产后压力尿失禁预测模型的开发和验证:单中心前性研究中的因素和评估
Yichen Chen1, Jue Zhu2, Qingqing Yang3
1Department of Basic Research Laboratory, Women and Children's Hospital of Ningbo University, Zhejiang, China.
International urogynecology journal
|October 9, 2025
概括
一个预测模型准确地确定产后压力尿失禁 (SUI) 风险. 诸如分娩次数,分娩方式和年龄等因素,以及骨盆地评估,为这种常见疾病进行个性化查提供信息.
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
- 盆地地板 物理治疗 物理治疗
背景情况:
- 压力尿失禁 (SUI) 影响了分娩后妇女的很大一部分.
- 识别风险因素和开发预测工具对于管理产后SUI至关重要.
研究的目的:
- 为了确定产后SUI的发生率.
- 为了确定与SUI相关的风险因素.
- 建立产后SUI的预测模型.
主要方法:
- 对521名产后妇女进行前性研究.
- 数据收集包括临床信息,盆地肌肉强度,格莱泽分数和跨膜超声波 (TPUS).
- 产后1年的随访以评估SUI发生率;各种分类模型 (CatBoost,RF,SVM,KNN) 用于预测.
主要成果:
- 产后SUI的发生率为15.93% (83/521).
- 确定的主要风险因素是分娩次数,分娩方式和母亲年龄.
- 在SUI预测中,CatBoost模型表现出高精度 (0.822),精度 (0.836) 和回忆 (0.822).
结论:
- 一个经过验证的SUI预测模型可以帮助风险管理.
- 结合年龄,怀孕数和盆地评估等因素,可以进行个性化查.
- 该模型支持针对产后SUI的量身定制的管理策略.
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