摘要
目的探讨产后阴道最大压力和盆底肌电值与产科因素的关系。方法选取2018年2月至2018年12月在北京积水潭医院经阴道分娩且产后12周盆底肌力为零的产妇341例,采用多重线性回归分析阴道最大压力和盆底肌电值与产科因素的关系。结果 341例产妇阴道最大压力中位数为11.06 cm H2O(6.26 cmH2O,17.42 cm H2O),盆底肌电值中位数为6.00 mV(3.76 mV,9.40 mV)。多因素分析结果显示,分娩方式(P阴道最大压力=0.025;P盆底肌电值=0.026)和新生儿体质量(P阴道最大压力=0.003;P盆底肌电值=0.002)与阴道最大压力和盆底肌电值的相关性有统计学意义(P <0.05)。结论新生儿体质量和会阴切开术可能会影响产妇盆底肌功能。
Objective The present study aims to measure maximum vaginal pressure and pelvic floor electromyography, and analyze their association with obstetric factors. Methods A total of 341 cases who experienced vaginal delivery in Beijing Jishuitan Hospital from February 2018 to December 2018 and whose pelvic floor muscle strength was zero at 12 weeks after delivery were selected. Multiple linear regression was used to analyze the association of maximum vaginal pressure and pelvic floor electromyography with obstetric factors respectively. Result The median maximum vaginal pressure and pelvic floor electromyography were 11.06(6.26,17.42) cm H2 O and 6.00(3.76,9.40) mV respectively. The results of multivariate analysis showed that the delivery mode(Pmaximum vaginal pressure = 0.025;Ppelvic floor electromyography = 0.026), neonatal body weight(Pmaximum vaginal pressure = 0.003;Ppelvic floor electromyography = 0.002) were statistically significant with vaginal maximum pressure, and pelvic floor electromyography(P < 0.05). Conclusions Neonatal bodyweight and episiotomy may affect maternal pelvic floor muscle function.
作者
白云
刘静芳
郑秀丽
段芳芳
孙丽芳
BAI Yun;LIU Jingfang;ZHENG Xiuli;DUAN Fangfang;SUN Lifang(Department of Obstetrics and Gynecology,Beijing Jishuitan Hospital,Beijing 100096,China)
出处
《中国妇产科临床杂志》
CSCD
2021年第2期147-149,共3页
Chinese Journal of Clinical Obstetrics and Gynecology
关键词
骨盆底
产后
会阴切开术
新生儿体质量
pelvic floor
postpartum period
episiotomy
neonatal body weight