中国组织工程研究 ›› 2012, Vol. 16 ›› Issue (46): 8651-8656.doi: 10.3969/j.issn.2095-4344.2012.46.020

• 组织构建与生物力学 tissue construction and biomechanics • 上一篇    下一篇

女性盆底肌力检测及临床分析

曼热帕·吐尔逊 ,李 燕,古丽娜·阿巴拜克力   

  1. 新疆医科大学第一附属医院妇科,新疆维吾尔自治区乌鲁木齐市 830000
  • 收稿日期:2012-01-09 修回日期:2012-06-22 出版日期:2012-11-11 发布日期:2012-11-11
  • 通讯作者: 古丽娜·阿巴拜克力 ,主任医师,新疆医科大学第一附属医院妇科,新疆维吾尔自治区乌鲁木齐市 830000 glnglna@163.com
  • 作者简介:曼热帕·吐尔逊★ ,女,1986年生,新疆维吾尔自治区乌鲁木齐市人,维吾尔族,2011年新疆医科大学毕业,硕士,医师,主要从事盆底功能障碍性疾病研究。 maryypat@sina.com

Assessment and clinical analysis of female pelvic floor muscle

Manrepa·Tuerxun , Li Yan, Gulina·Ababaikeli   

  1. Department of Gynecology, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830000, Xinjiang Uygur Autonomous Region, China
  • Received:2012-01-09 Revised:2012-06-22 Online:2012-11-11 Published:2012-11-11
  • Contact: Gulina·Ababaikeli , Chief physician, Department of Gynecology, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830000, Xinjiang Uygur Autonomous Region, China glnglna@163.com
  • About author:Manrepa·Tuerxun★ , Master, Physician, Department of Gynecology, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830000, Xinjiang Uygur Autonomous Region, China maryypat@sina.com

摘要:

背景:了解女性盆底功能障碍性疾病在新疆多民族聚集区的发病相关因素、探寻能相对准确反映盆底功能的量化检查方法,对此病的三级预防起到不可或缺的作用。
目的:探讨女性盆底肌力的相关因素,并分析盆底肌力测定与女性盆底功能障碍性疾病临床症状、体征的相关性及临床意义。
方法:通过问卷调查、体格检查、盆底肌力检测收集2010年4至11月于新疆医科大学第一附属医院妇科住院女性患者资料共210例。采用秩和检验对分组变量进行分析,对有统计学意义的资料再进行Spearman秩相关分析。
结果与结论:年龄、体质量指数、不同分娩次数、绝经、慢性便秘持续时间与盆底肌力呈负相关性;压力性尿失禁症状、盆腔器官脱垂体征与盆底肌力均存在负相关性。提示:控制体质量,减少慢性便秘的发生;做好围绝经期激素替代治疗;从产科因素控制孕产妇盆底组织受损程度,引起患者对自身盆底肌力的重视,利于盆底功能障碍性疾病提早预防及治疗。

关键词: 盆底肌力, 相关因素, 盆底功能障碍, 尿失禁, 体质量指数, 新疆, 组织构建

Abstract:

BACKGROUND: Understanding the related factors of female pelvic floor disorders in Xinjiang multi-ethnic area and exploring the quantitative examination method which can relatively accurately reflect the pelvic floor function plays an important role in preventing female pelvic floor disorders.
OBJECTIVE: To investigate factors related to female pelvic floor muscle strength and to analyze the relevance and significance of the pelvic floor muscle assessment with the symptoms and physical examination of pelvic floor dysfunction disease.
METHODS: The questionnaire, physical examination, pelvic floor muscle strength testing data were collected from 210 cases of female patients who were in hospital during April 2010 to November 2010 at Department of gynecology, the First Affiliated Hospital of Xinjiang Medical University. Rank sum test was used to analyze the packet variables factors related to pelvic floor muscle strength, and than Spearman rank correlation analysis was carried out to make further analysis which has statistically significance data.
RESULTS AND CONCLUSION: Age, body mass index, delivery times, menopause, symptoms of chronic constipation were negative correlated with pelvic floor muscle strength. The symptoms of stress urinary incontinence and physical examination of pelvic organ prolapse were negative correlated with the pelvic floor muscle strength. It is conductive to the early prevention and treatment of pelvic floor dysfunction disease by controlling the body weight and reducing the incidence of chronic constipation; well perimenopausal hormone replacement therapy; controlling the pelvic tissue damage of pregnant women and making the patients to pay more attention on their own pelvic floor muscle strength.

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