3 600 例产后妇女盆底肌电检测结果分析

Analysis of pelvic myoelectrical monitoring results in 3600 postpartum women

摘要:

目的 对产后妇女盆底功能进行肌电检测评估，分析产后妇女的盆底肌电生理改变及其影响因素。 方法 回顾性分析2014 年1 月-2015 年12 月进行产后42 d 健康检查的3 600 例产妇的盆底健康档案和盆底 肌电检测结果。结果 3 600 例产妇盆底肌电检测异常3 086 例，发生率85.72%。高龄产妇、巨大胎儿、经产 妇及阴道分娩后的产妇其盆底肌电异常的发生率更高。结论 产后盆底肌电改变与产妇年龄、胎儿大小、孕 产次及分娩方式等有关，必须重视高危产妇产后的盆底功能保健与康复。产后主动进行盆底肌的自我锻炼有 利于盆底功能的恢复。

Abstract:

Objective To monitor and evaluate postpartum women's pelvic floor function, and to analyze the electrophysiological changes of pelvic floor muscles and their influencing factors in postpartum women. Methods The health records and electromyogram (EMG) results of pelvic floor in 3,600 puerpera undergoing 42-day postpartum health check-ups from January 2014 to December 2015 were retrospectively analyzed. Results There were 3,086 abnormal EMG results, accounting for 85.72%. Among them, the incidence of overactivity was the highest. Older mothers, large fetuses, pluripara and those who had vaginal delivery had higher incidences of pelvic floor myoelectrical abnormalities. Conclusions Postpartum pelvic floor myoelectrical changes are related to maternal age, fetal size, pregnancy times, delivery methods, etc. Attention must be paid to postpartum function health care and rehabilitation of pelvic floor in these high-risk mothers. And active postpartum self-exercise of the pelvic floor muscles is conducive to the restoration of pelvic floor function.