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首页> 外文期刊>Taiwanese journal of obstetrics and gynecology >Pelvic floor muscle function and symptoms of dysfunctions in midwifes and nurses of reproductive age with and without pelvic floor dysfunction
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Pelvic floor muscle function and symptoms of dysfunctions in midwifes and nurses of reproductive age with and without pelvic floor dysfunction

机译：有和没有骨盆底功能障碍的助产士和育龄护士的骨盆底肌肉功能和功能障碍症状

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ObjectivesThis study aims to compare pelvic floor muscle (PFM) functions in midwifes and nurses of reproductive age with and without pelvic floor dysfunction (PFD) and investigate the relationship between PFM function and the number, type and symptoms of PFDs.Materials and methods82 midwifes and nurses of reproductive age with (n?=?51) and without PFD (n?=?31) participated in the study. PFM function was assessed by digital palpation using PERFECT scale. Gynecological examination, ultrasonography, disease-specific questionnaires, questions and tests were used to assess symptoms of PFD. PFD was assessed in terms of risk factors, urinary incontinence, fecal incontinence, pelvic organ prolapse (POP), pelvic pain and sexual dysfunctions.ResultsPower parameter of PERFECT scheme was significantly lower in subjects with PFD compared to Non-PFD group (p?=?0.002). 41% of the subjects with Power 5 PFM strength in PFD group were diagnosed as stage 1 POP, 5.8% as stage 2 POP, 15.7% of urge incontinence, 23.3% of stress incontinence and 10.5% of mixed incontinence. Both urinary incontinence and POP were detected in 15.7% of them. Among all subjects, incontinence symptoms decreased whereas POP and sexual function did not change as PFM increased. PFM strength was negatively correlated with the number of PFD (p?=?0.002, r?=??0.34). The type of dysfunction did not correlate with PFM strength (p?>?0.05).ConclusionPFM strength only affects of urinary incontinence sypmtoms among all PFDs in midwifes and nurses of reproductive age. PFM strength may not be the main factor in the occurrence of PFDs as pelvic floor does not consist solely of muscle structure. However, it strongly affects the number of dysfunctions. Therefore, PFM training should be performed to prevent the occurrence of extra dysfunctions in addition to the existing ones even if it does not alter the symptoms.
机译：目的本研究旨在比较有和没有骨盆底功能障碍（PFD）的助产士和育龄护士的骨盆底肌肉（PFM）功能，并探讨PFM功能与PFD的数量，类型和症状之间的关系。有（n？=？51）和没有PFD（n？=？31）的育龄护士参加了这项研究。使用PERFECT量表通过触诊评估PFM功能。妇科检查，超声检查，针对疾病的问卷，问题和测试用于评估PFD的症状。对PFD进行危险因素，尿失禁，粪便失禁，盆腔器官脱垂（POP），盆腔疼痛和性功能障碍方面的评估。结果与PFD患者相比，PFD患者PERFECT方案的功效参数显着降低（p？= 0.002）。 PFD组中具有Power 5 PFM强度的受试者中有41％被诊断为1期POP，5.8％被诊断为2期POP，急迫性尿失禁的15.7％，压力性尿失禁的23.3％，混合性尿失禁的10.5％。其中15.7％的尿失禁和POP均检出。在所有受试者中，失禁症状减少，而POP和性功能没有随着PFM的增加而改变。 PFM强度与PFD的数量负相关（p≤0.002，r≤0.34）。功能障碍的类型与PFM强度无关（p≥0.05）。结论PFM强度仅影响助产士和育龄护士中所有PFD的尿失禁症状。 PFM强度可能不是发生PFD的主要因素，因为骨盆底并非仅由肌肉结构组成。但是，它会严重影响功能障碍的数量。因此，应该进行PFM训练，以防止除了现有的功能障碍之外，还可以防止其他功能障碍的发生，即使它不会改变症状。

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