BACKGROUND Pelvic floor dysfunction(PFD)is related to muscle fiber tearing during childbirth,negatively impacting postpartum quality of life of parturient.Appropriate and effective intervention is necessary to promote...BACKGROUND Pelvic floor dysfunction(PFD)is related to muscle fiber tearing during childbirth,negatively impacting postpartum quality of life of parturient.Appropriate and effective intervention is necessary to promote PFD recovery.AIM To analyze the use of hydrogen peroxide and silver ion disinfection for vaginal electrodes in conjunction with comprehensive rehabilitation therapy for postpartum women with PFD.METHODS A total of 59 women with PFD who were admitted to the hospital from May 2019 to July 2022 were divided into two groups:Control group(n=27)received comprehensive rehabilitation therapy and observation group(n=32)received intervention with pelvic floor biostimulation feedback instrument in addition to comprehensive rehabilitation therapy.The vaginal electrodes were disinfected with hydrogen peroxide and silver ion before treatment.Intervention for both groups was started 6 weeks postpartum,and rehabilitation lasted for 3 months.Pelvic floor muscle voltage,pelvic floor muscle strength,vaginal muscle voltage,vaginal muscle tone,pelvic floor function,quality of life,and incidence of postpartum PFD were compared between the two groups.RESULTS Before comprehensive rehabilitation treatment,basic data and pelvic floor function were not significantly different between the two groups.After treatment,the observation group showed significant improvements in the maximum voltage and average voltage of pelvic floor muscles,contraction time of type I and type II fibers,pelvic floor muscle strength,vaginal muscle tone,vaginal muscle voltage,and quality of life(GQOLI-74 reports),compared with the control group.The observation group had lower scores on the pelvic floor distress inventory(PFDI-20)and a lower incidence of postpartum PFD,indicating the effectiveness of the pelvic floor biostimulation feedback instrument in promoting the recovery of maternal pelvic floor function.CONCLUSION The combination of the pelvic floor biostimulation feedback instrument and comprehensive rehabilitation nursing can improve pelvic floor muscle strength,promote the recovery of vaginal muscle tone,and improve pelvic floor function and quality of life.The use of hydrogen peroxide and silver ion disinfectant demonstrated favorable antibacterial efficacy and is worthy of clinical application.展开更多
Pelvic organ prolapse （POP） is a disabling disorder in women characterized by a loss of pelvic floor support, leading to the herniation of the uterus into or through the vagina. POP is a complex problem that likely ...Pelvic organ prolapse （POP） is a disabling disorder in women characterized by a loss of pelvic floor support, leading to the herniation of the uterus into or through the vagina. POP is a complex problem that likely involves multiple mechanisms with limited therapies available, and is associated with defects in connective tissue including elastic fibers. This study was designed to investigate the expression of fibulin-5 and lysyl oxidase-like 1 （LOXL1） in the cardinal ligament in samples taken from the POP group compared to the non-POP group. Specimens were obtained during abdominal hysterectomy from the cardinal ligament of 53 women with POP and 25 age- and par- ity- matched women with non-POP among post-menopausal women with benign gynecologic pathology. Protein expression was evaluated using the immunohistochemical staining method. For statistical analyses, chi-square test and Spearman＇s correlation were used with the statistical package SPSS13.0 system. Our results showed that both fibulin-5 and LOXL1 expressions were decreased in the cardinal ligament in the POP group compared to the non- POP group （P 〈 0.05）. The expression of fibulin-5 and LOXL1 were correlated closely with the stage of POP, ac- companied by stress urinary incontinence and frequency of vaginal delivery （P 〈 0.05）, but had no relationship with post-menopausal state （P 〉 0.05）. The expression of fibulin-5 was positively associated with LOXL1 in POP （P 〈 0.05）. We conclude that changes in fibulin-5 and LOXL1 expression may play a role in the development of POP.展开更多
Objective:To investigate the value of(VTIQ)shear wave elastography in the diagnosis of pelvic floor dysfunction.Methods:20 patients with pelvic floor dysfunction and 40 healthy volunteers were enrolled in and devided ...Objective:To investigate the value of(VTIQ)shear wave elastography in the diagnosis of pelvic floor dysfunction.Methods:20 patients with pelvic floor dysfunction and 40 healthy volunteers were enrolled in and devided into the pelvic floor dysfunction(PFD)group and the control group.20 cases in the normal non-fertile(NNF)group and the normal fertile(NF)group respectively were including in the control group.The Young's modulus of puborectalis(PR)in three groups was measured by virtual touch tissue imaging quantification(VTIQ)at different states.The Young's modulus of PR and their differences in the three groups and between groups were compared and calculated.Receiver-operating characteristic curve(ROC)analyses were performed to assess the diagnostic value of VTIQ,and the area under the curve(AUC)was compared.Results:Young's modulus of PR at resting-state,maximun rectal state and Vasalva state in NNF group and NF group were statistical significance(all P<0.05).Young's modulus of maximun rectal state was higher than that of resting-state and Vasalva state in PFD group(P<0.05).There was no significant difference in Young's modulus between the resting-state