中文版澳大利亚盆底自适问卷评估产后盆底功能障碍及其与超声、盆底肌力参数的相关性

The Australian pelvic floor self-adaptation questionnaire (Chinese version) in evaluating postpartum pelvic floor dysfunction and its correlation with ultrasound and pelvic floor strength parameters

目的探讨中文版澳大利亚盆底自适问卷(APFQ)评估产后盆底功能障碍及其与超声、盆底肌力参数的相关性。方法选取2017年12月至2019年12月安徽省第二人民医院收治的90例分娩后发生盆底功能障碍的产妇作为研究对象。根据中文版APFQ评分结果进行3分位分组,得分较低、得分中等和得分较高产妇分别纳入A组、B组和C组。在产后6周时对三组盆腔超声参数(肛提肌裂孔面积、肛提肌裂孔周长和膀胱点最低位置)和盆底肌力参数(快速收缩最大肌电位、紧张收缩平均肌电位、耐力收缩平均肌电位)进行评估。结果 C组膀胱功能、肠功能、盆腔器官脱垂评分均高于A组和B组,B组膀胱功能、肠功能、盆腔器官脱垂评分均高于A组,差异具有统计学意义(P<0.05);C组肛提肌裂孔面积、肛提肌裂孔周长和膀胱点最低位置均高于A组和B组,B组肛提肌裂孔面积、肛提肌裂孔周长和膀胱点最低位置均高于A组,差异具有统计学意义(P<0.05);C组快速收缩最大肌电位、紧张收缩平均肌电位、耐力收缩平均肌电位均低于A组和B组,B组快速收缩最大肌电位、紧张收缩平均肌电位、耐力收缩平均肌电位均低于A组,差异具有统计学意义(P<0.05)。结论中文版APFQ可量化评估产妇盆腔超声参数及盆底肌力参数中相关客观指标,适宜在盆底功能障碍产妇中应用。

Objective To explore the Chinese version of the Australian pelvic floor self-adaptation questionnaire(APFQ) in evaluating postpartum pelvic floor dysfunction and its correlation with ultrasound and pelvic floor muscle strength parameters. Methods 90 cases of postpartum pelvic floor dysfunction admitted to Anhui No.2 Provincial People′s Hospital from December 2017 to December 2019 were selected as the research subjects. According to the APFQ score results of Chinese version, the women with low, medium and high scores were included in group A, B and C respectively. At 6 weeks postpartum, pelvic ultrasound parameters(levator ANI hiatus area, levator ANI hiatus perimeter and lowest position of the bladder) and pelvic floor muscle strength parameters(maximum rapid contraction muscle potential, mean tension contraction muscle potential, and mean endurance contraction muscle potential) were evaluated in the three groups. Results The scores of bladder function, intestinal function and pelvic organ prolapse in group C were higher than those in group A and B, and the scores of bladder function, intestinal function and pelvic organ prolapse in group B were higher than those in group A, with statistical significance(P<0.05). The area of the levator ANI hiatus, the hiatus circumference of the levator ANI and the lowest position of the bladder point in group C were higher than those in group A and B, and the area of the levator ANI hiatus, the hiatus circumference of the levator ANI and the lowest position of the bladder point in group B were higher than those in group A, with statistical significance(P<0.05). The maximum muscle potential of rapid contraction, average muscle potential of tension contraction and average muscle potential of endurance contraction in group C were lower than those in group A and group B, and the maximum muscle potential of rapid contraction, average muscle potential of tension contraction and average muscle potential of endurance contraction in group B were lower than those in group A, with statistical significance(P<0.05). Conclusions The Chinese version of the APFQ can quantitatively evaluate the relevant objective indicators of maternal pelvic ultrasound parameters and pelvic floor muscle strength parameters, and is suitable for application in parturients with pelvic floor dysfunction.