西部地区女性产后排便情况及其影响因素研究

Postpartum defecation situation of women and influencing factors in central and western regions of Inner Mongolia

摘要:

探究女性产后排便情况及相关影响因素。方法筛选内蒙古包头、巴彦淖尔地区健康单胎、足月分娩的产妇为调查对象，在产后3 和12 个月时对产妇进行现场问卷调查。膳食部分采用半定量膳食频率法，计算出产妇过去1 个月每日膳食及营养素摄入量；分析饮食、体重滞留等因素与产后排便情况的关系。结果产妇平均年龄（29.27±4.40）岁。产后3 和12 个月的排便情况比较，差异有统计学意义（p <0.05）。产后12 个月时，排便≥7 次/ 周的产妇饮食与产后3 个月时对比，结果显示，蔬菜摄入量、总膳食纤维摄入量比较，差异有 统计学意义（p <0.05），每日蛋白质摄入量比较，差异有统计学意义（p <0.05）。产后3 和12 个月不同排便情况的产妇体重滞留量比较，差异无统计学意义（p >0.05）；不同分娩、喂养方式的产妇排便情况比较，差异无统计学意义（p >0.05）。结论女性产后排便情况与饮食相关；与产后体重滞留、分娩方式及喂养方式无关。

Abstract:

To explore the maternal postpartum defecation situation and related influencing factors. Methods Healthy singleton parturients at full-term were screened out in Baotou and Bayannaoer region of Inner Mongolia as investigation objects. On -site questionnaire survey was conducted 3 and 12 months after childbirth. Semi-quantitative food frequency questionnaire (FFQ) survey was adopted to calculate the daily dietary and nutritional intake of the women in the past 1 month. The correlations of postpartum defecation situation with diet, weight retention and other factors were analyzed. Results The average maternal age was (29.27 ±4.40) years. Defecation situation 3 months after delivery was significantly different from that 12 months after delivery (p < 0.05). The vegetable intake and the total dietary fiber intake increased significantly (p < 0.05), daily protein intake decreased in the women with defecation 7 times a week or more 12 months after delivery compared to 3 months after delivery (p < 0.05). There was no significant difference in weight retention between the mothers with different defecation situation in the 3rd and 12th month after delivery (p > 0.05). The defecation situation was not significantly different between the mothers with different delivery ways or feeding ways (p > 0.05). Conclusions Female postpartum defecation situation is related to diet, but not correlated with postpartum weight retention, delivery ways or feeding ways.