与现有文献和IUGA/ICS术语报告相比,对非自愿的PFM收缩的评估
J de Jong1,2, F Burkhard3, M Zwahlen4
1Graduate School for Health Sciences, University of Bern, Bern, Switzerland. j.dejong@artos.ch.
International urogynecology journal
|February 8, 2024
概括
在增加腹腔内压力期间,无意的盆底肌 (PFM) 收缩在健康女性中很少发生. 这项研究发现发生率较低,强调需要更好的评估准则和了解正常的PFM功能.
科学领域:
- 泌尿和妇科 泌尿和妇科
- 盆地地板生理学 盆地地板生理学
- 肌肉骨功能 肌肉骨功能
背景情况:
- 根据理论,非自愿的盆底肌 (PFM) 收缩会随着腹内压力 (IAP) 的增加而发生.
- 以前的研究将缺少非自愿的PFM收缩与盆地功能障碍联系起来.
- 在了解正常的骨盆底功能女性非自愿的PFM功能方面存在差距.
研究的目的:
- 为了评估在健康的无卵性女性没有骨盆底功能障碍的IAP期间非自愿的PFM收缩.
- 将发现与现有文献和国际泌尿科医生协会/国际禁欲协会 (IUGA/ICS) 术语报告进行比较.
主要方法:
- 149名无产妇女性进行了最大咳以增加IAP.
- 不自发的PFM收缩通过视觉观察和静止和仰卧姿势的阴道触摸来评估.
- 计算出发生率,并使用基平方测试比较位置.
主要成果:
- 在评估方法和位置上观察到非自愿的PFM收缩率很低 (5-17%).
- 视觉观察显示,站立 (5%) 和躺卧 (15%) 位置之间存在显著差异.
- 阴道触摸显示与IUGA/ICS术语报告的高度一致,而视觉观察显示只有部分一致.
结论:
- 与临床预期相反,非自愿的PFM收缩在健康的女性中并不常见.
- 这些发现表明需要重新定义正常非自愿的PFM功能,并标准化评估方法.
- 需要进一步的研究,以制定明确的指导方针来评估非自愿的PFM收缩.
相关概念视频
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
161
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
161
Assessment of the Rectum and Anus
220
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
220
The Micturition Reflex
620
Urination, or micturition involves the coordination of the bladder's detrusor muscle and two sphincters to ensure controlled bladder emptying.
The process begins with bladder filling, where the bladder wall stretches as urine accumulates. This stretching activates the urine storage reflex, mediated by the sacral spinal segments and the pontine storage center. Efferent sympathetic impulses stimulate the detrusor muscle to relax and the internal urethral sphincter to contract, facilitating...
The process begins with bladder filling, where the bladder wall stretches as urine accumulates. This stretching activates the urine storage reflex, mediated by the sacral spinal segments and the pontine storage center. Efferent sympathetic impulses stimulate the detrusor muscle to relax and the internal urethral sphincter to contract, facilitating...
620
Abdominal Regions and Quadrants
8.2K
To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
8.2K
Assessment of the Abdomen II: Percussion
331
Percussion is a fundamental technique used to assess the liver, spleen, and abdominal organs by tapping the abdomen and interpreting the resulting sounds. This method helps identify fluid, distention, and masses through variations in sound, such as the high-pitched tympany of air-filled areas and the dullness of solid masses. Understanding how to percuss these organs provides valuable information for healthcare professionals in diagnosing conditions early.
Percussion
Percussion is an essential...
Percussion
Percussion is an essential...
331
Isotonic and Isometric Muscle Contractions
3.2K
Two primary types of muscle contractions are isotonic and isometric, each serving unique functions and involving distinct mechanisms. Both isotonic and isometric contractions are integral to the body's complex system of movement and stability. Isotonic exercises contribute significantly to functional strength and movement, while isometric contractions are crucial for maintaining posture and joint stability.
Isotonic contractions
Isotonic contractions occur when a muscle changes length while...
Isotonic contractions
Isotonic contractions occur when a muscle changes length while...
3.2K


