摘要
目的分析脑卒中后女性患者Glazer盆底表面肌电图(sEMG)与传统sEMG评估指标之间的相关性。方法纳入2020年5月至2021年12月就诊的50例女性脑卒中患者(脑梗死29例,脑出血21例),给予传统sEMG检测和Glazer盆底sEMG,记录盆底肌主动收缩时的平均肌电值(AEMG)、均方根值(RMS)以及快速收缩最大值、持续收缩平均值和耐久收缩平均值,并对不同肌电指标进行相关性分析。结果脑梗死与脑出血患者的各项盆底肌电指标(AEMG、RMS、快速收缩最大值、持续收缩平均值以及耐久收缩平均值)比较,差异无统计学意义(P>0.05)。脑卒中患者的AEMG、RMS与快速收缩最大值、持续收缩平均值、耐久收缩平均值均存在相关性(P<0.01);脑梗死和脑出血患者的AEMG、RMS与快速收缩最大值、持续收缩平均值、耐久收缩平均值存在相关性(P<0.05)。结论传统sEMG的评估指标AEMG和RMS与Glazer盆底sEMG评估中各个收缩阶段的参数之间均存在相关性,而前者可以广泛应用于脑卒中后女性患者盆底肌功能和预后评估中。
Objective To analyze the correlation between Glazer pelvic floor surface electromyography(sEMG)and traditional sEMG evaluation indexes in female patients after stroke.Methods From May 2020 to December 2021,50 female stroke patients(29 cases of cerebral infarction and 21 cases of cerebral hemorrhage)were enrolled.Traditional sEMG and Glazer pelvic floor sEMG were used to record the averaged electromyography(AEMG),root mean square(RMS),maximum value of rapid contraction,average value of continuous contraction and average value of durable contraction of pelvic floor muscle during active contraction,and the correlation between different electromyography indexes was analyzed.Results There were no significant differences in the pelvic floor electromyography indexes(AEMG,RMS,the maximum value of rapid contraction,the average value of continuous contraction and the average value of durable contraction)between patients with cerebral infarction and cerebral hemorrhage(P>0.05).AEMG and RMS of stroke patients were correlated with the maximum value of rapid contraction,the average value of continuous contraction and the average value of durable contraction(P<0.01);the AEMG and RMS of patients with cerebral infarction and cerebral hemorrhage were correlated with the maximum value of rapid contraction,the average value of continuous contraction and the average value of durable contraction(P<0.05).Conclusion There is a correlation between the AEMG and RMS of traditional sEMG evaluation indicators and the parameters of each contraction stage in the Glazer pelvic floor sEMG evaluation,and the former can be widely used in the evaluation of pelvic floor muscle function and prognosis in female patients after stroke.
作者
龚媛媛
陈庆梅
王红星
GONG Yuanyuan;CHEN Qingmei;WANG Hongxing(Rehabilitation Medicine Department,the First Affiliated Hospital of Soochow University,Suzhou 215006;Rehabilitation Medicine Department,Zhongda Hospital Southeast University,Nanjing 210009,China)
出处
《临床医学研究与实践》
2024年第22期56-59,共4页
Clinical Research and Practice
基金
苏州市科技计划项目(No.SKY2022123)。
关键词
脑卒中
表面肌电图
盆底肌功能
平均肌电值
均方根值
stroke
surface electromyography
pelvic floor muscle function
averaged electromyography
root mean square
