Abstract:

Objective　To explore the clinical factors of lower urinary tract symptoms in older secondiparas within 1 year after delivery. Methods　A questionnaire survey was conducted among 643 older secondiparas aged (36.64±1.71) years from Huizhou No.2 Women's and Children's Healthcare Hospital from April 2018 to April 2019. Logistic regression analysis was used to analyze the correlations between the occurrence of lower urinary tract symptoms and clinical factors within 1 year after delivery. Results　Within 3 months after delivery, the history of lower urinary tract during pregnancy, frequent coughing and constipation, and age were risk factors for lower urinary tract symptoms during the urinary storage period (OR=9.968, 13.276, 1.844); within 6 months after delivery, the history of lower urinary tract during pregnancy and female age were risk factors for lower urinary tract symptoms during the urinary storage period (OR=2.228, 2.254); within 9 months after delivery, the fetal body weight, female age, and lateral episiotomy for natural labor were the risk factors for lower urinary tract symptoms during the urinary storage period (OR=3.006, 1.723, 3.098); within 12 months after delivery, the nationality, fetal body weight, female age, and lateral episiotomy for natural labor were the risk factors for the occurrence of lower urinary tract symptoms during the urinary storage period (OR=8.402, 2.603, 1.829, 2.444). Cesarean section was a significant protective factor to avoid post micturition symptoms in older secondiparas within 1 year after delivery. Conclusions　Compared with lateral episiotomy delivery and normal delivery, cesarean section is a significant protective factor to avoid the occurrence of lower urinary tract symptoms in older secondiparas within 1 year after delivery. The increase of female age and lateral episiotomy significantly increase the risk of lower urinary tract symptoms during the urinary storage period.

Key words: Older secondiparas, Lower urinary tract symptoms, Clinical factors

摘要： 目的　探讨高龄二孩产妇产后1年内下尿路症状发生的临床因素。方法　对2018年4月至2019年4月就诊于惠州市第二妇幼保健院的643例高龄二孩再产妇进行问卷调查，年龄（36.64±1.71）岁，采用logistic回归分析产后1年下尿路症状发生与临床各种因素的相关性。结果　在产后3个月，妊娠期下尿路病史、经常咳嗽便秘、年龄3个变量是储尿期下尿路症状的危险因素（OR=9.968、13.276、1.844）；在产后6个月，妊娠期下尿路病史、女性年龄是储尿期下尿路症状发生的危险因素（OR=2.228、2.254）；在产后9个月，胎儿体质量、女性年龄、会阴侧切顺产是储尿期下尿路症状发生的危险因素（OR=3.006、1.723、3.098）；在产后12个月，民族、胎儿体质量、女性年龄、会阴侧切顺产是储尿期下尿路症状发生的危险因素（OR=8.402、2.603、1.829、2.444）。剖宫产是避免高龄二孩产妇产后1年发生储尿期、排尿后症状发生的保护因素。结论　相对于会阴侧切、普通顺产分娩，剖宫产是避免高龄二孩再产妇产后1年内出现下尿路症状的显著保护因素，而女性年龄的增长和会阴侧切则明显增加高龄二孩再产妇产后1年内储尿期下尿路症状的发病风险。

关键词: 高龄二孩再产妇, 下尿路症状, 临床因素