已婚妇女1400名盆底肌力调查及相关因素研究  

Survey and analyze of 1400 women′s pelvic floor muscle strength

作　　者：吴虹桥[1] 钱琴玉[1] 钱秋英[1] 周蓓蓓[1] 于学霞[1] 曹杰杰[1] 

机构地区：[1]南京医科大学附属常州妇幼保健院,213003

出　　处：《实用医技杂志》2013年第10期1045-1047,共3页Journal of Practical Medical Techniques

基　　金：江苏省常州市第十八批科技计划项目(CJ20122028)

摘　　要：目的对我市1 400名已婚妇女进行盆底肌力测定,探讨年龄、妊娠和分娩等因素对盆底肌力的影响。方法 2012年12月至2013年5月对我市部分社区的已婚妇女进行问卷调查,同时对每位调查对象采用阴道压力仪进行盆底肌力测定,并观察结果。结果盆底肌力与年龄、妊娠次数和分娩次数之间存在着一定的相关关系;不同分娩方式的妇女盆底肌力比较差异有统计学意义(F=17.209,P<0.01),剖宫产的妇女盆底肌力好于阴道分娩的妇女。结论盆底肌力与尿失禁之间密切相关,盆底肌肉的收缩能力可作为检测盆底功能损伤的良好指标。年龄、妊娠和分娩对盆底肌力存在着影响,剖宫产对于产后盆底功能具有一定的保护作用。Objective To investigate the pelvic floor muscle strength of the women in Changzhou and to explore the effect of age, pregnancy and delivery on pelvic floor muscle strength. Methods From December in 2012 to May in 2013, women in a community of Changzhou city were investigated face-to-face by the questionnaire method. Vaginal pressure instrument was used to evaluate pelvic floor muscle sthength. Results There were certain relationships between pelvic floor muscle strength and age, gravidity and labour times. There were significant differences in pelvic floor muscle strength among women in different mode of delivery （F=17.209, P〈0.01）. The scores of floor muscle strength testing in cesarean section group was better than in that vaginal delivery group. Conclusion Pelvic floor muscle strength is associated with urinary incontinence. It can be provided objective basis for pelvic floor dysfunction in clinic. Age, pregnancy and delivery can damage the pelvic floor muscle strength. Cesarean section plays a certain protective role in puerperaes.

关 键 词：骨盆底 肌力 尿失禁 妊娠 分娩 

分 类 号：R694[医药卫生—泌尿科学]