Research Progress on High-Risk Factors for Postpartum Pelvic Floor Dysfunction
林环宇 1于敏 2路旭宏1
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作者信息
1. 116000 大连大学附属中山医院妇产科
2. 116000 大连大学附属中山医院康复医学科
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摘要
盆底功能障碍性疾病(pelvic floor dysfunction,PFD)是由于盆底支持组织发生退行性变化和损伤,导致支持组织松弛,从而引起盆腔脏器移位并出现一系列病症,主要包括性功能障碍、盆腔器官脱垂、粪失禁和尿失禁等,给患者及其家庭带来了巨大的经济和心理负担.由于患者对PFD认识不足以及治疗方案理解有限,该疾病严重影响女性生活质量并常被忽视.因此,寻找导致该疾病发生的危险因素有助于预防疾病、延缓疾病进展并提高预后效果.目前研究普遍认为PFD可能与分娩方式、胎儿大小、体质量指数(body mass index,BMI)、第二产程延长、产妇年龄、妊娠期糖尿病、分娩次数和激素水平等因素有关,但研究结论并不一致.综述上述几种产后PFD的高危因素,以更深入地了解其机制,并为妇产科医生提供临床决策支持.
Abstract
Pelvic floor dysfunction(PFD)is caused by degenerative changes and injuries to the supporting tissues of the pelvic floor,resulting in relaxation of the supporting tissues,which leads to the displacement of the pelvic organs and a series of diseases,mainly including sexual dysfunction,pelvic organ prolapse,fecal incontinence,urinary incontinence,etc.,which brings a huge economic and psychological burden to the patients and their families.Due to the lack of awareness of PFD and limited understanding of treatment options,the disease seriously affects women's quality of life and is often overlooked.Therefore,the search for risk factors contributing to the development of PFD can help prevent the disease,slow its progression,and improve the prognosis.It is widely accepted that PFD may be associated with mode of delivery,fetal size,body mass index(BMI),prolongation of the second stage of labor,maternal age,gestational diabetes mellitus,number of deliveries,and hormone levels,but the findings are inconsistent.The above risk factors for postpartum PFD are reviewed to gain a deeper understanding of their mechanisms and to provide clinical decision support for obstetricians and gynecologists.
关键词
盆底疾病/盆腔器官脱垂/尿失禁/危险因素/妊娠
Key words
Pelvic floor disorders/Pelvic organ prolapse/Urinary incontinence/Risk factors/Pregnancy
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