分娩方式对"二孩"产妇产后盆底肌电的影响
Effect of delivery mode on pelvic floor surface electromyograpy of deu-teripara in post partum period
王苗 1陈怡 1陆尧 1修晓燕 2张蓉华1
作者信息
- 1. 福建省妇幼保健院妇保科,福建福州 350001
- 2. 福建省妇幼保健院保健部,福建福州 350001
- 折叠
摘要
目的 探讨分娩"二孩"的产妇盆底肌电情况,为促进产妇盆底康复提供相关临床依据.方法 选取2019年12月至2022年1月在福建省妇幼保健院产后盆底筛查的7 629例分娩两次的产妇作为研究对象,采用Glazer盆底表面肌电评估方案采集盆底肌电值,按照分娩方式分为顺产-剖宫产组(631例,编号为"1组")、剖宫产-顺产组(158例,编号为"2组")、剖宫产-剖宫产组(2 202例,编号为"3组")与顺产-顺产组(4 638例,编号为"4组"),比较四组产后盆底肌电值的特征.结果 1组的前静息阶段平均值、快速收缩最大值、紧张收缩阶段平均值、耐力收缩阶段平均值、后静息阶段平均值高于2组、4组,低于3组,差异有统计学意义(P＜0.05).3组的前静息阶段平均值、快速收缩最大值、紧张收缩阶段平均值、耐力收缩阶段平均值、后静息阶段平均值高于2组、4组,差异有统计学意义(P＜0.05).结论 "二孩"产后盆底肌电特征主要与二孩分娩方式有关.阴道分娩对盆底肌的损害大于剖宫产,剖宫产对盆底肌有保护作用,但容易导致静息电位升高.
Abstract
Objective To investigate the pelvic floor surface electromyograpy of deuteripara,and to provide relevant clinical basis for promoting the rehabilitation of pelvic floor.Methods A total of 7 629 deuteripara who received pelvic floor screen-ing in Fujian Maternity and Child Health Hospital from December 2019 to January 2022 were selected as the study objects.The pelvic floor electromyography values were collected using Glazer pelvic floor surface electromyography evaluation scheme,and they were divided into vaginal delivery-cesarean section group(631 cases,numbered"group 1"),cesarean delivery-cesarean section group(158 cases,numbered"group 2"),cesarean delivery-cesarean section group(2 202 cases,numbered"group 3")and vaginal delivery-cesarean section group(4 638 cases,numbered"group 4")according to the delivery mode.The characteristics of pelvic floor electromyography values in the four groups were compared.Results The mean value of the pre-resting stage,the maximum value of rapid contraction,the mean value of tension contraction stage,the mean value of endurance contraction stage and the mean value of post-resting stage in group 1 were higher than those in group 2 and group 4,but lower than those in group 3,with statistical significances(P＜0.05).The mean value of the pre-resting stage,the maximum value of rapid contraction,the mean value of tension contraction stage,the mean value of endurance contraction stage and the mean value of post-resting stage in group 3 were higher than those in group 2 and group 4,with statistical significances(P＜0.05).Conclusion The characteristics of pelvic floor surface electromyography of deu-teripara are mainly related to the delivery mode of deuteripara.Vaginal delivery has greater damage to the pelvic floor muscle than cesarean section,which has a protective effect on the pelvic floor muscle,but easily leads to an increase in resting potential.
关键词
分娩方式/Glazer方案/盆底表面肌电/阴道分娩/剖宫产Key words
Delivery method/Glazer protocol/Pelvic floor surface electromyography/Vaginal delivery/Cesarean section引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据