and Vasalva state in the PFD group(P>0.05).Difference of PR Young's modulus between resting status and maximun rectal state and that between resting status and Vasalva state were of statistical significance among the three groups(all P<0.05).ROC curves analyses indicated that the AUC,cut-off value,sensitivity,specificity and Youden index of the difference between the Young's modulus of resting status and maximun rectal state measured by VTIQ in control group and PFD group were 0.788,35.45kPa,91.67%,57.14%,0.488,espectively.The AUC,cut-off value,sensitivity,specificity and Youden index of the difference between the Young's modulus of resting status and Vasalva state measured by VTIQ in control group and PFD group were 0.799,14.00kPa,63.89%,85.71%,0.496,respectively.There was no significant difference in AUC between the two groups(Z=0.130,P>0.05).Conclusion:VTIQ technology is an effective method to quantitatively assess the biomechanical properties of PR.The effect of labor on the puborectalis muscle was not significant.The increase of Young's modulus of passive stretching in vasalva state was not significant in patients with pelvic floor dysfunction.The difference between resting status and maximun rectal state and difference between resting status and Vasalva state is more advantageous to the diagnosis of pelvic floor dysfunction disorder.展开更多
Objective: this paper mainly explores the effect and corresponding safety of postpartum pelvic floor rehabilitation nursing work in terms of repelvic floor function. Methods: the main research method is case-control a...Objective: this paper mainly explores the effect and corresponding safety of postpartum pelvic floor rehabilitation nursing work in terms of repelvic floor function. Methods: the main research method is case-control analysis. The subjects were 160 female patients collected from our hospital from January 2019 to December 2019. The experimental group received postpartum basin rehabilitation nursing, while the control group received conventional postpartum nursing. Results: the prevention and treatment effect of the observation group was higher than that of the control group, P < 0.05, the treatment safety of the control group was lower than that of the observation group, and the difference was obvious. Conclusion: in the process of clinical treatment, the use of pelvic floor rehabilitation nursing countermeasures for female patients with pelvic floor dysfunction can not only promote the safety of clinical nursing work, but also improve the prevention and treatment effect. In addition, it is worthy of clinical promotion and adoption.展开更多
Objective: to explore the postpartum pelvic floor rehabilitation nursing in the process of improving the pelvic floor dysfunction of vaginal delivery parturients, and analyze the application value of this nursing meth...Objective: to explore the postpartum pelvic floor rehabilitation nursing in the process of improving the pelvic floor dysfunction of vaginal delivery parturients, and analyze the application value of this nursing method. Methods: the observation samples of this experiment were randomly selected from the patients with pelvic floor dysfunction of vaginal delivery parturients in our hospital. A total of 80 patients were selected. The time interval of admission of patients was from August 2020 to May 2021. The number of patients was selected as the average grouping basis, and the number of patients was selected as the control group. The patients received routine care. The even-numbered observation group received postpartum pelvic floor rehabilitation care. The patients' quality of life scores, pelvic floor muscle strength rehabilitation, pelvic floor dysfunction, negative emotions and clinical indicators were compared. Results: in the comparison of quality of life scores, the score of the observation group was higher than that of the control group (P < 0.05). Judging from the measurement data of vaginal contraction duration, vaginal contraction electromyogram and vaginal resting electromyogram, the value of the observation group was higher than that of the control group (P < 0.05). The incidence of dysfunction in the observation group was lower than that in the control group (P < 0.05).Conclusion: the application of postpartum pelvic floor rehabilitation nursing in the clinical nursing of vaginal delivery parturients with pelvic floor dysfunction can improve the therapeutic effect on the patients, prevent the patient's condition from deteriorating, promote the disease rehabilitation, reduce the risk of adverse reactions, relieve the negative emotions of the patients, effectively improve the clinical indicators of the patients, help to improve the quality of life of the patients, and has positive clinical and practical value.展开更多
Objective: to explore the clinical application of postpartum pelvic floor rehabilitation therapy in postpartum pelvic floor dysfunction diseases. Methods: a total of 120 patients with postpartum pelvic floor dysfuncti...Objective: to explore the clinical application of postpartum pelvic floor rehabilitation therapy in postpartum pelvic floor dysfunction diseases. Methods: a total of 120 patients with postpartum pelvic floor dysfunction in our hospital from January 2019 to June 2021 were selected as the research object. They were divided into research group and reference group with 60 patients in each group by random number table method. The reference group received pelvic floor rehabilitation training, and the research group received pelvic floor rehabilitation therapy instrument on the basis of the reference group. Vaginal systolic blood pressure and pelvic floor