产科关节损伤的发生率和危险因素:一项回顾性研究
Felwa Faisal Althaher1, Deama Saeed Alghamdi2, Heba Emad Bayoumi1
1From the Department of Obstetrics and Gynecology, King Abdulaziz University Hospital, Jeddah, Saudi Arabia.
Annals of Saudi medicine
|November 23, 2025
概括
在沙特阿拉伯,产科关节损伤 (OASIS) 的发生率从2017年至2020年减少. 大多数OASIS病例是三级或四级撕裂,对修复技术的文档缺口.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 产科关节损伤 (OASIS) 是一种严重的阴道分娩并发症,具有持久的身体和心理影响.
- 有限的数据存在于沙特阿拉伯的OASIS流行率和风险因素.
- 本研究解决了对OASIS发病率和相关因素的区域数据的需求.
研究的目的:
- 评估2017年至2020年OASIS的年度发病率.
- 为了确定OASIS的孕产妇和分娩相关风险因素.
- 评估与不同OASIS等级相关的患者特征.
主要方法:
- 在吉达的阿卜杜勒阿齐兹国王大学医院进行了一项回顾性观察研究.
- 审查了2017-2020年间12081例阴道分娩的医疗记录.
- 分析了112个OASIS病例,使用RCOG分类进行分级,使用Chi-square和t测试进行统计分析.
主要成果:
- 整体OASIS发病率为0.93%,显示了从2017年至2020年的下降趋势.
- 大多数OASIS病例涉及原生动物和沙特女性.
- 三级流占79.5%,四级流占8.0%;四级流估计流血量较高,但与三级流的产妇/分娩特征相似.
结论:
- 在2017年至2020年期间,OASIS发病率呈现下降趋势.
- 需要进行进一步的研究,以解决修复技术和表皮切割细节的文档缺口.
- 建议完善OASIS的区域预防和管理策略.
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