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    李爱玲, 钱存燕, 刘冬梅, 张燕, 陈丽平. 影响产后盆底肌电生理评估中快肌收缩最大值及慢肌收缩平均值的相关因素分析[J]. 徐州医科大学学报, 2022, 42(12): 919-924. DOI: 10.3969/j.issn.2096-3882.2022.12.011
    引用本文: 李爱玲, 钱存燕, 刘冬梅, 张燕, 陈丽平. 影响产后盆底肌电生理评估中快肌收缩最大值及慢肌收缩平均值的相关因素分析[J]. 徐州医科大学学报, 2022, 42(12): 919-924. DOI: 10.3969/j.issn.2096-3882.2022.12.011
    Analysis of related factors affecting the maximum value of fast muscle contraction and average value of slow muscle contraction in electrophysiological assessment of pelvic floor after delivery[J]. Journal of Xuzhou Medical University, 2022, 42(12): 919-924. DOI: 10.3969/j.issn.2096-3882.2022.12.011
    Citation: Analysis of related factors affecting the maximum value of fast muscle contraction and average value of slow muscle contraction in electrophysiological assessment of pelvic floor after delivery[J]. Journal of Xuzhou Medical University, 2022, 42(12): 919-924. DOI: 10.3969/j.issn.2096-3882.2022.12.011

    影响产后盆底肌电生理评估中快肌收缩最大值及慢肌收缩平均值的相关因素分析

    Analysis of related factors affecting the maximum value of fast muscle contraction and average value of slow muscle contraction in electrophysiological assessment of pelvic floor after delivery

    • 摘要: 目的: 分析产后盆底肌电生理评估中快肌收缩最大值及慢肌收缩平均值的影响因素。方法: 选取2020年1月至2021年2月在南通大学第二附属医院及盐城市大丰人民医院行盆底肌电生理评估的产后妇女1153例,对其分娩前2周内的检查住院信息及分娩记录进行回顾性分析。结果: 参加研究的1153例研究对象中快肌收缩最大值正常组576例,异常组577例;慢肌收缩平均值正常组351例,异常组802例。产后盆底肌电生理评估中快肌收缩最大值正常组与异常组中分娩孕周、顺产比例、第一和第二产程时长、会阴裂伤比例、会阴侧切率及新生儿出生体重比较差异有统计学意义(P<0.05);慢肌收缩平均值正常组与异常组中产前BMI、甘油三酯水平、产钳助产比例、顺产比例、第二产程时长、会阴裂伤比例及新生儿出生体重比较差异有统计学意义(P<0.05)。结论: 孕期做好产前宣教,避免过期妊娠,控制胎儿体重;加强产程管理,避免产程过长及提高接产技术等,可能对减少产后盆底的损伤有一定的作用。

       

      Abstract: ob<x>jective: To analyze the factors influencing the maximum value of fast muscle contraction and average value of slow muscle contraction in electrophysiological assessment of pelvic floor after delivery.Methods: A total of 1153 postpartum women who underwent pelvic floor electrophysiological assessment in the Second Affiliated Hospital of Nantong University and Dafeng People’s Hospital of Yancheng city from January 2020 to February 2021 were selected, and their hospitalization information and delivery records within 2 weeks before delivery were retrospectively analyzed.Results: Among the 1153 subjects, 576 were in the normal group and 577 were in the abnormal group. The mean value of slow muscle contraction was 351 in the normal group and 802 in the abnormal group.There were statistically significant differences between the normal group and the abnormal group in gestational age, the proportion of vaginal delivery, the length of the first and second stages of labor, the proportion of perineal laceration, the rate of perineal lateral resection and the newborn birth weight in the postpartum pelvic floor electrophysiological evaluation (P < 0.05).There were statistically significant differences between normal group and abnormal group in average value of slow muscle contraction in prenatal BMI, triglyceride level, proportion of forceps assisted delivery, proportion of vaginal delivery, length of second labor, proportion of perineal laceration and newborn birth weight (P < 0.05).Conclusion: Prenatal education during pregnancy can avoid overdue pregnancy and control fetal weight. Strengthening the management of labor process, avoiding the long labor process and improving the delivery technology may play a certain role in reducing the postpartum pelvic floor injury.

       

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