muscle strength were compared between the two groups before and after treatment. Results: after comparative analysis, uterine prolapse and urinary incontinence accounted for 8.3% and 6.7% respectively in the study group, and 15.0% and 16.7% respectively in the reference group, the differences were statistically significant (P < 0.05). Compared with pelvic floor muscle strength, the qualified rate of the study group was 96.7%, and that of the reference group was 81.7%, the difference was statistically significant (P < 0.05). Before the treatment, there was no significant difference in vaginal systolic blood pressure between the study group and the reference group (P > 0.05). After the implementation of treatment, the levels of both groups were improved, and the index level of the study group was more advantageous, the difference was statistically significant (P < 0.05). Conclusion: the combination of pelvic floor rehabilitation training and pelvic floor rehabilitation therapy instrument has significant effect on postpartum patients with pelvic floor dysfunction disease, which can improve the level of pelvic floor muscle of patients, and suggest clinical promotion.展开更多
Objective:Pelvic floor dysfunction is common among pregnant and postpartum women and significantly impacts quality of life.This study aims to translate the German Pelvic Floor Questionnaire for Pregnant and Postpartum...Objective:Pelvic floor dysfunction is common among pregnant and postpartum women and significantly impacts quality of life.This study aims to translate the German Pelvic Floor Questionnaire for Pregnant and Postpartum Women into Chinese and to evaluate its reliability and validity in the Chinese population.Methods:The questionnaire was translated using the Brislin model.A cross-sectional study was conducted among pregnant and postpartum women to assess the content validity,construct validity,Cronbach’sαcoefficient,test-retest reliability,and split-half reliability of the Chinese version.Results:A total of 72 women were included,with 6.9% being pregnant and 93.1% postpartum;the age was(32.3±3.6)years.The Chinese version of the questionnaire contains 4 dimensions and 45 items.The content validity index of individual items ranged from 0.833 to 1.000,with a scale-level content validity index of 0.977 and intraclass correlation coefficients(ICCs)exceeding 0.90.The overall Cronbach’s α coefficient was 0.891,with subscale coefficients ranging from 0.732 to 0.884(all ICCs>0.70).The testretest reliability of the total scale was 0.833,and for the 4 dimensions,bladder,bowel,prolapse,and sexual function,the values were 0.776,0.579,0.732,and 0.645,respectively.The split-half reliability was 0.74.Conclusion:The Chinese version of the questionnaire demonstrated good reliability and validity,indicating its applicability in assessing pelvic floor dysfunction and associated risk factors during pregnancy and postpartum.展开更多
Objective Pregnancy has been identified as a risk factor for pelvic floor dysfunction(PFD).The aim of this study was to establish primary prevention measures for PFD during pregnancy and reduce the overall incidence o...Objective Pregnancy has been identified as a risk factor for pelvic floor dysfunction(PFD).The aim of this study was to establish primary prevention measures for PFD during pregnancy and reduce the overall incidence of PFD.Methods We assembled a panel of 36 experts,including gynecologists,obstetricians,and physiotherapists.Through surveys and expert meetings,the panel reviewed and assessed the safety and effectiveness of various clinical interventions.Based on expert comments from Round 1,a revised list of 8 clinical interventions was developed and submitted for a second round of expert review.Results A consensus was reached on the importance of implementing prevention measures to protect pelvic floor function during pregnancy.Experts particularly emphasized the significance of health education,weight management,pelvic floor muscle training,respiratory training,overall exercise,physical activity,and perineal massage.Conclusion The expert consensus provides comprehensive clinical measures to safeguard pelvic floor function during pregnancy.This paper represents the initial step toward developing scientific recommendations for pregnant women regarding the primary prevention of PFD.Future research should focus on the implementation of these recommendations in clinical practice.展开更多
Objective: to study and analyze the measures and value of pelvic floor rehabilitation for postpartum women. Methods: a total of 70 postpartum female pelvic floor dysfunction patients admitted to our hospital from Octo...Objective: to study and analyze the measures and value of pelvic floor rehabilitation for postpartum women. Methods: a total of 70 postpartum female pelvic floor dysfunction patients admitted to our hospital from October 2019 to July 2021 were randomly divided into study group and control group with 35 cases in each group. The control group was given routine postpartum health guidance and pelvic floor rehabilitation training, while the study group was given early comprehensive pelvic floor rehabilitation treatment based on the control group. The curative effect, pelvic floor muscle strength and mental state improvement of the two groups were evaluated and compared. Results: after treatment, the total effective rate of the patients in the study group was higher than that of the control group, the value of vaginal contraction electromyography and vaginal dynamic pressure were higher than those of the control group, and the scores of HAMA and HAMD were lower than those of the control group, the difference was statistically significant (p < 0.05). Conclusion: the comprehensive pelvic floor rehabilitation therapy for postpartum women, including individual assessment, drug intervention, TCM external therapy and other aspects of intervention, is helpful to improve the therapeutic effect of pelvic floor dysfunction diseases, and promote the improvement of pelvic floor muscle strength and psychological status.展开更多
