CAJ | 학술논문

背景:了解女性盆底功能障碍性疾病在新疆多民族聚集区的发病相关因素、探寻能相对准确反映盆底功能的量化检查方法,对此病的三级预防起到不可或缺的作用.目的:探讨女性盆底肌力的相关因素,并分析盆底肌力测定与女性盆底功能障碍性疾病临床症状、体征的相关性及临床意义.方法:通过问卷调查、体格检查、盆底肌力检测收集2010年4至11月于新疆医科大学第一附属医院妇科住院女性患者资料共210例.采用秩和检验对分组变量进行分析,对有统计学意义的资料再进行 Spearman 秩相关分析.结果与结论:年龄、体质量指数、不同分娩次数、绝经、慢性便秘持续时间与盆底肌力呈负相关性;压力性尿失禁症状、盆腔器官脱垂体征与盆底肌力均存在负相关性.提示:控制体质量,减少慢性便秘的发生;做好围绝经期激素替代治疗;从产科因素控制孕产妇盆底组织受损程度,引起患者对自身盆底肌力的重视,利于盆底功能障碍性疾病提早预防及治疗.
배경:료해녀성분저공능장애성질병재신강다민족취집구적발병상관인소、탐심능상대준학반영분저공능적양화검사방법,대차병적삼급예방기도불가혹결적작용.목적:탐토녀성분저기력적상관인소,병분석분저기력측정여녀성분저공능장애성질병림상증상、체정적상관성급림상의의.방법:통과문권조사、체격검사、분저기력검측수집2010년4지11월우신강의과대학제일부속의원부과주원녀성환자자료공210례.채용질화검험대분조변량진행분석,대유통계학의의적자료재진행 Spearman 질상관분석.결과여결론:년령、체질량지수、불동분면차수、절경、만성편비지속시간여분저기력정부상관성;압력성뇨실금증상、분강기관탈수체정여분저기력균존재부상관성.제시:공제체질량,감소만성편비적발생;주호위절경기격소체대치료;종산과인소공제잉산부분저조직수손정도,인기환자대자신분저기력적중시,리우분저공능장애성질병제조예방급치료.
BACKGROUND: Understanding the related factors of female pelvic floor disorders in Xinjiang multi-ethnic area and exploring the quantitative examination method which can relatively accurately reflect the pelvic floor function plays an important role in preventing female pelvic floor disorders. OBJECTIVE: To investigate factors related to female pelvic floor muscle strength and to analyze the relevance and significance of the pelvic floor muscle assessment with the symptoms and physical examination of pelvic floor dysfunction disease. METHODS: The questionnaire, physical examination, pelvic floor muscle strength testing data were col ected from 210 cases of female patients who were in hospital during April 2010 to November 2010 at Department of gynecology, the First Affiliated Hospital of Xinjiang Medical University. Rank sum test was used to analyze the packet variables factors related to pelvic floor muscle strength, and than Spearman rank correlation analysis was carried out to make further analysis which has statistical y significance data. RESULTS AND CONCLUSION: Age, body mass index, delivery times, menopause, symptoms of chronic constipation were negative correlated with pelvic floor muscle strength. The symptoms of stress urinary incontinence and physical examination of pelvic organ prolapse were negative correlated with the pelvic floor muscle strength. It is conductive to the early prevention and treatment of pelvic floor dysfunction disease by control ing the body weight and reducing the incidence of chronic constipation; wel perimenopausal hormone replacement therapy; control ing the pelvic tissue damage of pregnant women and making the patients to pay more attention on their own pelvic floor muscle strength.