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河南大学第一附属医院门诊部
纸质出版日期:2022,
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张雪, 宋戈, 田青. 经盆底超声评估妊娠、分娩和盆底肌锻炼对盆底功能的影响[J]. 保健医学研究与实践, 2022,19(10):74-77.
Zhang Xue, Song Ge, Tian Qing. Effect of pregnancy, delivery, and pelvic floor muscle exercise on pelvic floor function assessed by pelvic floor ultrasound[J]. Health Medicine Research and Practice, 2022,19(10):74-77.
张雪, 宋戈, 田青. 经盆底超声评估妊娠、分娩和盆底肌锻炼对盆底功能的影响[J]. 保健医学研究与实践, 2022,19(10):74-77. DOI:
Zhang Xue, Song Ge, Tian Qing. Effect of pregnancy, delivery, and pelvic floor muscle exercise on pelvic floor function assessed by pelvic floor ultrasound[J]. Health Medicine Research and Practice, 2022,19(10):74-77. DOI:
目的 探讨经盆底超声评估妊娠、分娩和盆底肌锻炼对盆底功能的影响。方法 回顾性分析2018年10月—2020年4月于河南大学第一附属医院进行产检、分娩及产后康复的86例孕产妇的临床资料
将接受常规妊娠指导的43例产妇作为对照组
将分娩后接受盆底肌锻炼指导的43例产妇作为观察组。2组产妇分别于产后第8周行经盆底超声检查
比较2组产妇盆底结构超声检查结果、盆底功能及压力性尿失禁(SUI)发生情况。结果 观察组产妇盆底肌力分级优于对照组
差异有统计学意义(U=2.719
P=0.007)。观察组产妇直肠壶腹移动度(RAD)、膀胱颈移动度(BND)及子宫颈外口移动度(CD)均小于对照组
差异均有统计学意义(P<0.05)。观察组产妇静息膀胱后角、Valsalva膀胱后角及尿道旋转角均小于对照组
差异均有统计学意义(P<0.05)。观察组产妇肛提肌裂孔面积小于对照组
前后径、左右径短于对照组
差异均有统计学意义(P<0.05)。观察组产妇SUI发生率为4.65%(2/43)
低于对照组的27.91%(12/43)
差异有统计学意义(χ2=8.532
P=0.003)。结论 产妇产后可采用经盆底超声评估盆底功能
为临床诊疗提供参考;进行盆底肌锻炼可有效维护盆底结构功能
改善盆底肌力
降低SUI发生风险。
Objective To investigate the effect of pregnancy
delivery
and pelvic floor muscle exercise on pelvic floor function assessed by pelvic floor ultrasound. Methods The clinical data of 86 maternal women who underwent prenatal examination
delivery
and postpartum rehabilitation in the First Affiliated Hospital of Henan University from October 2018 to April 2020 were retrospectively analyzed. A total of 43 parturients who received routine pregnancy guidance were selected as controls
and 43 parturients who received pelvic floor muscle exercise guidance after delivery were assigned to the observation group. Pelvic floor ultrasound was performed in the 8th week after delivery in the two groups
and the results of pelvic floor structure ultrasonography
pelvic floor function and the occurrence of stress urinary incontinence(SUI) were compared between the two groups. Results The pelvic floor muscle strength grade of parturients in the observation group was better than that in the control group
and the difference was statistically significant(U=2.719
P=0.007). The rectal ampulla descent(RAD)
bladder neck descent(BND) and cervical orifice descent(CD) in the observation group were lower than those in the control group
and the differences were statistically significant(P<0.05). The resting posterior bladder angle
Valsalva posterior bladder angle
and urethral rotation angle of parturients in the observation group were smaller than those in the control group
and the differences were statistically significant(P<0.05). The area of levator ani hiatus in the observation group was smaller than that in the control group
and the anteroposterior diameter and left and right diameters were shorter than those in the control group
with statistically significant differences(P<0.05). The incidence rate of stress urinary incontinence(SUI) in the observation group was 4.65%(2/43)
which was lower than that in the control group(27.91%
12/43)
and the difference was statistically significant(χ~2=8.532
P=0.003). Conclusion Pelvic floor function can be assessed by pelvic floor ultrasonography after delivery
which provides a reference for clinical diagnosis and treatment. Pelvic floor muscle exercise can effectively maintain pelvic floor structure and function
improve pelvic floor muscle strength and reduce the risk of SUI.
孕产妇经盆底超声检查盆底功能盆底结构压力性尿失禁
Maternal womenPelvic floor ultrasoundPelvic floor functionPelvic floor structureStress urinary incontinence
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