有压力性尿失禁和无压力性尿失禁的女性盆底肌肉动态测量变量有差异吗?一项盲法横断面研究

K. M. Amorim, Elora dos Santos Silva de Lima, Caroline Razera Ferreira, Alisson Monteiro de Freitas, Luis Eduardo Peixoto Rosa dos Santos, C. Amorim, D. Biasotto-Gonzalez, F. Politti
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摘要

研究目的本研究旨在比较患有和未患有压力性尿失禁(SUI)的女性的盆底肌肉(PFM)收缩变量:这项横断面研究使用阴道测力计对 17 名健康女性和 17 名 SUI 女性在单次测试过程中的盆底肌收缩情况进行了评估。结果:峰值时间(收缩开始后出现峰值力的时间)、被动力(基线)、最大收缩力、收缩冲力、平均力和耐力时间。在单次测试过程中使用阴道测力计记录 Dada:对以下 PFM 收缩变量进行了评估:在将年龄和分娩次数作为共变量的情况下,使用了方差分析(ANCOVA)和Bonferroni事后检验来比较不同组(对照组和SUI组)的测力数据。在耐力方面观察到组间存在显著差异(F = 4.87,P < .03;方差分析检验),而在其他分析变量方面未发现显著差异:结论:患有 SUI 的妇女盆底肌肉收缩的耐力时间较短,而患有和未患有压力性尿失禁的妇女的盆底肌肉收缩力强度和这些肌肉从开始收缩到达到收缩峰值的时间相关变量相似。
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Do Dynamometric Variables of the Pelvic Floor Muscles Differ between Women with and without Stress Urinary Incontinence? A Blind, Cross-sectional Study
Objective: The aim of the present study was to compare pelvic floor muscles (PFM) contraction variables between women with and without stress urinary incontinence (SUI). Materials and Methods: This cross-sectional study evaluated the PFM of 17 healthy women and 17 women with SUI during a single test session using a vaginal dynamometer. Outcomes: peak time (time at which peak force occurred after the onset of contraction), passive force (baseline), maximum contraction force, impulse of contraction, average force and endurance time. Dada was recording during a single test session using a vaginal dynamometer. Results: The following PFM contraction variables were evaluated: Analysis of covariance (ANCOVA) with the Bonferroni post hoc test was used to compare the dynamometric data between groups (control and SUI), considering age and number of childbirths as co-variables. Significant difference was observed between groups with regard to endurance (F = 4.87, P < .03; ANCOVA test), whereas no significant differences were found for the other variables analyzed. Conclusion: The endurance time of PFM contraction is shorter in women with SUI, whereas variables related to the intensity of pelvic floor muscle contraction force and time from the onset to peak contraction of these muscles are similar between women with and without stress urinary incontinence.
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