实用妇科内分泌电子杂志2024,Vol.11Issue(19) :11-14.DOI:10.3969/j.issn.2095-8803.2024.19.004

产后压力性尿失禁的患病情况、危险因素及盆底肌康复训练的干预效果分析

The incidence and risk factors of postpartum stress urinary incontinence and the intervention effect of pelvic floor muscle rehabilitation training

朱慧敏
实用妇科内分泌电子杂志2024,Vol.11Issue(19) :11-14.DOI:10.3969/j.issn.2095-8803.2024.19.004

产后压力性尿失禁的患病情况、危险因素及盆底肌康复训练的干预效果分析

The incidence and risk factors of postpartum stress urinary incontinence and the intervention effect of pelvic floor muscle rehabilitation training

朱慧敏1
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作者信息

  • 1. 赣州市南康区第二人民医院 妇产科,江西 赣州 341411
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摘要

目的 探索产后压力性尿失禁的患病情况、危险因素及盆底肌康复训练的干预效果.方法 选取115例产后压力性尿失禁患者,按照随机数字表法将其分成对照组(57例,采取常规干预)和研究组(58例,采取综合干预),对比两组的临床效果.结果 干预后,两组患者阴道肌力、盆底功能、尿动力学指标均优于干预前,且研究组优于对照组(P<0.05).分娩方式、孕前存在尿失禁、孕期发生尿失禁是产后压力性尿失禁的主要影响因素,剖宫产是产后压力性尿失禁的保护因素(P<0.05);阴道分娩和孕期发生尿失禁是发生产后压力性尿失禁的危险因素(P<0.05).结论 综合干预能促进产后压力性尿失禁患者阴道肌力的恢复.同时经阴道分娩产后压力性尿失禁发生率较高,孕期发生尿失禁可增加其发生率.

Abstract

Objective To explore the incidence and risk factors of postpartum stress urinary incontinence and the intervention effect of pelvic floor muscle rehabilitation training.Methods 115 patients with postpartum stress urinary incontinence were selected and randomly divided into a control group(57 cases,receiving routine intervention)and a study group(58 cases,receiving comprehensive intervention)using a random number table method.The clinical effects of the two groups were compared.Results After intervention,the vaginal muscle strength,pelvic floor function,and urodynamic indicators of both groups of patients were better than before intervention,and the study group was better than the control group(P<0.05).The main influencing factors of postpartum stress urinary incontinence are the mode of delivery,the presence of urinary incontinence before pregnancy,and the occurrence of urinary incontinence during pregnancy.Cesarean section is a protective factor for postpartum stress urinary incontinence(P<0.05);Vaginal delivery and urinary incontinence during pregnancy are risk factors for post delivery stress urinary incontinence(P<0.05).Conclusion Comprehensive intervention can promote the recovery of vaginal muscle strength in patients with postpartum stress urinary incontinence.At the same time,the incidence of stress urinary incontinence after vaginal delivery is high,the occurrence of urinary incontinence during pregnancy can increase its probability.

关键词

产后压力性尿失禁/盆底肌康复训练/危险因素

Key words

Postpartum stress incontinence/Pelvic floor muscle rehabilitation training/Risk factor

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基金项目

赣州市卫生健康委员会市级科研计划项目(2022-2-148)

出版年

2024
实用妇科内分泌电子杂志

实用妇科内分泌电子杂志

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