流行病学趋势和与分娩周围下尿路症状相关的危险因素:为期一年的前性研究
Xiaojuan Wang1,2, Hongyan Wang2, Ping Xu1,2
1School of Medicine, Zhejiang University, No.866 Yu Hang Tang Road, Hangzhou, Zhejiang Province, 310058, China.
BMC public health
|November 1, 2023
概括
下尿道症状 (LUTS) 在孕妇和产后妇女中很常见. 产后LUTS的危险因素包括母亲的晚年,手工劳动,妊娠糖尿病,以前的感染和阴道分娩.
科学领域:
- 产科和妇科 产科和妇科
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 流行病学 流行病学
背景情况:
- 下泌尿道症状 (LUTS) 在全球女性中普遍存在,在怀孕和产后期间达到顶峰.
- 尽管患病率很高,但在分娩期间的LUTS受到了有限的研究重点,预防策略尚不发达.
- 了解LUTS在分娩期间的流行病学对于医疗保健提供者和妇女来说至关重要,以告知预防工作.
研究的目的:
- 研究妇女在分娩期间LUTS的流行病学趋势.
- 为了确定相关的风险因素,有助于LUTS在分娩周围.
主要方法:
- 一项前性研究招募了1243名孕妇,在整个怀孕期间和产后一年内进行了跟踪.
- 尿失禁和其他LUTS使用验证的问卷进行评估 (ICIQ-UI SF,国际失禁协会定义).
- 多重后勤回归分析了LUTS的风险因素,遵循STROBE指南.
主要成果:
- 储存症状在怀孕晚期影响了94%,在产后6-8周影响了55%,在产后一年影响了35%.
- 产后一年内尿失禁患病率稳定在21%,大多为轻度至中度.
- 产后一年LUTS的预测因素包括年龄,工作,怀孕前的BMI,妊娠期糖尿病,尿路感染史,之前的LUTS,第一次分娩的年龄和分娩方式.
结论:
- LUTS在怀孕和产后非常普遍,尿失禁的患病率更为稳定.
- 诸如35岁以上的母亲年龄,手工劳动,妊娠糖尿病,尿路感染或LUTS病史,第一次分娩时的年龄较大以及阴道分娩等因素会增加产后LUTS风险.
- 这项研究为与分娩相关的LUTS的流行病学和风险因素提供了重要的见解.
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