Investigation and Analysis of Different Pelvic Floor Electromyography Types During Puerperium
1. School of Nursing, Guangdong Pharmaceutical University, Guangzhou 510006, China
2. Nursing Department, Guangdong Women and Children Hospital, Guangzhou 511442, China
| Abstract: | Objective: To investigate the incidence of pelvic floor electromyography results in puerperium women and to explore its influencing factors. Methods: A total of 599 women who underwent postpartum examination 6~8 week after delivery at Guangdong Women and Children Hospital during July 2022 to January 2023 were enrolled in the study. The relevant clinical data of the puerpera were collected, and the pelvic floor surface electromyography of the puerpera was evaluated. The distributional difference of pelvic floor surface electromyography types were analyzed by Chi-square test and variance analysis. Results: 599 puerpera were divided into different groups based on the pelvic floor surface electromyography results, including 30 cases with normal pelvic floor muscles, 147 cases with mild underactive pelvic floor muscles, 230 cases with severe underactive pelvic floor muscles, 31 cases with overactive pelvic floor muscles and 161 cases with mixed pelvic floor muscles. Analysis results showed that there were statistically significant differences in gravida, parity, scarred uterus, mode of delivery, perineal trauma, postpartum hemorrhage, duration of first stage, duration of second stage, duration of total stage and neonatal birth weigh among the 5 different pelvic floor surface electromyography groups (P<0.05). Conclusion: The incidence of underactive pelvic floor muscles was highest in puerperium, several factors are related to the abnormal pelvic floor surface electromyography. The new production standard was worthy of clinical application. Pelvic floor rehabilitation and treatment in different pelvic floor electromyography types may be helpful to reduce the radio of injury. |
| Keywords: | Puerperium; Pelvic Floor Surface Electromyography; Inventory Survey |
| DOI: | 10.57237/j.nhres.2024.01.003 |
View:
Downloads:
Received: 20 December 2023
Accepted: 24 January 2024
Published Online: 4 February 2024
Funding
| 1. | 广东省教育厅 临床教学基地教学改革研究项目 (粤教高函 [2018] 62号: 院校协同建设应用型妇幼保健护理人才教学基地的探索与实践) |
References
| [1] | 朱兰, 郎景和. 女性盆地学 [M]. 人民卫生出版社, 2017. |
| [2] | 朱开欣, 王恺. 盆底表面肌电筛查对盆底功能障碍性疾病的预测作用 [J]. 实用医学杂志, 2020, 36(16): 2255-2260. |
| [3] | 温颖能, 卢秋莲, 王艳. Glazer盆底表面肌电评估产后盆底肌功能康复应用效果 [J]. 中国计划生育学杂志, 2023, 31(05): 1105-1109. |
| [4] | Haylen B T, De Ridder D, Freeman R M, et al. An International Urogynecological Association (IUGA) / International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction [J]. International urogynecology journal, 2010, 21(1): 5-26. |
| [5] | 陶波, 蔡文莲. 3600例产后妇女盆底肌电检测结果分析 [J]. 中国现代医学杂志, 2018, 28(11): 117-120. |
| [6] | 莫朝霞, 王巧真, 曾苏婷. 阴道分娩后6～8周盆底表面肌电数据分析 [J]. 山西医药杂志, 2021, 50(23): 3226-3229. |
| [7] | 李鸿, 单腾飞, 沈敏燕. 盆底肌锻炼对产后压力性尿失禁患者盆底肌肌力和性生活质量的影响 [J]. 中国妇幼保健, 2023, 38(16): 2953-2956. |
| [8] | Wang X, Xu X, Luo J, et al. Effect of app-based audio guidance pelvic floor muscle training on treatment of stress urinary incontinence in primiparas: A randomized controlled trial [J]. International journal of nursing studies, 2020, 104(103527). |
| [9] | 中国营养协会. T/CNSS-009-2021 中国妇女妊娠期体重检测与评价 [S]. 北京; 中国营养协会法规标准工作委员会. 2021. |
| [10] | 刘亚琴, 段迎春, 吴颖岚. 产后早期盆底肌损伤的状况及其影响因素研究 [J]. 当代护士 (下旬刊), 2023, 30(08): 110-113. |
| [11] | Guo K M, He L C, Feng Y, et al. Surface electromyography of the pelvic floor at 6-8 weeks following delivery: a comparison of different modes of delivery [J]. International urogynecology journal, 2022, 33(6): 1511-1520. |
| [12] | Tenfelde S, Tell D, Brincat C, et al. Musculoskeletal Pelvic Pain and Sexual Function in the First Year After Childbirth [J]. Journal of obstetric, gynecologic, and neonatal nursing: JOGNN, 2019, 48(1): 59-68. |
| [13] | 陈娟, 朱兰, 庞红霞. 手法按摩结合生物反馈治疗盆底肌筋膜痛综合征17例疗效分析 [J]. 中国实用妇科与产科杂志, 2018, 34(05): 547-549. |
| [14] | 陈娟, 崔旭蕾, 张雪. 多学科协作诊治盆底肌筋膜痛综合征1例 [J]. 中华妇产科杂志. 2023, 58(3): 218-221. |
| [15] | Driusso P, Beleza A C S, Mira D M, et al. Are there differences in short-term pelvic floor muscle function after cesarean section or vaginal delivery in primiparous women? A systematic review with meta-analysis [J]. International urogynecology journal, 2020, 31(8): 1497-1506. |
| [16] | Min L, Xudong D, Qiubo L, et al. Two year follow-up and comparison of pelvic floor muscle electromyography after first vaginal delivery with and without episiotomy and its correlation with urinary incontinence: A prospective cohort study [J]. Acta obstetricia et gynecologica Scandinavica, 2023, 102(2): 200-208. |
| [17] | 张曼, 吴志荣. 产前会阴按摩结合盆底肌功能锻炼对初产妇分娩结局及自我效能的影响 [J]. 国际护理学杂志, 2022, 41(13): 2388-2391. |
| [18] | 彭检妹, 谭云欢, 黄仉红. 孕期运动对初产妇分娩结局的影响 [J]. 中国妇幼保健, 2021, 36(03): 502-505. |
| [19] | 付丽莉. 足浴联合穴位敷贴对产妇盆底肌力功能的影响 [J]. 光明中医, 2022, 37(18): 3375-3377. |
| [20] | 陈聪, 倪乐宜, 倪菲菲. 产后盆腔肌筋膜疼痛风险预测模型的建立 [J]. 温州医科大学学报, 2022, 52(01): 35-40+6. |
| [21] | Chi X, Yu S, Zhu K, et al. Influence of Different Obstetric Factors on Early Postpartum Pelvic Floor Function in Primiparas After Vaginal Delivery [J]. International journal of women's health, 2023, 15(81-90). |
| [22] | 李爱玲, 陈欢, 钱存燕. 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. |
| [23] | 郭华峰, 杨俊娟, 张新华. 不同分娩方式产妇产后早期盆底功能影响因素分析 [J]. 郑州大学学报(医学版), 2020, 55(01): 123-126. |
Join the Editorial Board
We invite active, qualified and high profile scientists and researchers to join as Editorial Board Members.
Join UsBecome a Reviewer
Scholars with a strong interest in reviewing are invited to join the reviewer panel to ensure the quality of the research to be published.
Join Us