产褥期不同盆底表面肌电评估类型现况调查分析
1. 广东药科大学, 护理学院, 广东广州 510006
2. 广东省妇幼保健院, 护理部, 广东广州 511442
| 摘 要： | 目的：调查产褥期女性盆底表面肌电评估结果现况并分析可能的影响因素。方法：选取在广东省妇幼保健院分娩，并在2022年7月~2023年1月产后6~8周来院进行产后复查的产妇为研究对象，收集相关临床资料，并进行盆底表面肌电评估。通过卡方检验或方差分析比较各因素在不同盆底表面肌电评估结果中的分布差异。结果：599例产妇，正常型盆底肌30例、轻度活动减弱型147例、重度活动减弱型230例、过度活动型31例、混合型161例。结果分析显示，不同孕产次、瘢痕子宫、分娩方式、会阴外伤、产后2小时出血量、产后24小时出血量、第一产程、第二产程、总产程及新生儿体重在产褥期盆底表面肌电评估类型分布中均有统计学差异（P<0.05）。结论：产褥期女性盆底表面肌电评估以活动减弱型最多，影响盆底表面肌电评估结果的因素是多方面的。提倡新产程标准分娩，针对不同盆底表面肌电评估类型的产妇提供盆底肌康复治疗，预防盆底功能障碍性疾病的远期发生。 |
| 关 键 词： | 产褥期; 盆底表面肌电评估; 现况调查 |
| DOI： | 10.57237/j.nhres.2024.01.003 |
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收稿日期: 2023-12-20
接受日期: 2024-01-24
在线出版日期: 2024-02-04
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 |
基金
| 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) |
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