
Abstract
Objective To study the incidence and influencing factors of pelvic floor dysfunction (PFD) in postpartum women.Methods A total of 1 280 maternal postnatal follow-ups were performed 42 days postpartum from June 2015 to June 2016.Basic questionnaire was sent to the women and pelvic floor muscle strength screening was performed.The incidence of postpartum PFD in this area was analyzed.The single factor and Logistic factors were used to analyze the related factors that affected the postpartum PFD.Results The incidence of PFD among 1 280 cases was 9.37％.Among them,the proportion of PFDs of women ≥35 year of age was higher than that of women ＜35 years of age.The incidence of PFD in vaginal delivery was higher than in cesarean delivery.＞2 births had a higher rate of PFD than those ≤ 2 births.Prenatal body mass index (BMI)＞23 kg/m2 PFD incidence was higher than those with BMI ≤23 kg/m2.The incidence of PFD among women with a history of diabetes was higher than that of women without a history of diabetes.The incidence of PFD in those with constipation was higher than those in non-constipation.The incidence of PFD in women with perineal Ⅱ laceration was higher than that in women with degree I laceration.The incidence of PFD in women who's newborns ≥3.5 kg was higher than that in newborns ＜3.5 kg.The incidence of PFD in TGF-β-negative women was higher than that in TGF-β-positive women.The incidence of PFD in fibulin-5-negative women was higher than in fibulin-5-positive women.Prenatal pelvic floor muscle function training maternal PFD incidence was lower than those who did not exercise pelvic floor muscle function of women.Logistic multivariate analysis showed that vaginal delivery,delivery times ＞2,neonatal body weight ≥3.5 kg,perineal laceration,TGF-β-negative,fibulin-5-negative were independent risk factors for PFD and pelvic floor muscle exercise during pregnancy was aprotective factor of PFD.Conclusion Postpartum women have a higher incidence of PFD,which might be related to the abnormal expression of TGF-β and fibulin-5 in pelvic floor.关键词
妇女/盆底功能障碍/调查/影响因素Key words
women/pelvic floor dysfunction/investigation/influencing factors分类
医药卫生引用本文复制引用
杜亚飞,陈然,刘晶,房桂英,王旭..产后妇女盆底功能障碍状况及其影响因素[J].检验医学与临床,2018,15(3):289-292,4.基金项目
国家卫生和计划生育委员会医药卫生科技项目(13010520140632) （13010520140632）
河北省医学科学研究重点课题项目(ZL20140306). （ZL20140306）
