盆底肌电生理参数对孕妇产后压力性尿失禁的预测价值  

Predictive Value of Electrophysiological Parameters of Pelvic Floor Muscles for Postpartum Stress Urinary Incontinence

作　　者：柯善英 龚琴 KE Shanying;GONG Qin(Department of Obstetrics and Gynecology,Zhen'an County Maternal and Child Health Care Hospital,Shangluo Shaanxi 711500)

机构地区：[1]镇安县妇幼保健院妇产科,陕西商洛711500 [2]长安医院妇产科,陕西西安710016

出　　处：《医学临床研究》2023年第9期1368-1370,1374,共4页Journal of Clinical Research

摘　　要：【目的】探讨盆底肌电生理参数对孕妇产后发生压力性尿失禁(Stress Urinary Incontinence,SUI)的预测价值。【方法】选取2020年2月至2021年6月在镇安县妇幼保健院产科分娩的94例产妇,根据产后SUI发生情况分为发生组和未发生组。采用单因素分析和Logistic回归分析孕妇产后发生SUI的影响因素;采用受试者工作特征(ROC)曲线分析产后1个月盆底肌最大肌电位、Ⅱ型肌耐力对孕妇产后发生SUI的预测价值。【结果】发生组经产妇构成比及新生儿体重均大于未发生组(P<0.05),产后1个月最大肌电位、Ⅱ型肌耐力均低于未发生组(P<0.05)。Logistic多因素回归分析显示:产后1个月最大肌电位、Ⅱ型肌耐力及产次均是孕妇产后发生SUI的影响因素(P<0.05)。ROC曲线分析结果显示:产后1个月盆底肌最大肌电位、Ⅱ型肌耐力预测孕妇产后发生SUI的最佳截断点分别为11.37μV和2.00级,特异度分别为73.53%、64.71%,曲线下面积(AUC)分别为0.799、0.763,二者联合的特异度和AUC分别为97.06%、0.915。【结论】盆底肌最大肌电位、Ⅱ型肌耐力均可作为预测产后发生SUI的敏感指标,二者联合预测价值更高。【Objective】To investigate the predictive value of electrophysiological parameters of pelvic floor muscles for postpartum stress urinary incontinence.【Methods】A total of 94 pregnant women who gave birth in the obstetrics department of Zhen'an Maternal and Child Health Care Hospital from February 2020 to June 2021 were selected,and the incidence of postpartum stress urinary incontinence was counted.Univariate analysis was used to analyze the factors affecting postpartum stress urinary incontinence,and logistic regression analysis was performed to analyze the factors affecting postpartum stress urinary incontinence,the receiver operating curve(ROC)was used to analyze the maximal muscle potential of pelvic floor muscle and the value of typeⅡmuscle endurance at 1 month postpartum in predicting postpartum stress urinary incontinence.【Results】The composition ratio of multiparous women and neonatal weight in patients with postpartum stress urinary incontinence were higher than those in non-partum women(P<0.05),the maximum muscle potential and typeⅡmuscle endurance at 1 month postpartum of patients with postpartum stress urinary incontinence were lower than those of non-partum women(P<0.05).Logistic multivariate regression analysis showed that maximum myopotential,typeⅡmuscular endurance at 1 month postpartum and parity were independent risk factors for postpartum stress urinary incontinence(P<0.05).ROC analysis showed that the best cut-off points of pelvic floor muscle maximum muscle potential and typeⅡmuscle endurance at 1 month postpartum in predicting postpartum stress urinary incontinence were 11.37μV and 2.00 grade,respectively,and the specificity was 73.53%and 64.71%,the area under the curve(AUC)were 0.799 and 0.763,the specificity and AUC of the combination were 97.06%and 0.915,respectively.【Conclusion】Pelvic floor muscle maximum myoelectric potential and typeⅡmuscular endurance can both be used as sensitive indicators for predicting postpartum stress urinary incontinence,and the combina

关 键 词：尿失禁 压力性 产褥期疾病 骨盆底/生理学 

分 类 号：R694.54[医药卫生—泌尿科学]