女性盆底肌筋膜痛的影响因素及与盆底表面肌电的相关性  

Influencing Factors of Female Pelvic Floor Myofascial Pain and Its Correlation with Pelvic Floor Surface Electromyography

作　　者：白睿敏[1] 李亚南[2] 邵晴晴 赵雅斐 黄秀华 赵倩倩[3] BAI Ruimin;LI Yanan;SHAO Qingqing;ZHAO Yafei;HUANG Xiuhua;ZHAO Qianqian(Department of Obstetrics and Gynecology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Department of Nursing,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Second Ward of Obstetrics,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院妇产医学部,河南郑州450000 [2]郑州大学第一附属医院护理部,河南郑州450000 [3]郑州大学第一附属医院产科,河南郑州450000

出　　处：《河南医学研究》2025年第7期1184-1188,共5页Henan Medical Research

基　　金：河南省医学科技攻关计划项目(SBGJ202103077)。

摘　　要：目的探讨女性盆底肌筋膜痛的影响因素,及盆底肌筋膜痛与盆底表面肌电(sEMG)参数的相关性。方法采用回顾性病例对照研究,选取2020年8月至2021年12月于郑州大学第一附属医院接受产后盆底检查的401名女性为研究对象。根据有无盆底肌筋膜痛将研究对象分为盆底肌筋膜痛组(108例)和非盆底肌筋膜痛组(293例),进行一般资料调查,由2名受过专业培训的盆底康复师进行盆底肌手检及盆底肌电筛查。结果两组间BMI、年龄、分娩次数、最近1次分娩日期距盆底评估间隔时间、新生儿出生体重、孕期增重、腹肌参与度差异无统计学意义(P>0.05)。分娩方式为剖宫产的女性出现盆底肌筋膜痛是分娩方式为顺产伴会阴撕裂或侧切女性的2.372倍,差异有统计学意义(P=0.030)。盆底肌表面肌电值各参数中,两组间差异无统计学意义(P>0.05)。结论剖宫产是盆底肌筋膜痛的危险因素,不应作为保护盆底肌而选择的分娩方式。盆底肌评估需要手法触诊来判断有无疼痛,不能仅仅做肌电筛查来评估盆底肌。Objective To explore the influencing factors of female pelvic floor myofascial pain and the correlation between pelvic floor myofascial pain and pelvic floor surface electromyography(sEMG)parameters.Methods A retrospective case-control study was conducted to select women who underwent postpartum pelvic floor examination in the First Affiliated Hospital of Zhengzhou University from August 2020 to December 2021 as the study objects.According to the 401 subjects with or without pelvic floor muscle fascia pain,they were divided into the pelvic floor muscle fascia pain group(108 cases)and the non-pelvic floor muscle fascia pain group(293 cases),and the general data were investigated.Two professionally trained pelvic floor rehabilitation therapists conducted manual pelvic floor muscle examination and pelvic floor electromyographic screening.Results There was no significant difference between the two groups in BMI,age,delivery times,interval between the latest delivery date and pelvic floor assessment,newborn birth weight,pregnancy weight gain,and abdominal muscle participation(P>0.05).The pelvic floor myofascial pain of women with cesarean section was 2.372 times higher than that of women with perineal laceration or lateral section,and the difference was statistically significant(P=0.030).There was no statistically significant difference between the two groups in the parameters of pelvic floor muscle surface electromyography(P>0.05).Conclusion Cesarean section is a risk factor for pelvic floor myofascial pain and should not be chosen as a delivery method to protect pelvic floor muscle.Pelvic floor muscle evaluation requires manual palpation to determine the presence of pain,and can not only do EMG screening to evaluate the pelvic floor muscle.

关 键 词：盆底肌 表面肌电 肌筋膜痛 影响因素 相关性 

分 类 号：R711.5[医药卫生—妇产科学]