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| Predictive Value of Electrophysiological Parameters of Pelvic Floor Muscles for Postpartum Stress Urinary Incontinence |
| KE Shanying, GONG Qin |
| Department of Obstetrics and Gynecology,Zhen'an County Maternal and Child Health Care Hospital,Shangluo Shaanxi 711500 |
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Abstract 【Objective】To investigate the predictive value of electrophysiological parameters of pelvic floor muscles for postpartum stress urinary incontinence.【Methods】A total of 94 pregnant women who gave birth in the obstetrics department of Zhen'an Maternal and Child Health Care Hospital from February 2020 to June 2021 were selected,and the incidence of postpartum stress urinary incontinence was counted. Univariate analysis was used to analyze the factors affecting postpartum stress urinary incontinence,and logistic regression analysis was performed to analyze the factors affecting postpartum stress urinary incontinence,the receiver operating curve (ROC) was used to analyze the maximal muscle potential of pelvic floor muscle and the value of type Ⅱ muscle endurance at 1 month postpartum in predicting postpartum stress urinary incontinence.【Results】The composition ratio of multiparous women and neonatal weight in patients with postpartum stress urinary incontinence were higher than those in non-partum women (P<0.05),the maximum muscle potential and type Ⅱ muscle endurance at 1 month postpartum of patients with postpartum stress urinary incontinence were lower than those of non-partum women (P<0.05). Logistic multivariate regression analysis showed that maximum myopotential,type Ⅱ muscular endurance at 1 month postpartum and parity were independent risk factors for postpartum stress urinary incontinence (P<0.05). ROC analysis showed that the best cut-off points of pelvic floor muscle maximum muscle potential and type Ⅱ muscle endurance at 1 month postpartum in predicting postpartum stress urinary incontinence were 11.37 μV and 2.00 grade,respectively,and the specificity was 73.53% and 64.71%,the area under the curve (AUC) were 0.799 and 0.763,the specificity and AUC of the combination were 97.06% and 0.915,respectively.【Conclusion】Pelvic floor muscle maximum myoelectric potential and type Ⅱ muscular endurance can both be used as sensitive indicators for predicting postpartum stress urinary incontinence,and the combination of the two has higher predictive value.
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Received: 02 February 2023
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[1] 席翠萍,王锡梅. 不同分娩方式对女性产后女性压力性尿失禁发生风险及盆底肌表面电信号值的影响[J].医学临床研究,2022,39(2):263-265.
[2] 周艳娜,甘桂萍,张伟华. 电刺激联合生物反馈盆底肌训练治疗产后盆底功能障碍性疾病的临床疗效观察[J].中国医师进修杂志,2020,43(5):393-397.
[3] 李旻,董旭东,吕爱明,等. 盆底肌电生理和生活质量量表评价会阴侧切术对初产妇产后半年内盆底肌功能的影响[J].中华医学杂志,2021,101(5):339-344.
[4] 刘奋琴,尚惠,徐红英. 盆底磁刺激联合中医理疗对压力性尿失禁患者漏尿量及盆底肌张力的影响[J].医学临床研究,2023,40(1):57-60.
[5] 程欢,谷瑞芮,吴丽萍. 产后压力性尿失禁妇女盆底肌训练知信行现状及影响因素分析[J].中华现代护理杂志,2021,27(9):1185-1189.
[6] 陈娟,任远,朱兰. 改良牛津肌力分级和盆底表面肌电评估女性压力性尿失禁患者盆底肌功能的相关性[J].中华医学杂志,2020,100(37):2908-2912.
[7] 王萌瑞,李卫,王萌影,等. Glazer评估产后压力性尿失禁患者盆底肌功能障碍特点及康复治疗效果[J].中国妇产科临床杂志,2021,22(1):68-69.
[8] 中华医学会妇产科学分会妇科盆底学组. 女性压力性尿失禁诊断和治疗指南(2017)[J].中华妇产科杂志,2017,52(5):289-293.
[9] 张小勇,陈从山,张远洋,等. 生物反馈电刺激联合阴道康复器对产后盆底功能障碍患者盆底电生理的影响[J].川北医学院学报,2021,36(4):524-527.
[10] 沈杏仙. 超激光穴位照射对女性压力性尿失禁患者盆底肌表面电信号的影响[J].中国妇幼保健,2021,36(11):2519-2522.
[11] 顾振解,郭彦萍,韩凤梅,等. 产后盆底肌训练法对二胎产后压力性尿失禁产妇盆底功能康复及性生活质量的影响[J].中国性科学,2021,30(1):95-98.
[12] 王蕊,肖春玉. 女性压力性尿失禁患者实施皮电刺激治疗对其盆底肌力参数的影响[J].中国性科学,2021,30(8):70-73.
[13] BAG SOYTAS R,SOYTAS M,DANACIOGLU Y O,et al.Relationship between the types of urinary incontinence,handgrip strength,and pelvic floor muscle strength in adult women[J].Neurourol Urodyn,2021,40(6):1532-1538.
[14] 吴玥,李文娟,沈凤贤,等. 盆底电生理评估在产后盆底功能障碍中的应用[J].中国妇幼保健,2019,34(7):1538-1542.
[15] 靳翠平,尚玉敏,胡同秀,等. 盆底肌电在产后盆底功能障碍性疾病诊断和治疗中的价值[J].中国现代医学杂志,2021,31(1):62-67.
[16] 齐鑫,丁月萍,郑军弟. 盆底肌肉锻炼在女性压力性尿失禁中的应用效果及对盆底肌表面电信号变化的影响[J].中国妇幼保健,2020,35(17):3150-3152. |
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. [J]. JOURNAL OF CLINICAL RESEARCH, 2023, 40(4): 624-626. |
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2023, Vol. 40 