This review provides information on the definition of constipation, normal continence and defecation and a description of the pathophysiologic mechanisms of constipation. In addition, changes in the anatomy and physio...This review provides information on the definition of constipation, normal continence and defecation and a description of the pathophysiologic mechanisms of constipation. In addition, changes in the anatomy and physiology of the lower gastrointestinal tract associated with aging that may contribute to constipation are described. MEDLINE (1966-2007) and CINAHL (1980-2007) were searched. The following MeSH terms were used: constipation/etiology OR constipation/ physiology OR constipation/physiopathology) AND (age factors OR aged OR older OR 80 and over OR middle age). Constipation is not well defined in the literature. While self-reported constipation increases with age, findings from a limited number of clinical studies that utilized objective measures do not support this association. Dysmotility and pelvic floor dysfunction are important mechanisms associated with constipation. Changes in GI function associated with aging appear to be relatively subtle based on a limited amount of conflicting data. Additional research is warranted on the effects of aging on GI function, as well as on the timing of these changes.展开更多
BACKGROUND Functional constipation(FC)is a common functional gastrointestinal disease with various clinical manifestations.It is a physical and mental disease,which seriously affects patient physical and mental health...BACKGROUND Functional constipation(FC)is a common functional gastrointestinal disease with various clinical manifestations.It is a physical and mental disease,which seriously affects patient physical and mental health and quality of life.Biofeedback therapy is the treatment of choice for FC,especially outlet obstructive constipation caused by pelvic floor dysfunction.High-quality nursing is a new nursing model in modern clinical work and a new concept of modern nursing service.AIM To explore the effect of biofeedback combined with high-quality nursing in the treatment of FC.METHODS A total of 100 patients with FC admitted to our hospital from March 2015 to July 2019 were selected for clinical observation.These patients were randomly divided into two groups of 50:Experimental group(biofeedback combined with highquality nursing treatment group)and control group(biofeedback group).RESULTS The constipation symptom score of the experimental group was significantly lower than that of the control group,and the difference was statistically significant(P<0.05).The anal canal resting pressure and initial defecation threshold of the experimental group were significantly lower than those of the control group,and the maximum squeeze systolic pressure of the anal canal of the experimental group was significantly higher than that of the control group(P<0.05).The Self-Rating Anxiety Scale and Zung’s Self-Rating Depression Scale scores of the two groups were significantly lower than before treatment.The Self-Rating Anxiety Scale and Self-Rating Depression Scale scores of the experimental group were significantly lower than those of the control group(P<0.05).The patient satisfaction score of the experimental group was significantly higher than that of the control group(P<0.05).CONCLUSION The application of biofeedback combined with high-quality nursing in the treatment of FC has significant advantages over pure biofeedback treatment,and it is worthy of promotion in clinical work.展开更多
We report a case of Chylous ascites after whole pelvis suspension and to discuss the possible reasons. An 85-year-old female patient with anterior vaginal prolapse 1V （AVP IV）, vaginal vault proplapse IV and posteri...We report a case of Chylous ascites after whole pelvis suspension and to discuss the possible reasons. An 85-year-old female patient with anterior vaginal prolapse 1V （AVP IV）, vaginal vault proplapse IV and posterior vaginal prolapse IV （PVP IV）, developed Chylous ascites 2 weeks after she received whole pelvis suspension, The cause of chylous ascites in the present case was not associated with malignant tumor, hepatic cirrhosis, or inflammation. Therefore, surgical trauma may be considered the cause of disorder. X-ray lymphangioadenography should be performed to draw a final conclusion.展开更多
Objective: to explore the specific effect, degree and possible mechanism of biofeedback electrical stimulation intervention on the expression of characteristic indicators in Pelvic floor dysfunction (PFD) rats. Method...Objective: to explore the specific effect, degree and possible mechanism of biofeedback electrical stimulation intervention on the expression of characteristic indicators in Pelvic floor dysfunction (PFD) rats. Methods: thirty female rats of childbearing age were successfully modeled as PFD rats. They were all divided into blank control group (lidocaine intervention), conditional control group (EERK agonist intervention) and observation group (biofeedback electrical stimulation intervention). Each group had 10 rats. The change range of each characteristic index (MMP-2, HA, LN, IV-C, DES, Elafin) before and after each intervention was recorded and calculated, and the