腹直肌分离度联合盆底肌力级别预测产后压力性尿失禁的研究
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南方医科大学附属深圳市妇幼保健院妇女健康中心

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深圳市妇幼保健院院内科研(编号FYB2018012)


The study ofDiastasis Recti Abdominis combined with pelvic floor dysfunction to predict postpartum stress urinary incontinence*.
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    摘要:

    目的:妊娠和分娩被认为是发生腹直肌分离(Diastasis Recti Abdominis,DRA)的危险因素,而这种解剖变化有可能是导致出现压力性尿失禁(Stress Urinary Incontinence,SUI)的基础。本研究旨在通过建立风险预测模型,探讨腹直肌分离度和盆底肌力级别与SUI发生之间的关系。方法:选取2019 年 5 月至 2020 年 8 月在南方医科大学附属深圳市妇幼保健院规范产检并分娩的初产妇,通过测量盆底肌力级别和腹直肌分离度,并依据SUI诊断标准,获取相关数据建立预测模型。结果:盆底肌力强度指标(PFMS)、DRA指标(RA距离)和DRA人数比均有统计学意义,腹直肌分离联合盆底肌力级别双因素模型达到了最优AUC,阳性预测值和阴性预测值均达到0.85以上,显示了良好的预测效力。结论: 腹直肌分离度联合盆底肌力级别可预测产后SUI的发生。

    Abstract:

    Objective: Pregnancy and childbirth are considered to be risk factors for the occurrence of Diastasis Recti Abdominis (DRA), and this anatomical change may be the basis for stress urinary incontinence (SUI). The purpose of this study is to establish a risk prediction model to explore the relationship between the degree of rectus abdominis separation and the level of pelvic floor muscle strength and the occurrence of SUI. Methods: Selected primiparas who gave birth in Shenzhen Maternity and Child Health Hospital affiliated to Southern Medical University from May 2019 to August 2020 to obtain relevant information by measuring pelvic floor muscle strength level and rectus abdominis separation, and according to the SUI diagnostic criteria The data establishes a predictive model.Result: Pelvic floor muscle strength index (PFMS), DRA index (RA distance) and the ratio of the number of people in DRA are all statistically significant. The two-factor model of rectus abdominis separation combined with pelvic floor muscle strength level reached the optimal AUC, with positive predictive value and negative The predicted values are all above 0.85, showing good predictive power.Conclusion: The degree of rectus abdominis separation combined with pelvic floor muscle strength can predict the occurrence of postpartum SUI.

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  • 收稿日期:2021-05-07
  • 最后修改日期:2021-11-17
  • 录用日期:2022-01-24
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