489例产后腹直肌分离产妇患病现状及影响因素分析.pdf

2021 年 10 月 护 理 学 报 October，2021
第 28 卷 第 2ostpartum rehabilitation clinic of a tertiary grade-A hospital in Shandong Province from July 2020 to January
2021. General data of puerpera were collected by questionnaire survey. Pelvic floor EMG value of puerpera was measured by Glazer
evaluation, and DRA was assessed by palpation using finger breaths. Binary logistic regression was used to analyze the main
influencing factors of postpartum DRA. Results The prevalence of postpartum DRA was %(301/489), including 225 mild cases,
accounting for %（225/301）,65moderate ones for %（65/301）, and 11 severe ones for %（11/301）. Older maternal age,
vaginal delivery, mixed feeding and higher neonatal body weight were independent risk factors for postpartum DRA (P <).
Conclusion The prevalence of postpartum DRA is high, and more attention should be paid to factors such as older maternal age,
vaginal delivery, mixed feeding and newborns with high body weight. Medical staff should pay attention to DRA and take targeted
prevention and intervention measures in perinatal period to reduce the occurrence and development of DRA after delivery.
Key words: diastasis recti abdominis; risk factor; prevalence
腹直肌分离（diastasis recti abdominis,DRA）指两 1 对象与方法