statistical difference of each index change range was compared. Results: after the intervention, the change range of each characteristic index (MMP, ha, LN, IV-C, DES, Elafin) was compared with that before the intervention, from high to low: observation group, conditional control group, blank control group, the difference among the three groups of rats was statistically significant (P<0.05). After the intervention, 8 of the 10 rats in the observation group improved, while the other 2 rats were ineffective. Comparing the change range of each index between the effective group and the ineffective group, the differences of MMP, ha, LN, IV-C, DES and Elafin were statistically significant (P<0.05). The influence of each characteristic index on the prognosis of rats from high to low is: HA(OR4.22), DES(OR4.06), MMP(OR3.86), Elafin(OR3.60), IV-C(OR3.53), LN(OR2.97). Conclusion: compared with drug injection, biofeedback electrical stimulation can better control the local inflammation of the lesion and promote the expression of repair protein.展开更多
Background Pelvic floor dysfunction(PFD)affects women's health and quality of life seriously.Postpartum is a crucial stage and ideal opportunity for the prevention and treatment of PFD diseases.Therefore,it is ess...Background Pelvic floor dysfunction(PFD)affects women's health and quality of life seriously.Postpartum is a crucial stage and ideal opportunity for the prevention and treatment of PFD diseases.Therefore,it is essential to promote postpartum physical recoveryandeffectively improve the prevention and treatment effect of PFD through a simple,non-invasive and high-compliance pelvic floor rehabilitation programme during postpartum pelvic floorrehabilitation.Methods A literature review was conducted to develop the initial list of competencies which consisted of 23 items from six models.Two rounds of Delphi Surveys were conducted,inviting experts via email to rate the importance of each item and provide qualitative comments on their ratings.Consensus was predefined as a mean score of 4.0 or above and at least 75%agreement among the participants.Results The postnatal pelvic floor rehabilitation exercise programme developed in this study was guided by the holistic pelvic floor theory'proposed by Petros and Ulmsten.The effective recovery rate of the two rounds of expert consultation questionnaires was 100%.In the first round,some items were changed according to experts'opinions.In the second round,the expert authority coefficient was 0.819.The Kendall coefficient of expert opinion was 0.154(p<0.01).The final plan included 6 modules with 23 items.The postpartum pelvic floor rehabilitation exercise programme was formed,consisting of six exercises(APBKQS-exercise)such as abdominal breathing,pelvic exercise,bridge exercise,kneeling balance,quadrupedal stretching and supine hand-andkneeconfrontation.Conclusion The postnatal pelvic floor rehabilitation exercise programme constructed in this study integrates multiple exercises(APBKQS-exercise).Theexercise programme guided by the"holistic pelvic floor theory"incorporates the use of Women's Active Functional Fitness Equipment(WAFF)exercise air cushions to better achieve the purpose of alleviating joint pain,loosening contracture muscles,repairing pelvic floor muscles,strengthening abdominal core strength,and recovering body shape as soon as possible.展开更多
文摘BACKGROUND Pelvic floor dysfunction(PFD)is related to muscle fiber tearing during childbirth,negatively impacting postpartum quality of life of parturient.Appropriate and effective intervention is necessary to promote PFD recovery.AIM To analyze the use of hydrogen peroxide and silver ion disinfection for vaginal electrodes in conjunction with comprehensive rehabilitation therapy for postpartum women with PFD.METHODS A total of 59 women with PFD who were admitted to the hospital from May 2019 to July 2022 were divided into two groups:Control group(n=27)received comprehensive rehabilitation therapy and observation group(n=32)received intervention with pelvic floor biostimulation feedback instrument in addition to comprehensive rehabilitation therapy.The vaginal electrodes were disinfected with hydrogen peroxide and silver ion before treatment.Intervention for both groups was started 6 weeks postpartum,and rehabilitation lasted for 3 months.Pelvic floor muscle voltage,pelvic floor muscle strength,vaginal muscle voltage,vaginal muscle tone,pelvic floor function,quality of life,and incidence of postpartum PFD were compared between the two groups.RESULTS Before comprehensive rehabilitation treatment,basic data and pelvic floor function were not significantly different between the two groups.After treatment,the observation group showed significant improvements in the maximum voltage and average voltage of pelvic floor muscles,contraction time of type I and type II fibers,pelvic floor muscle strength,vaginal muscle tone,vaginal muscle voltage,and quality of life(GQOLI-74 reports),compared with the control group.The observation group had lower scores on the pelvic floor distress inventory(PFDI-20)and a lower incidence of postpartum PFD,indicating the effectiveness of the pelvic floor biostimulation feedback instrument in promoting the recovery of maternal pelvic floor function.CONCLUSION The combination of the pelvic floor biostimulation feedback instrument and comprehensive rehabilitation nursing can improve pelvic floor muscle strength,promote the recovery of vaginal muscle tone,and improve pelvic floor function and quality of life.The use of hydrogen peroxide and silver ion disinfectant demonstrated favorable antibacterial efficacy and is worthy of clinical application.
