Glazer评估在产后盆底肌肉功能评估中的应用

发布时间：2018-06-25 06:58

本文选题：盆底表面肌电 + Glazer评估　；参考：《中国妇产科临床杂志》2017年03期

【摘要】：目的探讨Glazer评估在产后盆底肌肉功能评估中的应用。方法选取2015年1月至2016年4月在北京市房山区妇幼保健院进行产后42 d复查的193例初产妇作为研究对象。根据分娩方式分为阴道分娩组(131例)和剖宫产组(62例)。采用盆底表面肌电Glazer评估测定盆底肌的表面肌电值。结果研究对象的平均年龄为(29.1±4.1)岁。(1)剖宫产组前静息肌电值(6.8±5.8)μV明显高于阴道分娩组(5.5±3.3)μV(P0.05);(2)5次快速收缩阶段,剖宫产组的快肌最大肌电值(43.2±16.9)μV略高于阴道分娩组(38.2±15.0)μV(P0.05);(3)10 s持续收缩阶段,剖宫产组慢肌平均肌电值(29.7±13.5)μV明显高于阴道分娩组(25.4±11.5)μV(P0.05);(4)60 s持续收缩阶段,剖宫产组慢肌平均肌电值(26.2±13.2)μV明显高于阴道分娩组(21.5±9.8)μV(P0.05);(5)后静息阶段,剖宫产组平均肌电值为(7.0±5.2)μV明显高于阴道分娩组(4.9±3.0)μV(P0.05)。结论不同分娩方式对女性盆底肌造成的损伤不同,阴道分娩对慢肌造成的损伤明显比剖宫产严重,但是剖宫产易导致盆底肌出现过度活动。
[Abstract]:Objective to investigate the application of Glazer evaluation in postpartum pelvic floor muscle function evaluation. Methods 193 primipara who were reexamined 42 days postpartum from January 2015 to April 2016 in Beijing Fangshan District Maternal and Child Health Hospital were selected as study objects. According to the mode of delivery, it was divided into vaginal delivery group (131 cases) and cesarean section group (62 cases). The surface myoelectric value of pelvic floor muscle was evaluated by Glazer method. Results the mean age of the subjects was (29.1 卤4.1) years. (1) the electromyography (EMG) before cesarean section (6.8 卤5.8) 渭 V was significantly higher than that in vaginal delivery (5.5 卤3.3) 渭 V (P0.05); (2), and the maximal myoelectric value of fast muscle in caesarean section (43.2 卤16.9) 渭 V was slightly higher than that in vaginal delivery (38.2 卤15.0) 渭 V (); (3) during 10 s continuous contraction. The mean myoelectric value of slow muscle in caesarean section group (29.7 卤13.5) 渭 V was significantly higher than that in vaginal delivery group (25.4 卤11.5) 渭 V (P0.05); (4) during 60 s continuous contraction, and the mean EMG value in caesarean section group (26.2 卤13.2) 渭 V was significantly higher than that in vaginal delivery group (21.5 卤9.8) 渭 V (); (0.05). The mean myoelectric value of caesarean section group was (7.0 卤5.2) 渭 V significantly higher than that of vaginal delivery group (4.9 卤3.0) 渭 V (P0.05). Conclusion the injury of pelvic floor muscle caused by vaginal delivery is more serious than that of caesarean section, but caesarean section may lead to overactivity of pelvic floor muscle.
【作者单位】：北京市房山区妇幼保健院;
【基金】：北京市卫生计生委关于北京市盆底功能障碍防治项目(2015-02-03)
【分类号】：R714.6

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