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Effects of High Risk Pregnancy Factors on Pelvic Floor Muscle Weakness and Changes of PG, ACTH and CRP
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作者 Yu Han Haiyan Lin +6 位作者 Jiu Du Lianfang Chen Xianmei Wei Peijia Wei Biyun Zhou Xiangli Feng Siran Chen 《Open Journal of Obstetrics and Gynecology》 2023年第9期1569-1579,共11页
Objective: To investigate the effects of different delivery modes on perinatal pelvic floor muscle strength, PG, ACTH and CRP of high-risk pregnant women. Methods: 380 high-risk pregnant women who gave birth in our ho... Objective: To investigate the effects of different delivery modes on perinatal pelvic floor muscle strength, PG, ACTH and CRP of high-risk pregnant women. Methods: 380 high-risk pregnant women who gave birth in our hospital from March 2021 to February 2022 were selected as subjects, including 100 vaginal natural delivery, 156 forceps assisted delivery and 124 cesarean section. Pelvic floor pressure, PG, ACTH, CRP, IL-6, TNF-α and IL-4, IL-10 levels were evaluated and compared. The perinatal occurrence of pelvic floor functional disease (PFD) in high-risk pregnant women in each group was analyzed and evaluated. Results: There were statistical differences in the amount of postpartum blood loss (P 0.0001, F = 99.01), postpartum blood loss 24 h (P = 0.0004, F = 19.54) and hospital stay (P 0.0001, F = 70.81) among the three groups of high-risk women in natural vaginal delivery, forceps delivery and cesarean section. In addition, there were 72, 134 and 70 cases of abnormal pelvic floor fatigue in natural vaginal delivery, forceps assisted delivery and cesarean section (P 0.0001, χ<sup>2</sup> = 30.16). There were 36, 79 and 21 cases of muscle injury, respectively (P 0.0001, χ<sup>2</sup> = 34.16). There were 49, 98 and 43 cases of dysmuscular contraction, respectively (P 0.0001, χ<sup>2</sup> = 21.94). There were 65, 120 and 41 cases with vaginal dynamic pressure 80 cm H<sub>2</sub>O (P 0.0001, χ<sup>2</sup> = 56.86), respectively. The. 展开更多
关键词 high-risk pregnant women Pelvic Floor Muscle Strength Stress Response Inflammatory Response
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足月妊娠孕妇下肢深静脉血管及血流频谱变化的超声研究 被引量:3
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作者 裘毓雯 陈翠华 +7 位作者 汪丽萍 孙桂芹 苏桂栋 宋天蓉 黎静 李颖嘉 王辰 钟梅 《南方医科大学学报》 CAS CSCD 北大核心 2009年第1期23-25,共3页
目的探讨足月妊娠孕妇下肢深静脉内径、血液流速及血液指标的变化规律,为孕妇血栓前状态(PTS)的早期诊断及治疗提供临床辅助依据。方法具血栓形成高危因素足月妊娠孕妇A组128例、健康足月妊娠孕妇B组61例及健康非孕妇女C组42例,利用高... 目的探讨足月妊娠孕妇下肢深静脉内径、血液流速及血液指标的变化规律,为孕妇血栓前状态(PTS)的早期诊断及治疗提供临床辅助依据。方法具血栓形成高危因素足月妊娠孕妇A组128例、健康足月妊娠孕妇B组61例及健康非孕妇女C组42例,利用高分辨率彩色多普勒超声(CDU)对3组妇女双下肢深静脉进行检查,同时监测血液学指标D-D、PLT,HGB,HCT,TT,APTT,PT,FbgC值,比较其统计学差异。结果A组与B组比较:左/右侧股静脉(CFV)内径、左侧股浅静脉(SFV)内径显著增宽,左/右侧腘静脉(POPV)血流频谱峰值降低,HCT、D-D增高,差异有统计学意义(P<0.01);左侧POPV内径增宽,差异有统计学意义(P=0.034)。A组、B组分别与C组比较:左/右侧CFV、左/右侧SFV、POPV、胫后静脉(PTV)内径显著增宽,左/右侧CFV血流频谱峰值、左/右侧POPV血流频谱峰值显著降低,血液学指标监测均显著变化,差异有统计学意义(P<0.01)。结论足月妊娠孕妇较健康非孕妇女处于明显的血栓前状态,而具血栓形成高危因素的足月妊娠孕妇较健康足月妊娠孕妇更易处于血栓前状态,双下肢深静脉CDU检查对PTS的诊断有一定的辅助价值。 展开更多
关键词 高危足月妊娠孕妇 血栓前状态 D-二聚体 彩色多普勒超声
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