文摘Pelvic organ prolapse （POP） is a disabling disorder in women characterized by a loss of pelvic floor support, leading to the herniation of the uterus into or through the vagina. POP is a complex problem that likely involves multiple mechanisms with limited therapies available, and is associated with defects in connective tissue including elastic fibers. This study was designed to investigate the expression of fibulin-5 and lysyl oxidase-like 1 （LOXL1） in the cardinal ligament in samples taken from the POP group compared to the non-POP group. Specimens were obtained during abdominal hysterectomy from the cardinal ligament of 53 women with POP and 25 age- and par- ity- matched women with non-POP among post-menopausal women with benign gynecologic pathology. Protein expression was evaluated using the immunohistochemical staining method. For statistical analyses, chi-square test and Spearman＇s correlation were used with the statistical package SPSS13.0 system. Our results showed that both fibulin-5 and LOXL1 expressions were decreased in the cardinal ligament in the POP group compared to the non- POP group （P 〈 0.05）. The expression of fibulin-5 and LOXL1 were correlated closely with the stage of POP, ac- companied by stress urinary incontinence and frequency of vaginal delivery （P 〈 0.05）, but had no relationship with post-menopausal state （P 〉 0.05）. The expression of fibulin-5 was positively associated with LOXL1 in POP （P 〈 0.05）. We conclude that changes in fibulin-5 and LOXL1 expression may play a role in the development of POP.
基金Youth Project of Hainan Natural Science Foundation(No.819QN352)。
文摘Objective:To investigate the value of(VTIQ)shear wave elastography in the diagnosis of pelvic floor dysfunction.Methods:20 patients with pelvic floor dysfunction and 40 healthy volunteers were enrolled in and devided into the pelvic floor dysfunction(PFD)group and the control group.20 cases in the normal non-fertile(NNF)group and the normal fertile(NF)group respectively were including in the control group.The Young's modulus of puborectalis(PR)in three groups was measured by virtual touch tissue imaging quantification(VTIQ)at different states.The Young's modulus of PR and their differences in the three groups and between groups were compared and calculated.Receiver-operating characteristic curve(ROC)analyses were performed to assess the diagnostic value of VTIQ,and the area under the curve(AUC)was compared.Results:Young's modulus of PR at resting-state,maximun rectal state and Vasalva state in NNF group and NF group were statistical significance(all P<0.05).Young's modulus of maximun rectal state was higher than that of resting-state and Vasalva state in PFD group(P<0.05).There was no significant difference in Young's modulus between the resting-state and Vasalva state in the PFD group(P>0.05).Difference of PR Young's modulus between resting status and maximun rectal state and that between resting status and Vasalva state were of statistical significance among the three groups(all P<0.05).ROC curves analyses indicated that the AUC,cut-off value,sensitivity,specificity and Youden index of the difference between the Young's modulus of resting status and maximun rectal state measured by VTIQ in control group and PFD group were 0.788,35.45kPa,91.67%,57.14%,0.488,espectively.The AUC,cut-off value,sensitivity,specificity and Youden index of the difference between the Young's modulus of resting status and Vasalva state measured by VTIQ in control group and PFD group were 0.799,14.00kPa,63.89%,85.71%,0.496,respectively.There was no significant difference in AUC between the two groups(Z=0.130,P>0.05).Conclusion:VTIQ technology is an effective method to quantitatively assess the biomechanical properties of PR.The effect of labor on the puborectalis muscle was not significant.The increase of Young's modulus of passive stretching in vasalva state was not significant in patients with pelvic floor dysfunction.The difference between resting status and maximun rectal state and difference between resting status and Vasalva state is more advantageous to the diagnosis of pelvic floor dysfunction disorder.
文摘Objective: this paper mainly explores the effect and corresponding safety of postpartum pelvic floor rehabilitation nursing work in terms of repelvic floor function. Methods: the main research method is case-control analysis. The subjects were 160 female patients collected from our hospital from January 2019 to December 2019. The experimental group received postpartum basin rehabilitation nursing, while the control group received conventional postpartum nursing. Results: the prevention and treatment effect of the observation group was higher than that of the control group, P < 0.05, the treatment safety of the control group was lower than that of the observation group, and the difference was obvious. Conclusion: in the process of clinical treatment, the use of pelvic floor rehabilitation nursing countermeasures for female patients with pelvic floor dysfunction can not only promote the safety of clinical nursing work, but also improve the prevention and treatment effect. In addition, it is worthy of clinical promotion and adoption.
