慢性前列腺炎/慢性骨盆疼痛综合征 (CP/CPPS) 患者的骨盆地板的功能和结构特征
Ningqing Huang1, Kaiming Bao2, Wudong Sun3
1Department of Rehabilitation Medicine, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, Nanjing, Jiangsu, People's Republic of China.
慢性前列腺炎/慢性盆腔疼痛综合征 (CP/CPPS) 患者表现出增加的盆地肌肉刺激性和心理困扰,但没有重大结构变化. 表面电肌图 (sEMG) 和症状尺度可以识别这些功能异常.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 生理学 生理学 生理学
- 心理学 心理学 心理学
背景情况:
- 慢性前列腺炎/慢性盆腔疼痛综合征 (CP/CPPS) 是一种常见的男性疾病,其特点是盆腔疼痛和排泄功能障碍.
- 脊髓灰质炎/脊髓灰质炎的潜在病理生理学是复杂的,并未完全理解,涉及盆地功能障碍,炎症和心理因素的潜在贡献.
研究的目的:
- 在CP/CPPS患者中研究骨盆底的功能和结构特征.
- 在CP/CPPS患者和健康对照者之间比较盆地肌肉活动,结构和心理健康.
主要方法:
- 使用Glazer sEMG协议的表面电肌图 (sEMG) 来评估盆地肌肉活动.
- 采用骨盆地超声波来评估肌肉厚度和弹性.
- 管理精神病体症状量表 (PSSS) 来评估心理健康.
- 进行独立样本 t 测试进行组比较.
主要成果:
- CP/CPPS患者在休息和后收缩阶段显示出显著更高的sEMG值,延长了放松时间,并在耐力收缩期间增加了可变性.
- 在骨盆地超声测量 (厚度,弹性) 中,两组之间没有发现显著差异.
- CP/CPPS 患者在所有分级上报告了显著更高的 PSSS 评分,这表明心理症状负担更大.
结论:
- CP/CPPS与增加的盆地肌肉激动性,受损的协调和显著的身体和心理症状有关,没有明显的结构异常.
- sEMG和PSSS是识别CP/CPPS患者特征性盆底功能缺陷和心理症状的宝贵工具.
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