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The study on current condition and related factors of fecal incontinence and QOL following delivery

大便失禁现状及相关因素及产后生活质量研究

基本信息

批准号：
15592261
负责人：
SAKAGUCHI Kesami
金额：
$ 2.24万
依托单位：
School of Medicine, Shinshu University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2003
资助国家：
日本
起止时间：
2003 至 2005
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-15592261/
关键词：
Women Fecal Incontinence Urinary Incontinence Risk Factor QOL Coping 分娩関連要因

项目摘要

Purpose and methods : This survey was conducted on 1,918 women to determine the incidence of fecal incontinence and uncontrolled abdominal wind after delivery. The subjects filled out a list of symptoms and other related factors of the fecal incontinence and uncontrolled abdominal wind (self report). The differences between the groups were assessed using Kruskal-Wallis test, Bonferroni/Dunn test and _X2 test (p<0.05). Results : After delivery 2.9% of these women reported having fecal incontinence, while 22.3% reported having uncontrolled abdominal wind. One out of 4 women reported having experienced either fecal incontinence or uncontrolled abdominal wind. The incidence of fecal incontinence and uncontrolled abdominal wind were related to age and the number of deliveries. The risk factors which cause fecal incontinence were related to forceps delivery and induced delivery in addition to the Body Mass Index (BMI) and menopause. Conclusions : We surmised that the frequency of fecal incontinence and uncontrolled abdominal wind after delivery is similar to that of some foreign reports. While there is a need to accumulate the number of subject samples and to carry out detailed examination of the incidence of the problem, it is also suggested that there is a necessity to establish a long-term follow-up as well as providing a support system for these problems following delivery.

目的和方法：本次调查对 1,918 名女性进行了调查，以确定产后大便失禁和不受控制的腹风的发生率。受试者填写了大便失禁和不受控制的腹风的症状和其他相关因素清单（自我报告）。使用 Kruskal-Wallis 检验、Bonferroni/Dunn 检验和_X2 检验评估各组之间的差异（p<0.05）。结果：分娩后，2.9% 的女性报告有大便失禁，22.3% 的女性报告有不受控制的腹胀。四分之一的女性表示曾经历过大便失禁或不受控制的腹胀。大便失禁和不受控制的腹风的发生率与年龄和分娩次数有关。导致大便失禁的危险因素除了体重指数（BMI）和更年期外，还与产钳助产和引产有关。结论：我们推测产后大便失禁和不受控制的腹风的发生频率与国外的一些报道相似。虽然需要积累受试者样本数量并对问题的发生情况进行详细检查，但也建议有必要针对这些产后问题建立长期随访和支持体系。