[1]陈璐璐,赵　冰,郑雪芹,等.产后早期盆腔脏器脱垂的危险因素[J].新乡医学院学报,2018,35(4):282-284.[doi:10.7683/xxyxyxb.2018.04.006]
　CHEN Lu-lu,ZHAO Bing,ZHENG Xue-qin,et al.Risk factors for early postpartum pelvic organ prolapse[J].Journal of Xinxiang Medical University,2018,35(4):282-284.[doi:10.7683/xxyxyxb.2018.04.006]
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产后早期盆腔脏器脱垂的危险因素
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
35
期数:
2018年4
页码:
282-284
栏目:
临床研究
出版日期:
2018-04-05

文章信息/Info

Title:
Risk factors for early postpartum pelvic organ prolapse
作者:
陈璐璐; 赵　冰; 郑雪芹; 徐　锋; 王莹莹; 王肖帆; 胡孟彩; 吴惠琰; 王　岩
（郑州大学第三附属医院妇产科，河南　郑州　450052）
Author(s):
CHEN Lu-lu; ZHAO Bing; ZHENG Xue-qin; XU Feng; WANG Ying-ying; WANG Xiao-fan; HU Meng-cai; WU Hui-yan; WANG Yan
（Department of Gynecology and Obstetrics，the Third Affiliated Hospital of Zhengzhou University，Zhengzhou 450052，Henan Province，China）
关键词:
盆腔脏器脱垂; 盆底功能障碍性疾病; 盆底肌; 危险因素
Keywords:
pelvic organ prolapse; pelvic floor dysfunction; pelvic floor muscle; risk factor
分类号:
R714.6
DOI:
10.7683/xxyxyxb.2018.04.006
文献标志码:
A
摘要:
目的　探讨产后早期盆腔脏器脱垂（POP）的危险因素，为预防及尽早治疗盆底功能障碍性疾病提供临床依据。方法　选择2015年1月至2016年12月于郑州大学第三附属医院分娩的产妇4 037例，于产后6～8周进行盆底功能评估和POP定量分度法评分，并搜集产妇的相关临床资料，分析产后POP的危险因素。结果　4 037例产妇中发生POP者3 509例，未发生POP者528例，POP发生率为86.9%（3 509/4 037）。多因素logistic 回归分析显示，顺产、新生儿体质量过高、Ⅰ类肌纤维疲劳度异常、Ⅱ类肌纤维肌力异常为产妇产后早期POP的独立危险因素（P<0.05）。结论　产后早期盆底功能自我恢复差，POP发生率较高；产后早期POP的影响因素较多，应加强孕前及围生期盆底知识宣教，以减少盆底功能障碍性疾病的发生。
Abstract:
Objective　To investigate the risk factors for early postpartum pelvic organ prolapse（POP），and to provide clinical basis for the early prevention and treatment of pelvic floor dysfunction.Methods　A total of 4 037 parturients who delivered in the Third Affiliated Hospital of Zhengzhou University from January 2015 to December 2016 were selected.The pelvic floor function assessment and POP quantitative score were performed at 6-8 weeks after childbirth，and the clinical data of the parturients were collected，then the risk factors for postpartum POP were analyzed.Results　In 4 037 cases，there were 3 509 cases of POP and 528 cases without POP，and the incidence of POP was 86.9%（3 509/4 037）.Multivariate logistic regression analysis showed that eutocia，high body mass of newborns，type Ⅰ muscle fiber fatigue and abnormal muscle strength of type Ⅱ muscle fiber were the independent risk factors for early postpartum POP（P<0.05）.Conclusion　Early postpartum pelvic floor function recovery is poor，and the incidence of POP is high.There are many influencing factors for POP in early postnatal period，the progestation and perinatal pelvic floor knowledge education should be strengthened，so as to reduce the incidence of pelvic floor dysfunction.

参考文献/References:

［1］　BARBER M D，MAHER C.Epidemiology and outcome assessment of pelvic organ prolapse［J］.Int Urogynecol J，2013，24（11）：1783-1790.
［2］　BRAEKKEN I H，MAJIDA M，ELLSTROM E M，et al.Pelvic floor function is independently associated with pelvic organ prolapse［J］.BJOG，2009，116（13）：1706-1714.
［3］　WEBER A M，ABRAMS P，BRUBAKER L，et al.The standardization of terminology for researchers in female pelvic floor disorders［J］.Int Urogynecol J Pelvic Floor Dysfunct，2001，12（3）：178-186.
［4］　O′BOYLE A L，O′BOYLE J D，CALHOUN B，et al.Pelvic organ support in pregnancy and postpartum［J］.Int Urogynecol J Pelvic Floor Dysfunct，2005，16（1）：69-72.
［5］　张月，张洁，韩萍，等.会阴侧切对产后女性盆底功能的近期影响［J］.现代妇产科进展，2015，24（6）：456-458.
［6］　孙智晶，朱兰，郎景和，等.初产妇产后6周盆底电生理指标及盆腔器官脱垂分度状况全国多中心横断面研究［J］.中国实用妇科与产科杂志，2015，31（5）：433-439.
［7］　宋岩峰.盆底功能障碍性疾病的诊断及康复治疗：盆底功能及功能障碍与腹盆腔生物动力学［J］.中国实用妇科与产科杂志，2008，24（8）：565-567.
［8］　张新圆，万晓慧，古丽娜·阿巴拜克力.女性盆腔脏器脱垂患病危险因素分析［J］.实用妇产科杂志，2010，26（5）：369-371.
［9］　VOLLOYHAUG I，MORKVED S，SALVESEN O，et al.Pelvic organ prolapse and incontinence 15-23 years after first delivery：a cross-sectional study［J］.BJOG，2015，122（7）：964-971.
［10］　王京晨，袁苗，刘广丽，等.妊娠和分娩对女性盆底支持组织的影响［J］.山东大学学报（医学版），2012，50（12）：82-86.
［11］　LEIJONHUFVUD A，LUNDHOLM C，CNATTINGIUS S，et al.Risks of stress urinary incontinence and pelvic organ prolapse surgery in relation to mode of childbirth［J］.Am J Obstet Gynecol，2011，204（1）：701-707.
［12］　CHEN Y，LI F Y，LIN X，et al.The recovery of pelvic organ support during the first year postpartum［J］.BJOG，2013，120（11）：1430-1437.
［13］　李杰，贠艳丽.生物反馈及电刺激配合盆底肌锻炼对产后盆底功能康复的疗效［J］.中国临床研究，2015，28（8）：1057-1058.
［14］　李宇琪，刘海意，吴媛媛，等.生物反馈联合电刺激和Kegel训练治疗产后盆底功能障碍性疾病疗效观察［J］.新乡医学院学报，2017，34（7）：619-622.
［15］　HAGEN S，STARK D，GLAZENER C，et al.Individualised pelvic floor muscle training in women with pelvic organ prolapse （POPPY）：a multicentre randomised controlled trial［J］.Lancet，2014，383（9919）：796-806.

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更新日期/Last Update: 2018-04-05