【摘要】 目的探讨不同分娩方式对青年初产妇下尿路功能的远期影响。方法收集2008年2月~2009年2月来我院分娩的健康初产妇175例,将其按照分娩的方式分为阴道分娩组(n=95)和剖宫产组(n=80),采用ICIQFLUTS调查初次分娩5年后阴道分娩及剖宫产两种分娩方式的初产妇下尿路功能,尿流率采用Laborite Spindle View TM尿流率仪进行检测。结果 1阴道分娩组最大尿流率、平均尿流率高于剖宫产组,达最大尿流率时间短于剖宫产组,但差异无统计学意义(P>0.05)。2阴道分娩组尿频、夜尿增多、压力性尿失禁发生率低于剖宫产组,腹压排尿、间断排尿、排尿踌躇、混合性尿失禁发生率高于剖宫产组,但两组差异均无统计学意义(P>0.05)。尿急发生率高于剖宫产组,急迫性尿失禁发生率低于剖宫产组,两组差异有统计学意义(P<0.05)。3产后尿失禁组年龄、体质指数高于非产后尿失禁组,差异有统计学意义(P<0.05)。结论阴道分娩及剖宫产两种生产方式青年初产妇5年后均有较高的下尿路症状发生率,年龄及体质指数为产后尿失禁发生的影响因素。更多还原

【Abstract】 Objective To investigate the effects of different delivery way on long-term youth primipara urinary tract function. Methods All 175 cases of health primipara were collected from February 2008 to February 2009 in our hospital,they were divided into two groups according to the difference delivery manner: the vaginal delivery group(n=95),the cesarean group(n=80),the lower urinary tract function of the primipara five years after the initial delivery of vaginal delivery and cesarean delivery mode were surveyed with ICIQ-FLUTS,the urinary flow rate were tested with Laborite Spindle View TM flow rate meter. Results 1 The Qmax,average flow rate of the vaginal delivery group was higher than that of the cesarean group,up to the maximum flow rate was less than that of the cesarean group,but there were no significant difference between two groups(P>0.05). 2The urinary frequency,nocturia,stress incontinence incidence of the vaginal delivery group were lower than that of the cesarean section group,abdominal urination,intermittent urination,hesitancy,the mixed incontinence incidence were higher than that of the cesarean section group,but there were no significant difference between two groups(P>0.05).The urge incontinence incidence was lower than that of the cesarean section group,urgency incidence was higher,there was significant between two group(P<0.05). 3The age and body mass index of the postpartum incontinence group was higher than that of the nonpostpartum incontinence group,there was significant difference between two groups(P<0.05). Conclusion Vaginal delivery and cesarean section two modes of production in early youth mothers have higher after five years incidence of lower urinary tract symptoms,age and body mass index factors of postpartum incontinence occurred.更多还原