《中国康复理论与实践》 ›› 2022, Vol. 28 ›› Issue (7): 828-832.doi: 10.3969/j.issn.1006-9771.2022.07.014

• 应用研究 • 上一篇    下一篇

脑卒中女性患者的盆底结构及盆底肌电特征

龚媛媛1a,周停1a,张云1a,陈文莉1a,黄嘉1a,朱兴国2,刘艳丽1a,徐文静3,李嘉1b,王红星1a()   

  1. 1.东南大学附属中大医院,a.康复医学科;b. 超声医学科,江苏南京市 210009
    2.南京体育学院运动健康学院,江苏南京市 210046
    3.蚌埠医学院,安徽蚌埠市 233030
  • 收稿日期:2022-03-31 修回日期:2022-05-19 出版日期:2022-07-25 发布日期:2022-08-08
  • 通讯作者: 王红星 E-mail:wang_hongxing@163.com
  • 作者简介:龚媛媛(1995-),女,汉族,河南驻马店市人,硕士,医师,主要研究方向:神经损伤的康复研究。
  • 基金资助:
    江苏省重点研发计划社会发展项目(BE2020718);江苏省卫健委老年医学临床技术应用研究项目(LR2021036)

Characteristics of pelvic floor structure and electrophysiology of pelvic floor muscle in female patients with stroke

GONG Yuanyuan1a,ZHOU Ting1a,ZHANG Yun1a,CHEN Wenli1a,HUANG Jia1a,ZHU Xingguo2,LIU Yanli1a,XU Wenjing3,LI Jia1b,WANG Hongxing1a()   

  1. 1. a. Department of Rehabilitation Medicine; b. Department of Ultrasound, Zhongda Hospital, Southeast University, Nanjing, Jiangsu 210009, China
    2. School of Sports and Health, Nanjing Sport Institute, Nanjing, Jiangsu 210046, China
    3. Bengbu Medical College, Bengbu, Anhui 233030, China
  • Received:2022-03-31 Revised:2022-05-19 Published:2022-07-25 Online:2022-08-08
  • Contact: WANG Hongxing E-mail:wang_hongxing@163.com
  • Supported by:
    Jiangsu Key Research and Development Program(BE2020718);Jiangsu Health Commission Gerontology Clinical Technology Application Research Project(LR2021036)

摘要:

目的 探讨脑卒中对女性患者盆底结构和功能的影响。

方法 2020年6月至12月,东南大学附属中大医院住院的脑卒中女性患者21例(卒中组)分为尿失禁组(n = 6)和非尿失禁组(n = 15),另选取同龄健康女性志愿者20例作为对照组。所有受试者行经会阴盆底超声和盆底表面肌电检查。

结果 尿失禁组和非尿失禁组平均肌电值、积分肌电值、均方根值、平均功率频率和中位频率均低于对照组(P < 0.05),尿失禁组与非尿失禁组间无显著性差异(P > 0.05)。三组间膀胱颈位置,膀胱尿道后角,膀胱颈移动度,尿道旋转角,以及Valsalva动作后肛提肌裂孔前后径、左右径和面积均无显著性差异(F < 2.484, P > 0.05)。

结论 无论是否存在尿失禁,脑卒中女性患者盆底肌活动均有不同程度下降,盆底支持组织的结构尚未发生明显改变。

关键词: 脑卒中, 女性, 盆底

Abstract:

Objective To investigate the characteristics of pelvic floor structure and electrophysiology in female patients with stroke.

Methods From June to December, 2020, 21 female inpatients with stroke in Zhongda Hospital, Southeast University (stroke group) were divided into urinary incontinence (UI) group (n = 6) and non-urinary incontinence (NUI) group (n = 15), and other 20 healthy subjects were as control group. They were observed with pelvic floor ultrasonography and pelvic floor surface electromyogram.

Results Average electromyography, integral electromyography, root mean square, mean power frequency and median frequency decreased in UI and NUI groups compared with those of the control group (P < 0.05), but there was no significant difference between UI group and NUI group (P > 0.05). Bladder neck position, bladder neck angle, bladder neck mobility, urethral rotation angle; and anteroposterior diameter, left-right diameter and area of levator ani muscle hiatus after Valsalva's action were all not different among three groups (F < 2.484, P > 0.05).

Conclusion The activities of pelvic floor muscles decrease in female patients with stroke, without obvious changes of pelvic floor supporting structures, whatever UI.

Key words: stroke, female, pelvic floor

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