首次分娩后1年压力性尿失禁的相关因素。
Factors involved in stress urinary incontinence 1 year after first delivery.
作者信息
Diez-Itza Irene, Arrue Miren, Ibañez Larraitz, Murgiondo Arantzazu, Paredes Jone, Sarasqueta Cristina
机构信息
Department of Obstetrics and Gynaecology, Edificio Materno-Infantil, Hospital Donostia, Paseo Beguiristain, 107-115, 20014, San Sebastián, Guipúzcoa, Spain.
出版信息
Int Urogynecol J. 2010 Apr;21(4):439-45. doi: 10.1007/s00192-009-1055-y. Epub 2009 Nov 26.
INTRODUCTION AND HYPOTHESIS
The aim of the study was to investigate the risk factors involved in stress urinary incontinence (SUI) 1 year after first delivery.
METHODS
This was a longitudinal study of 352 primigravid women who gave birth at Donostia Hospital during 2007. Urinary symptoms were investigated (Abrams et al., Neurourol Urodyn 21:167-178, 2002) on inclusion and 1 year after delivery, and the incontinence severity index (ISI) was calculated. Incontinent women answered the International Consultation on Incontinence short form questionnaire. Pelvic floor muscle strength and joint hypermobility were evaluated.
RESULTS
SUI affected 40 (11.4%) women 1 year after first delivery. The ISI distribution was: 62.5% slight, 32.5% moderate, 2.5% severe and 2.5% very severe. The only factor independently associated with SUI after delivery was the development of SUI during pregnancy (OR, 5.79; 95% CI, 2.79-12.00).
CONCLUSIONS
The new onset of SUI during pregnancy is an independent risk factor for SUI in the postpartum period.
引言与假设
本研究旨在调查首次分娩后1年压力性尿失禁（SUI）的相关危险因素。
方法
这是一项针对2007年在多诺斯提亚医院分娩的352名初产妇的纵向研究。纳入研究时及分娩后1年对泌尿症状进行调查（Abrams等人，《神经泌尿学与尿动力学》21:167 - 178，2002），并计算尿失禁严重程度指数（ISI）。尿失禁女性回答了国际尿失禁咨询简短问卷。评估盆底肌肉力量和关节活动过度情况。
结果
首次分娩后1年，40名（11.4%）女性出现压力性尿失禁。ISI分布情况为：轻度62.5%，中度32.5%，重度2.5%，极重度2.5%。分娩后与压力性尿失禁独立相关的唯一因素是孕期出现压力性尿失禁（比值比，5.79；95%置信区间，2.79 - 12.00）。
结论
孕期压力性尿失禁的新发是产后压力性尿失禁的一个独立危险因素。
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