文摘Objective: to explore the postpartum pelvic floor rehabilitation nursing in the process of improving the pelvic floor dysfunction of vaginal delivery parturients, and analyze the application value of this nursing method. Methods: the observation samples of this experiment were randomly selected from the patients with pelvic floor dysfunction of vaginal delivery parturients in our hospital. A total of 80 patients were selected. The time interval of admission of patients was from August 2020 to May 2021. The number of patients was selected as the average grouping basis, and the number of patients was selected as the control group. The patients received routine care. The even-numbered observation group received postpartum pelvic floor rehabilitation care. The patients' quality of life scores, pelvic floor muscle strength rehabilitation, pelvic floor dysfunction, negative emotions and clinical indicators were compared. Results: in the comparison of quality of life scores, the score of the observation group was higher than that of the control group (P < 0.05). Judging from the measurement data of vaginal contraction duration, vaginal contraction electromyogram and vaginal resting electromyogram, the value of the observation group was higher than that of the control group (P < 0.05). The incidence of dysfunction in the observation group was lower than that in the control group (P < 0.05).Conclusion: the application of postpartum pelvic floor rehabilitation nursing in the clinical nursing of vaginal delivery parturients with pelvic floor dysfunction can improve the therapeutic effect on the patients, prevent the patient's condition from deteriorating, promote the disease rehabilitation, reduce the risk of adverse reactions, relieve the negative emotions of the patients, effectively improve the clinical indicators of the patients, help to improve the quality of life of the patients, and has positive clinical and practical value.
文摘Objective: to explore the clinical application of postpartum pelvic floor rehabilitation therapy in postpartum pelvic floor dysfunction diseases. Methods: a total of 120 patients with postpartum pelvic floor dysfunction in our hospital from January 2019 to June 2021 were selected as the research object. They were divided into research group and reference group with 60 patients in each group by random number table method. The reference group received pelvic floor rehabilitation training, and the research group received pelvic floor rehabilitation therapy instrument on the basis of the reference group. Vaginal systolic blood pressure and pelvic floor muscle strength were compared between the two groups before and after treatment. Results: after comparative analysis, uterine prolapse and urinary incontinence accounted for 8.3% and 6.7% respectively in the study group, and 15.0% and 16.7% respectively in the reference group, the differences were statistically significant (P < 0.05). Compared with pelvic floor muscle strength, the qualified rate of the study group was 96.7%, and that of the reference group was 81.7%, the difference was statistically significant (P < 0.05). Before the treatment, there was no significant difference in vaginal systolic blood pressure between the study group and the reference group (P > 0.05). After the implementation of treatment, the levels of both groups were improved, and the index level of the study group was more advantageous, the difference was statistically significant (P < 0.05). Conclusion: the combination of pelvic floor rehabilitation training and pelvic floor rehabilitation therapy instrument has significant effect on postpartum patients with pelvic floor dysfunction disease, which can improve the level of pelvic floor muscle of patients, and suggest clinical promotion.
基金supported by the Natural Science Foundation of Hunan Province(2024JJ6626)the Hunan Provincial Key Laboratory of Regional Hereditary Birth Defects Prevention and Control(HPKL202320),China.
文摘Objective:Pelvic floor dysfunction is common among pregnant and postpartum women and significantly impacts quality of life.This study aims to translate the German Pelvic Floor Questionnaire for Pregnant and Postpartum Women into Chinese and to evaluate its reliability and validity in the Chinese population.Methods:The questionnaire was translated using the Brislin model.A cross-sectional study was conducted among pregnant and postpartum women to assess the content validity,construct validity,Cronbach’sαcoefficient,test-retest reliability,and split-half reliability of the Chinese version.Results:A total of 72 women were included,with 6.9% being pregnant and 93.1% postpartum;the age was(32.3±3.6)years.The Chinese version of the questionnaire contains 4 dimensions and 45 items.The content validity index of individual items ranged from 0.833 to 1.000,with a scale-level content validity index of 0.977 and intraclass correlation coefficients(ICCs)exceeding 0.90.The overall Cronbach’s α coefficient was 0.891,with subscale coefficients ranging from 0.732 to 0.884(all ICCs>0.70).The testretest reliability of the total scale was 0.833,and for the 4 dimensions,bladder,bowel,prolapse,and sexual function,the values were 0.776,0.579,0.732,and 0.645,respectively.The split-half reliability was 0.74.Conclusion:The Chinese version of the questionnaire demonstrated good reliability and validity,indicating its applicability in assessing pelvic floor dysfunction and associated risk factors during pregnancy and postpartum.
基金supported by the National Key Technology R&D Program of China(grant number:2018YFC2002204)National Natural Science Foundation of China(grant number:82171615 and 82101697)+1 种基金Chinese Association of Plastics and Aesthetics(grant number:2020-Z-27)Beijing Natural Science Foundation(grant number:7214263).
