长期产后腹部直径扩张的患病率和危险因素:一个横截面研究
Saisai Lin1, Jinjin Lu2, Lilu Wang3
1General Surgery Department, Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine, Wenzhou, 325000, Zhejiang, China.
Scientific reports
|October 28, 2024
概括
腹部直径扩张 (DRA) 在分娩后很长时间的妇女中很普遍. 较高的BMI,多胎儿,双胞胎和糖尿病是DRA的关键危险因素.
科学领域:
- 生殖医学 生殖医学
- 妇女健康 妇女健康
- 诊断成像 诊断成像 诊断成像
背景情况:
- 腹部直径扩张 (DRA) 是一种常见的疾病,影响产后妇女.
- 了解长期DRA患病率和风险因素对于妇女健康至关重要.
- 现有的诊断标准可能导致过度诊断.
研究的目的:
- 在长期产后期间调查女性腹部直径扩张 (DRA) 的患病率.
- 用两个不同的诊断标准来确定与DRA相关的潜在风险因素.
- 评估DRA目前诊断标准的适当性.
主要方法:
- 一项涉及1000名分娩后妇女在分娩后3,5,10,20和30年进行的横截面研究.
- 通过超声波成像测量直肠间距离 (IRD).
- 通过自我报告问卷收集的数据,并使用单变量和多变量分析进行分析.
主要成果:
- 根据诊断标准,DRA的患病率有所不同 (IRD>2厘米:22-36%;IRD>3厘米:6-13%).
- 风险因素包括较高的BMI (10年产后),分娩增加 (3,5,10年),双胞胎 (3年) 和糖尿病 (20,30年).
- 较高的BMI,分娩次数,双胞胎和糖尿病独立地与DRA相关.
结论:
- 长期产后DRA的患病率是显著的,特别是在较不严格的诊断标准下.
- 像BMI,分娩史和糖尿病等特定因素与随着时间的推移增加DRA风险有关.
- 改进DRA诊断标准是必要的,以防止过度诊断和过度治疗.
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