摘要
目的:分析分娩镇痛产妇持续性产后尿潴留(PUR)发生情况及影响因素。方法:选取2019年1月-2022年1月在福建省南平市第一医院分娩的125例产妇为观察对象,依据是否发生持续性PUR分组,其中25例发生持续性PUR纳入观察组,100例未发生持续性PUR纳入对照组,采用单因素与多因素logistic回归分析探究其影响因素。结果:两组年龄、分娩前体重指数、孕次、分娩镇痛时间、分娩孕周、新生儿体重、产后24 h出血量比较,差异均无统计学意义(P>0.05);观察组初产妇、产钳助产、会阴Ⅱ度裂伤、会阴切开、产时发热比例均高于对照组,第一产程与第二产程时间均长于对照组(P<0.05)。经多因素logistic回归分析显示,第二产程时间较长、产钳助产、产时发热是分娩镇痛产妇发生持续性PUR的独立危险因素(P<0.05)。结论:分娩镇痛产妇持续性PUR发生风险较高,主要受到第二产程时间、产钳助产等因素影响,应加强对高危产妇的重视,通过早期干预降低此并发症发生率。
Objective: To analyze the incidence and influencing factors of persistent postpartum urinary retention(PUR) in parturients with labor analgesia. Method: A total of 125 parturients who delivered in Nanping First Hospital, Fujian Province from January 2019 to January 2022 were selected as the observation objects, and were divided into groups according to whether persisent PUR occurred. Among them, 25 parturients who had persisent PUR were included in the observation group, and 100 parturients who had not persisent PUR were included in the control group. Univariate and multivariate logistic regression analysis were used to explore the influencing factors. Result: There were no significant differences between the two groups in terms of age, predelivery body mass index, pregnancy times, delivery analgesia time, delivery weeks, newborn weight and 24 h postpartum hemorrhage(P>0.05). The proportions of primipara, forceps assisted delivery, second degree perineal laceration, perineotomy,and intrapartum fever in the observation group were higher than those in the control group, and the time of the first and second stages of labor was longer than that in the control group(P<0.05). Multivariate logistic regression analysis showed that a long duration of the second stages of labor, forceps assisted delivery and intrapartum fever were independent risk factors for persistent PUR in parturients with labor analgesia(P<0.05). Conclusion: The risk of persisent PUR in parturients with analgesia during labor is high, which is mainly affected by factors such as the time of the second stages of labor and intrapartum fever, etc. We should pay more attention to high-risk parturients, and reduce the incidence of this complication through early intervention.
作者
陈华樑
魏海翔
詹丽花
CHEN Hualiang;WEI Haixiang;ZHAN Lihua(Nanping First Hospital,Fujian Province,Nanping 353100,China;不详)
出处
《中国医学创新》
CAS
2023年第3期77-80,共4页
Medical Innovation of China
关键词
分娩镇痛
产后尿潴留
产程时间
Anodyne labor
Postpartum urinary retention
Labor time
