产后妇女盆底肌力与分娩方式、季节的关系

发布时间：2018-07-12 16:34

本文选题：盆底肌 + 盆底功能障碍性疾病　；参考：《山东医药》2015年43期

【摘要】：目的了解产后妇女盆底肌力与分娩方式、季节的关系。方法选择2013年12月~2014年11月安徽医科大学第二附属医院收治的足月妊娠分娩、产后6周复查产妇902例作为研究对象,其中剖宫产410例(剖宫产组)、经阴分娩492例(顺产组)。所有产妇在产后接受盆底肌力检查(受检时间为产后35~118 d,于春、夏、秋、冬季接受盆底肌力检查者分别为191、231、233、247例),采用Glazer评估法评估其盆底肌表面肌电压。结果盆底肌肉的5次快速收缩最大肌电压(Dmax)剖宫产组为(37.01±15.65)μV、顺产组为(31.98±12.56)μV,两组相比,t=-5.359,P0.01。盆底肌持续收缩60 s的平均肌电压(H60 s)剖宫产组为(21.74±10.71)μV、顺产组为(19.06±8.87)μV,两组相比,t=-4.119,P0.01。春、夏、秋、冬季接受盆底肌力检查者的Dmax分别为(35.99±11.10)、(34.10±13.00)、(33.45±16.86)、(33.86±14.85)μV,组间相比,F=1.256,P0.05。春、夏、秋、冬季接受盆底肌力检查者的H60 s分别为(24.87±8.82)、(20.74±8.83)、(17.89±10.33)、(18.55±9.77)μV,组间相比,F=22.721,P0.01;春、夏季接受检查者的H60 s均明显高于秋季检查者(t分别为7.386、3.193,P均0.01)。分别以Dmax、H60 s为应变量,以孕次、分娩方式、受检季节为自变量,建立多元线性回归模型,分析显示,分娩方式与Dmax、H60 s有关(P均0.01),受检季节与H60 s有关(P0.01)。结论产后妇女盆底肌肌力与分娩方式有关,剖宫产产妇的盆底肌力较顺产者高;产后妇女盆底肌持续收缩力与受检季节有关,春、夏季比较高。
[Abstract]:Objective to investigate the relationship between pelvic floor muscle strength and delivery mode and season. Methods from December 2013 to November 2014, 902 pregnant women who were admitted to the second affiliated Hospital of Anhui Medical University were selected. 902 cases of puerpera were reviewed at 6 weeks postpartum. 410 cases of cesarean section (caesarean section group) and 492 cases of vaginal delivery (normal delivery group) were selected. All the puerperas received pelvic floor muscle strength examination after delivery (the duration was 35 ~ 118 days postpartum, 1912333247 in spring, summer, autumn and winter, respectively). The voltage of the surface muscle of pelvic floor was evaluated by Glazer method. Results the maximal muscle voltage (Dmax) of pelvic floor muscle was (37.01 卤15.65) 渭 V in the cesarean section group and (31.98 卤12.56) 渭 V in the normal delivery group. The mean muscle voltage (H60 s) of pelvic floor muscle was (21.74 卤10.71) 渭 V in cesarean section group and (19.06 卤8.87) 渭 V in normal delivery group. In spring, summer, autumn and winter, the Dmax was (35.99 卤11.10), (, 34.10 卤13.00), (, 33.45 卤16.86), (33.86 卤14.85) 渭 V. In spring, summer, autumn and winter, the H60 s were (24.87 卤8.82), (20.74 卤8.83), (17.89 卤10.33), (18.55 卤9.77) 渭 V, which were significantly higher in spring and summer than those in autumn (t = 7.386 卤3.193, respectively). The multivariate linear regression model was established with Dmaxus H60 s as dependent variable, pregnancy time, delivery mode and test season as independent variables. The analysis showed that the mode of delivery was related to Dmaxus H60 s (P0.01), and the tested season was related to H60 s (P0.01). Conclusion the pelvic floor muscle strength of postpartum women is related to the mode of delivery, the pelvic floor muscle strength of cesarean section women is higher than that of normal delivery women, and the continuous contractility of postpartum pelvic floor muscles is related to the tested season, and the spring and summer are higher.
【作者单位】：安徽医科大学第二附属医院;
【基金】：国家自然科学基金资助项目(81100412) 安徽医科大学2011年校科研基金资助项目(2011xkj060)
【分类号】：R714.61

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