30例产后盆底功能障碍性疾病原因分析及盆底肌收缩力水平研究  

Analysis of the causes of 30 cases of pelvic floor dysfunction and the level of pelvic floor muscle contraction force

作　　者：林敏[1] 刘四华[1] 廖丽琴[1] 

机构地区：[1]江西省信丰县人民医院妇产科,赣州341600

出　　处：《上海医药》2016年第17期48-51,共4页Shanghai Medical & Pharmaceutical Journal

基　　金：2016年度江西省卫生计生委科技计划(项目编号:20167248)

摘　　要：目的：探讨产后盆底功能障碍性疾病（PFD）原因及盆底肌收缩力水平。方法：选取产后42-60dPFD患者30例作为观察组，产后正常妇女30例作为对照组，采用国际尿失禁咨询委员会推荐的尿失禁问卷表简表和国际女性下尿路症状调查问卷调查一般资料，比较两组年龄、分娩前BMI、新生儿体重、阴道分娩率、腹压增高史发生率、肌电图持续收缩值和快速收缩值的差异。结果：观察组年龄、分娩前BMI与新生儿体重均明显高于对照组，阴道分娩率与腹压增高史发生率均明显高于对照组（P〈0．05）。观察组肌电图持续收缩值和快速收缩值均明显低于对照组（P〈0．05）。结论汾娩前BMI、年龄与新生儿体重增加、阴道分娩、腹压增高可能是产后盆底功能障碍性疾病的重要病理原因。Objective： To discuss the causes of pelvic floor dysfunction （PFD） and the level of pelvic floor muscle contraction force. Methods： Thirty cases of patients with PFD 42-60 d postpartum were selected as an observation group and 30 normal postpartum women as a control group. The differences of age, BMI before delivery, neonatal birth weight, vaginal delivery rate, incidence of the cases with increased abdominal pressure, EMG continuous shrinkage and rapid shrinkage were compared between the two groups by ICI-Q-SF and ICIQ-FLUTS. Results： Age, BMI before delivery, neonatal birth weight, vaginal delivery rate and incidence of the cases with increased abdominal pressure were significantly higher in the observation group than in the control group （P〈0.05）. EMG continuous shrinkage and rapid shrinkage were significantly lower in the observation group than in the control group （P〈0.05）. Conclusion： BMI before delivery, age, neonatal birth weight, vaginal delivery, increase of abdominal pressure may be the important causes of PFD.

关 键 词：产后 盆底功能障碍性疾病 盆腔器官脱垂 尿失禁盆底肌收缩力 

分 类 号：R714.6[医药卫生—妇产科学]