在产后妇女下尿路症状的评估:一个嵌套的病例对照研究研究
Sandhya Jain1, Chethan Gowda1, Upasana Verma1
1Department of Obstetrics and Gynecology, University College of Health Sciences and Guru Teg Bahadur Hospital, Delhi, India.
概括
下泌尿道症状 (LUTS) 影响了阴道分娩后的20.1%的女性,延长分娩和高出生体重是关键风险因素. 对于持续的症状,早期产后评估和管理至关重要.
科学领域:
- 泌尿和妇科 泌尿和妇科
- 产科 产科 产科 产科 产科
- 诊断成像 诊断成像 诊断成像
背景情况:
- 下尿道症状 (LUTS) 在阴道分娩后很常见.
- 了解产后LUTS的风险因素和诊断工具对于有效管理至关重要.
研究的目的:
- 为了确定阴道分娩后LUTS的发病率,风险因素和临床变量.
- 通过使用2D跨膜超声波来评估压力尿失禁的尿道角度和膀下降 (BND) 的诊断准确性.
主要方法:
- 一项对408名经过阴道分娩的低风险女性进行的嵌套病例控制研究.
- 使用ICIQ-FLUTS问卷在分娩后第二天和第六周评估LUTS.
- 2D跨膜超声波测量阴道角 (α),后尿道角 (β) 和BND.
主要成果:
- 在分娩后的第二天,LUTS的发病率为20.1%,其中夜是最常见的.
- 劳动的第二阶段持续时间和高出生体重是LUTS的重要风险因素.
- 超声波测量 (Rα,Rβ,BND) 显示了压力尿失禁的诊断准确性,其中Rβ是最好的预测因素.
结论:
- 产后LUTS发病率很高,症状可能持续数周.
- 长时间的分娩和高出生体重是已知的危险因素.
- 产后护理应包括对LUTS的警监测,咨询和管理.
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