摘要
目的:探讨非侵入式压力反馈检测法评估盆底肌功能的有效性及其与压力性尿失禁(SUI)的关系。方法:选择2019年7月在华中科技大学同济医学院附属同济医院妇产科就诊的已生育非妊娠女性100例,分别采用两种盆底肌功能检测方法(非侵入式压力反馈检测法和侵入式肌电反馈检测法)测量盆底肌功能相关指标,同时填写尿失禁专业问卷调查表ICI-Q-SF,根据评分结果分为SUI组(47例)和非SUI组(53例)。分析两种盆底肌功能检测方法各参数间的相关性,SUI与非SUI妇女中两种盆底肌检测方法的相关性,及ICI-Q-SF评分与两种盆底肌功能检测方法之间的相关性。结果:(1)非侵入式压力反馈检测和侵入式肌电反馈检测,两种方法的3个参数:Ⅱ类肌纤维最大值(快肌最大值)、Ⅰ类肌纤维平均值(慢肌平均值)、Ⅰ类肌纤维变异性之间具有相关性(P<0.05),且均呈正相关关系,相关系数(r)分别为0.374、0.427和0.237;(2)非SUI组中两种检测方法在Ⅱ类肌纤维最大值和Ⅰ类肌纤维平均值两个参数之间具有相关性(P<0.05),且均呈正相关关系,r分别为0.386和0.502;SUI组中两种检测方法在5个参数之间均无相关性(P>0.05);(3)ICI-Q-SF评分与侵入式肌电检测的Ⅱ类肌纤维最大值、Ⅱ类肌纤维上升时间、Ⅱ类肌纤维恢复时间及非侵入式压力检测的Ⅰ类肌纤维变异性具有相关性,其中与侵入式Ⅱ类肌纤维最大值呈负相关关系(r<0,P<0.05),与侵入式Ⅱ类肌纤维上升时间、侵入式Ⅱ类肌纤维恢复时间、非侵入式Ⅰ类肌纤维变异性呈正相关关系(r>0,P<0.05)。结论:非侵入式压力反馈检测方法和侵入式肌电反馈检测方法在评估盆底肌力方面具有一致性,为孕期及产褥早期评估盆底肌力提供了可能性,为妊娠期SUI机制研究创造了临床基础与依据。
Objective:To explore the effectiveness of non-invasive pressure feedback detection in evaluating pelvic floor muscles function and correlaiton between this assessment with stress urinary incontinence(SUI).Methods:100 non-pregnant women who had given birth to at least one child were included in the Department of Obstetrics and Gynecology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology in July 2019.They recieved non-invasive pressure feedback detection and electromyogram(EMG).The urinary incontinence questionnaire short form(ICI-Q-SF)was tested.Patients were assigned to SUI group(n=47)and non-SUI group(n=53).Parameters of two groups and parameters of two pelvic floor muscles detections and ICI-Q-SF were analyzed.Results:(1)Three parameters(maximum value of fast muscle,mean value of slow muscle,variability of slow muscle)between non-invasive pressure feedback detection and EMG were relevant(P<0.05).Correlation coefficient r values were 0.374,0.427,0.237 respectively.(2)In non-SUI group,two parameters(maximum value of fast muscle,mean value of slow muscle)were revelant between non-invasive pressure feedback detection and EMG(P<0.05).Correlation coefficient r values were 0.386,0.502 respectively.In SUI group,there was no correlation between the five parameters of the two methods(P>0.05).(3)Three parameters(P<0.05)(maximum value of fast muscle,fast systolic time of fast muscle,rapid relaxation time of fast muscle)were revelant between ICI-Q-SF score and EMG(P<0.05).Only one parameter(variability of slow muscle)was revelant between ICI-Q-SF score and non-invasive pressure detection(P<0.05).Conclusions:The non-invasive pressure feedback detection and EMG are consistent in assessing pelvic floor muscles strength,and non-invasive detection can be used for the assessment of pelvic floor muscles strength during pregnancy and early postpartum.It can also provide clinical basis and evidence for the study of SUI mechanism during pregnancy.
作者
刘玉敏
杨凌艳
陈彪
邹云南
王颖
常隽
贾瑶
李宇琪
冯玲
曾万江
刘海意
LIU Yuming;YANG Lingyan;CHEN Biao(Department of Obstetrics and Gyn ecology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan Hubei 430030,China;Department of Obstetrics and Gynecology,Wuhan Hankou Hospital,Wuhan Hubei 430010,China)
出处
《实用妇产科杂志》
CAS
CSCD
北大核心
2021年第5期380-384,共5页
Journal of Practical Obstetrics and Gynecology
关键词
非侵入式压力反馈
盆底肌功能
压力性尿失禁
相关性
Non-invasive pressure feedback method
Pelvic floor muscle function
Stress urinary incontinence
Correlation
