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妊娠压力尿失禁的危险因素:系统审查和元分析

De-Feng Chen¹, Si-Di Dai¹, Hua-Ting Chen²

¹The Third School of Clinical Medicine, Guangzhou Medical University, School of Nursing, Guangzhou Medical University, Guangzhou, China.

International urogynecology journal

|December 27, 2025

概括

孕期压力尿失禁 (GSUI) 在孕妇中受到几个因素的影响. 以前的阴道分娩,便秘和分娩大婴儿是关键风险,而盆地肌肉训练 (PFMT) 提供了保护.

科学领域:

产科和妇科产科和妇科
妇女健康妇女健康
泌尿和妇科泌尿和妇科

背景情况:

孕期压力尿失禁 (GSUI) 显著影响孕妇的身体健康和生活质量.
解决GSUI对于有效的产科护理至关重要.

研究的目的:

系统地审查和分析与妊娠压力尿失禁 (GSUI) 相关的因素.
确定孕妇GSUI的关键风险因素和保护措施.

主要方法:

在主要的中国和英语数据库 (如PubMed,Embase,WanFang) 中进行了全面的文献搜索.
包括的研究是队列和横截面设计,重点是孕妇人群中的GSUI.
评论文章和会议论文被排除在外.

主要成果:

分析包括了20项研究.
单变量分析确定了先前的阴道分娩,平价,流产,婴儿出生体重大,母亲年龄晚,便秘,盆地肌肉训练 (PFMT) 和多胎妊娠作为影响因素.
多变量分析突出了先前的阴道分娩,平价,婴儿出生体重大,孕妇年龄,便秘,PFMT,怀孕前的BMI和妊娠年龄作为重要因素.

结论:

以前的阴道分娩,怀孕期间便秘,以及分娩时体重超过4公斤的婴儿被确定为GSUI的主要危险因素.
盆地肌肉训练 (PFMT) 显示出对GSUI的显著保护作用.
建议将预防策略,特别是PFMT,整合到产前护理中,以减轻GSUI的发生率.

关键词:

孕期的孕期的进行元分析分析.怀孕的人孕妇风险因素风险因素压力性尿失禁是压力性尿失禁.

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