宜昌市不同职业孕妇产后盆底功能障碍性疾病筛查及影响因素.docVIP

宜昌市不同职业孕妇产后盆底功能障碍 性疾病筛查及影响因素 李芬朱峻峰贺爱军冯冰霜庄明燕 宜昌市妇幼保健院妇产科 目的丫解不同职业孕产妇产后盆底功能障碍性疾病(Pelvic floor dysfunctional disease, PFD)的发生情况，探讨其相关影响因素，为降低PFD 发生率，改善妇女生殖健康提供依据。方法2015年6月一2016年6月选择宜昌 地区不同职业孕产妇568例作为调查对象。釆用一般资料问卷调查、PTO筛查、 PTO认知水平调查对孕产妇产后42 d PH)发生情况进行筛查，并分析相关影响 因素。结果调查显示568名孕产妇产后42 d Pro总发生率为39. 96%。比较不 同职业类型女性产后PFD发生率，公务员为24. 51%，专业技术为30. 95%,商业， 服务业为42. 64%，生产类为59. 29%，差异有统计学意义，P0. 05。568名孕产 妇中37. 32%孕产妇知道PFD，35. 39%孕产妇了解该疾病的治疗方法，57. 57%孕产 妇对疾病的康复手段、治疗方法有咨询的需求。不冋职业的孕产妇对疾病认知水 平、治疗情况了解、康复及治疗咨询需求的频数差异有统计学意义，P〈0.05。多 因素分析结果显示，分娩方式(0R=0. 35),新生儿体重(0R=0. 06)是PFD发生 的保护因素，年龄(0R=15.25)，体重指数(0R=0.27)，第二产程时间 (0R=4. 08),疾病认知(0R=5. 95),职业类别(0R=4. 86)均是PFD发生的危险 因素(p0.05)。结论孕产妇产后pro总检出率高，不同职业女性产后pro发 生率差异较大。广大医务者以及患者自身应该重视对PFD的认知，通过开展相关 健康教育，注重早期诊断和治疗，以改善妇女生殖健康状况。 关键词： 职业;盆腔功能障碍性疾病;发生率;影响因素; 收稿曰期:2016-12-28 Screening of postpartum pelvic floor dysfunction in pregnant women with different careers and study on its influencing factors in Yichang City LI Fen ZHU Jun-feng HE Ai-jun FENG Bing-shuang ZHUANG Ming—yan Obstetrics and Gynecology Department, Yichang Maternal and Child Health Care Hospital; Abstract： [Objective] To investigate the prevalence and associated influencing factors of postpartum pelvic floor dysfunction (PFD) in pregnant women with different careers, provide basis for reducing the incidence of PFD and improving the reproductive health of women. [Methods]568 cases of pregnant women with different occupations in Yichang City were enrolled in the study from June 2015 to June 2016. The general data questionnaire, PFD screening and investigation on knowledge level of PFD were used to screen the incidence of PFD within 42 days after delivery, and analyze related factors. [Results]The total incidence rate of PED within 42 days after delivery was 39. 96% among 568 cases of pregnant women. Among the pregnant women with different careers, the incidence rate of PFD in civil servants, professional technical personal, commercial and service personnel, and production personal was