Distribution and Trends of Patients Undergoing Pelvic Floor Rehabilitation:A Study Based on 3033 Patients
- VernacularTitle:盆底康复治疗患者的分布及变化趋势分析:一项基于3033例患者的研究
- Author:
Chunhua WU
1
;
Juan LIU
Author Information
1. 广州医科大学附属第三医院妇产科 广东省产科重大疾病重点实验室 广东省妇产疾病临床医学研究中心 粤港澳母胎医学高校联合实验室,广东 广州 510150
- Keywords:
Female pelvic floor functional disorders;
Pelvic floor rehabilitation treatment;
Clinical characteristics
- From:
Journal of Practical Obstetrics and Gynecology
2024;40(8):639-644
- CountryChina
- Language:Chinese
-
Abstract:
Objective:The distribution and change characteristics of patients undergoing pelvic floor rehabilita-tion treatment were analyzed,the related influencing factors of patients with clinical symptoms and the characteris-tics of patients seeking treatment were preliminarily discussed.Methods:A retrospective analysis was conducted on the age,delivery mode,delivery times,treatment time and other data of patients(target population)who re-ceived pelvic floor rehabilitation treatment in the Third Affiliated Hospital of Guangzhou Medical University from January 2010 to December 2019.Results:①There were 3033 cases in the target population,72.8％(2209/3033)without clinical symptoms,showing a downward trend(P=0.000);The number of patients with clinical symptoms was 27.2％(824/3033),showing an increasing trend(P=0.000).Urinary incontinence accounted for 72.5％(597/824)of the eight categories.②In the past 10 years,the proportion of patients over 40 years old increased year by year(P=0.001).③The proportion of women giving birth through vagina was the highest(70.3％)and remained stable(P=0.054).④The proportion of first-time mothers was the highest(73.1％),and the number of patients with birth rate ≥2 showed an increasing trend(P=0.000);⑤84.8％(2573/3033)patients received pelvic floor rehabilitation treatment less than 1 year before the last delivery,and the treatment time more than 1 year before the last delivery showed an increasing trend(P=0.002,r=0.855).⑥Age ≥ 40 years old(OR 10.884,P＜0.001),3 pregnancies(OR 1.634,P=0.001),4 pregnancies(OR 1.908,P＜0.001),2 births(OR 1.305,P=0.038),3 births(OR 2.327,P=0.001),vaginal delivery(OR 2.079,P＜0.001)were risk factors for patients undergoing pelvic floor rehabilitation treatment.Conclusions:Urinary incontinence was the main symptom in patients with clinical symptoms after pelvic floor rehabilitation treatment,which showed an in-creasing trend.To strengthen early screening and intervention for women aged ≥40 years,with a history of vagi-nal delivery,≥3 times of pregnancy and≥2 times of birth,for women aged≥40 years and more than 1 year from the last delivery,the treatment time should be moved forward.
