CAJ | 학술논문

目的：探讨产后发生尿失禁的时间分布，以及不同分娩方式等产科因素对产后尿失禁的影响，为针对性治疗提供策略。方法选取2011年1月-2014年7月在该院分娩所有的产妇2432例，采用国际尿失禁咨询委员会尿失禁问卷表(ICI-Q-SF)对产妇进行问卷调查。结果该次调查2432例孕产妇，回收有效问卷2342份(96.30%)，其中发生尿失禁者65例，发生率为2.78%；多胎产妇、阴道产产妇、经产产妇尿失禁发生率分别为30.00%、5.04%和5.76%，高于单胎产妇、剖宫产产妇和初产妇，差异有统计学意义(P<0.05)。结论尿失禁主要发生在产后8周以上，其中胎数、分娩方式和产次是产后尿失禁的独立危险因素，做好产前预防，加强盆底肌肉训练避免尿失禁风险。
목적：탐토산후발생뇨실금적시간분포，이급불동분면방식등산과인소대산후뇨실금적영향，위침대성치료제공책략。방법선취2011년1월-2014년7월재해원분면소유적산부2432례，채용국제뇨실금자순위원회뇨실금문권표(ICI-Q-SF)대산부진행문권조사。결과해차조사2432례잉산부，회수유효문권2342빈(96.30%)，기중발생뇨실금자65례，발생솔위2.78%；다태산부、음도산산부、경산산부뇨실금발생솔분별위30.00%、5.04%화5.76%，고우단태산부、부궁산산부화초산부，차이유통계학의의(P<0.05)。결론뇨실금주요발생재산후8주이상，기중태수、분면방식화산차시산후뇨실금적독립위험인소，주호산전예방，가강분저기육훈련피면뇨실금풍험。
Objective To investigate postpartum urinary incontinence in time distribution, and the influence of different delivery mode obstetric factors on postpartum urinary incontinence. Methods Selected 2432 cases of maternal childbirthFrom in our hospi-tal, used the ICI-Q-SF conducted a questionnaire survey on maternal. Results The survey of 2432 pregnant women,2342 valid questionnaires recovered (96.30%),including 65 cases of urinary incontinence,the incidence rate was 2.78%;Multiple pregnancy maternal, vaginal birth maternal, multiparous maternal urinary incontinence rates were 30%, 5.04%and 5.76%,higher than that of single fetal maternal, cesarean section and primipara, the difference was statistically significant (P<0.05).Conclusion Urinary in-continence occurred mainly during the 8 postnatal week above,one fetus number,mode of delivery and delivery times are indepen-dent risk factors for postpartum urinary incontinence.