[1]王升华,张娇,高占军.未育女性盆底功能障碍高危因素的孕前检查[J].青岛大学医学院学报,2017,53(03):305-307,311.[doi:10.13361/j.qdyxy.201703015]
 WANG Shenghua,ZHANG Jiao,GAO Zhanjun.PRE-PREGNANCY EXAMINATION OF RISK FACTORS FOR PELVIC FLOOR DYSFUNCTION IN NULLIPAROUS WOMEN[J].Acta Aacademiae Medicinae Qingdao,2017,53(03):305-307,311.[doi:10.13361/j.qdyxy.201703015]
点击复制

未育女性盆底功能障碍高危因素的孕前检查()
分享到:

《青岛大学医学院学报》[ISSN:1672-4488/CN:37-1356/R]

卷:
第53卷
期数:
2017年03期
页码:
305-307,311
栏目:
出版日期:
2017-08-07

文章信息/Info

Title:
PRE-PREGNANCY EXAMINATION OF RISK FACTORS FOR PELVIC FLOOR DYSFUNCTION IN NULLIPAROUS WOMEN
文章编号:
1672-4488(2017)03-0305-04
作者:
王升华1张娇1高占军2
1 青岛市妇女儿童医院妇女保健科,山东 青岛 266034; 2 青岛大学护理学院
Author(s):
WANG Shenghua ZHANG Jiao GAO Zhanjun
The Women’s Health Department of The Women’s and Children’s Hospital of Qingdao, Qingdao 266034, China
关键词:
孕前保健盆底疾病危险因素肌力
Keywords:
preconception care pelvic floor disorders risk factors muscle strength
分类号:
R711.5
DOI:
10.13361/j.qdyxy.201703015
文献标志码:
A
摘要:
目的 探讨未育女性盆底功能障碍性疾病(PFD)的高危因素及筛查方法。
方法 选择行孕前检查的未育女性728例作为研究对象,应用Glazer盆底表面肌电评估系统检测其盆底肌功能,分析未育女性盆底功能障碍性疾病的高危因素。
结果 不同年龄组、有无家族史、不同体质量指数、有无慢性咳嗽病史病人PFD的发生率差异有显著性(χ2=5.512~19.164,P<0.05)。与盆底功能正常组比较,PFD组前基线平均值明显升高,快速收缩最大值、持续收缩平均值及耐受测试平均值均降低,差异有统计学意义(t=-8.160~4.125,P<0.05)。多因素回归分析显示,前基线平均值、快速收缩最大值、持续收缩平均值及耐受测试平均值与PFD存在相关性(OR=0.796~1.842,P<0.05)。
结论 年龄、家族史、肥胖及慢性咳嗽史是盆底功能障碍性疾病的非产科因素,Glazer盆底表面肌电评估能有效地筛查出孕前未育女性的盆底肌功能异常。
Abstract:
Objective  To investigate the risk factors for pelvic floor dysfunction (PFD) in nulliparous women and related screening Methods.
Methods  A total of 728 nulliparous women who participated in pre-pregnancy examination were enrolled. Glazer pelvic floor surface electromyography was used to test pelvic floor function, and the risk factors for PFD in nulliparous women were analyzed.
Results  There was a significant difference in the incidence rate of PFD between patients with different ages, with or without family history, with different body mass index, or with or without a medical history of chronic cough (χ2=5.512-9.164,P<0.05). Compared with the normal pelvic function group, the PFD group had a significant increase in baseline mean value and significant reductions in maximum value of fast contraction, mean value of continued contraction, and mean value of tolerance test (t=-8.160-4.125,P<0.05). The multivariate regression analysis showed that baseline mean value, maximum value of fast contraction, mean value of continued contraction, and mean value of tolerance test were associated with PFD (OR=0.796-1.842,P<0.05).
Conclusion  Age, family history, obesity, and chronic cough are non-obstetric factors for PFD, and Glazer pelvic floor surface electromyography can effectively screen out the nulliparous women with abnormal pelvic floor function before pregnancy.
更新日期/Last Update: 2017-08-13