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盆底肌收缩状况与妊娠早期盆底功能障碍性疾病的关系及影响因素研究 被引量:29

The relationship between pregnancy related early pelvic floor dysfunction and pelvic floor muscle condition and influencing factors
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摘要 目的探讨盆底肌收缩肌状况与妊娠早期盆底功能障碍性疾病的关系及影响因素。方法选择2013年1月至2014年1月患有盆底功能障碍性疾病的产后妇女500例作为实验组,另外选取500例产后正常的妇女500例作为对照组。首先对两组进行临床一般资料对比分析,其次对两组盆底收缩肌收缩力进行评估,最后对两组进行盆底肌电图测定。结果实验组年龄、新生儿体重、分娩前体重指数、阴道分娩率、腹压增高史率等与对照组存在明显差异(P<0.05);对两组进行3个月和6个月盆底肌收缩力的评分,结果显示实验组盆底肌收缩力评分高于对照组,差异具有统计学意义(P<0.05)。对两组进行盆底肌电图测定中发现实验组的盆底肌活力值和盆底肌功能值均小于对照组(P<0.05)。结论妇女妊娠后盆底肌收缩状况对盆底功能障碍性疾病具有重要影响,其影响因素是多方面的。 Objective To investigate the relationship between pregnancy related early pelvic floor muscle( PFM)condition and pelvic floor dysfunction( PFD)and associated factors. Methods Five hundred postpartum women with PFD treated from January 2013 to January 2014 were selected as the experimental group,500 normal postpartum women as the control group. The clinical data,PFM condition and PFM electro-myogram were analyzed and compared between two groups. Results There were significant differences in age,neonatal weight,rate of vaginal de-livery and the rate of high abdominal pressure history between two groups( P <0. 05). The score of PFM contraction strength in experimental group was higher than control group at 3 and 6 months postpartum examinations( P <0. 05). PFM electromyogram showed that the activity value and work value in experimental group were lower than those in control group( P <0. 05). Conclusion The PFM contraction condition has great influence on PFD.
作者 周英 刘艳
出处 《临床和实验医学杂志》 2015年第17期1421-1423,共3页 Journal of Clinical and Experimental Medicine
基金 2003年湖北省攻关课题(课题编号:2003AA302B02)
关键词 妊娠 盆底肌收缩 盆底功能障碍性疾病 影响因素 Pregnancy Pelvic floor muscle contraction Pelvic floor dysfunction Influencing factor
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