Viktrup L, Lose G
Department of Obstetrics and Gynecology, Glostrup County Hospital, University of Copenhagen, Denmark.
Int Urogynecol J Pelvic Floor Dysfunct. 2000 Dec;11(6):336-40. doi: 10.1007/s001920070002.
The aim of the study was to estimate the prevalence and 5-year incidence of lower urinary tract symptoms after the first delivery. A total of 278 primiparae were questioned about lower urinary tract symptoms after their first pregnancy and puerperium, and again 5 years later. The prevalence of such symptoms in the study population increased significantly during the 5 years of observation. The prevalence of stress or urge incontinence 5 years after first delivery was significantly higher in women with onset during the first pregnancy or 1st puerperium than in those without incontinence before or during that period. The prevalence of urgency or frequent voiding 5 years after first delivery was not increased in the women with onset during that time compared to those without such symptoms. Stress or urge incontinence during the first pregnancy and puerperium predicts an increased risk of having the symptom 5 years later. Urgency and diurnal frequent voiding cannot be predicted from onset during that period.
该研究的目的是评估首次分娩后下尿路症状的患病率及5年发病率。共有278名初产妇在首次怀孕及产褥期后被询问下尿路症状情况，并在5年后再次接受询问。在5年的观察期内，研究人群中此类症状的患病率显著增加。首次分娩5年后，首次怀孕或产褥期出现压力性或急迫性尿失禁的女性，其患病率显著高于在此之前或期间未出现尿失禁的女性。与未出现此类症状的女性相比，首次分娩5年后，在首次怀孕及产褥期出现尿急或尿频的女性，其患病率并未增加。首次怀孕及产褥期出现压力性或急迫性尿失禁预示着5年后出现该症状的风险增加。无法根据该时期出现的情况预测尿急和日间尿频。
