盆地肌肉强度和怀孕后令人烦的尿失禁:一个队列研究
Sónia Cristóvão1,2,3, Emelie Asplén4,5, Josefin Borssén5,6
1Närhälsan Gibraltar Rehabilitation, Gothenburg, Sweden. sonia.coelho.cristovao@gu.se.
International urogynecology journal
|March 13, 2025
概括
较强的盆底肌肉与产后尿失禁 (UI) 的减少有关. 怀孕期间的先前UI是分娩后UI的强有力的预测指标,突出了产前查和PFM培训的必要性.
科学领域:
- 产科和妇科 产科和妇科
- 盆腔健康 盆腔健康
- 妇女健康研究 妇女健康研究
背景情况:
- 产后尿失禁 (UI) 影响了大量女性.
- 烦人的UI经常促使女性寻求医疗帮助.
- 了解影响产后UI的因素对于有效管理至关重要.
研究的目的:
- 为了研究骨盆底肌 (PFM) 强度和在产后第一年的麻烦性UI之间的关联.
- 为了确定产后UI的预测因素.
主要方法:
- 对504名女性进行前性队列研究.
- 用国际商失禁问卷简短表格进行评估.
- 通过阴道触摸 (修改的牛津尺度) 在产后3,6,9和12个月评估PFM强度.
- 使用了物流回归分析.
主要成果:
- 骨盆底肌 (PFM) 强度 ≥3 修改的牛津尺度 (MOS) 适度与产后3,6,9和12个月的UI较少相关.
- 在所有时间点中,产前UI与产后UI有很强的关联.
- 2级周围撕裂显示,在产后9个月与UI的中度关联.
结论:
- 较强的盆底与分娩后第一年减少人的UI有关.
- 怀孕期间的尿失禁是产后UI的重要预测因素.
- 推产前查UI和促进PFM培训,以促进产后康复.
相关概念视频
01:23Urinary Bladder
302
The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
302
01:26The Micturition Reflex
363
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...
363