文摘Objective Pregnancy has been identified as a risk factor for pelvic floor dysfunction(PFD).The aim of this study was to establish primary prevention measures for PFD during pregnancy and reduce the overall incidence of PFD.Methods We assembled a panel of 36 experts,including gynecologists,obstetricians,and physiotherapists.Through surveys and expert meetings,the panel reviewed and assessed the safety and effectiveness of various clinical interventions.Based on expert comments from Round 1,a revised list of 8 clinical interventions was developed and submitted for a second round of expert review.Results A consensus was reached on the importance of implementing prevention measures to protect pelvic floor function during pregnancy.Experts particularly emphasized the significance of health education,weight management,pelvic floor muscle training,respiratory training,overall exercise,physical activity,and perineal massage.Conclusion The expert consensus provides comprehensive clinical measures to safeguard pelvic floor function during pregnancy.This paper represents the initial step toward developing scientific recommendations for pregnant women regarding the primary prevention of PFD.Future research should focus on the implementation of these recommendations in clinical practice.
文摘Objective: to study and analyze the measures and value of pelvic floor rehabilitation for postpartum women. Methods: a total of 70 postpartum female pelvic floor dysfunction patients admitted to our hospital from October 2019 to July 2021 were randomly divided into study group and control group with 35 cases in each group. The control group was given routine postpartum health guidance and pelvic floor rehabilitation training, while the study group was given early comprehensive pelvic floor rehabilitation treatment based on the control group. The curative effect, pelvic floor muscle strength and mental state improvement of the two groups were evaluated and compared. Results: after treatment, the total effective rate of the patients in the study group was higher than that of the control group, the value of vaginal contraction electromyography and vaginal dynamic pressure were higher than those of the control group, and the scores of HAMA and HAMD were lower than those of the control group, the difference was statistically significant (p < 0.05). Conclusion: the comprehensive pelvic floor rehabilitation therapy for postpartum women, including individual assessment, drug intervention, TCM external therapy and other aspects of intervention, is helpful to improve the therapeutic effect of pelvic floor dysfunction diseases, and promote the improvement of pelvic floor muscle strength and psychological status.
文摘This review provides information on the definition of constipation, normal continence and defecation and a description of the pathophysiologic mechanisms of constipation. In addition, changes in the anatomy and physiology of the lower gastrointestinal tract associated with aging that may contribute to constipation are described. MEDLINE (1966-2007) and CINAHL (1980-2007) were searched. The following MeSH terms were used: constipation/etiology OR constipation/ physiology OR constipation/physiopathology) AND (age factors OR aged OR older OR 80 and over OR middle age). Constipation is not well defined in the literature. While self-reported constipation increases with age, findings from a limited number of clinical studies that utilized objective measures do not support this association. Dysmotility and pelvic floor dysfunction are important mechanisms associated with constipation. Changes in GI function associated with aging appear to be relatively subtle based on a limited amount of conflicting data. Additional research is warranted on the effects of aging on GI function, as well as on the timing of these changes.
文摘BACKGROUND Functional constipation(FC)is a common functional gastrointestinal disease with various clinical manifestations.It is a physical and mental disease,which seriously affects patient physical and mental health and quality of life.Biofeedback therapy is the treatment of choice for FC,especially outlet obstructive constipation caused by pelvic floor dysfunction.High-quality nursing is a new nursing model in modern clinical work and a new concept of modern nursing service.AIM To explore the effect of biofeedback combined with high-quality nursing in the treatment of FC.METHODS A total of 100 patients with FC admitted to our hospital from March 2015 to July 2019 were selected for clinical observation.These patients were randomly divided into two groups of 50:Experimental group(biofeedback combined with highquality nursing treatment group)and control group(biofeedback group).RESULTS The constipation symptom score of the experimental group was significantly lower than that of the control group,and the difference was statistically significant(P<0.05).The anal canal resting pressure and initial defecation threshold of the experimental group were significantly lower than those of the control group,and the maximum squeeze systolic pressure of the anal canal of the experimental group was significantly higher than that of the control group(P<0.05).The Self-Rating Anxiety Scale and Zung’s Self-Rating Depression Scale scores of the two groups were significantly lower than before treatment.The Self-Rating Anxiety Scale and Self-Rating Depression Scale scores of the experimental group were significantly lower than those of the control group(P<0.05).The patient satisfaction score of the experimental group was significantly higher than that of the control group(P<0.05).CONCLUSION The application of biofeedback combined with high-quality nursing in the treatment of FC has significant advantages over pure biofeedback treatment,and it is worthy of promotion in clinical work.
文摘We report a case of Chylous ascites after whole pelvis suspension and to discuss the possible reasons. An 85-year-old female patient with anterior vaginal prolapse 1V （AVP IV）, vaginal vault proplapse IV and posterior vaginal prolapse IV （PVP IV）, developed Chylous ascites 2 weeks after she received whole pelvis suspension, The cause of chylous ascites in the present case was not associated with malignant tumor, hepatic cirrhosis, or inflammation. Therefore, surgical trauma may be considered the cause of disorder. X-ray lymphangioadenography should be performed to draw a final conclusion.
文摘Objective: to explore the specific effect, degree and possible mechanism of biofeedback electrical stimulation intervention on the expression of characteristic indicators in Pelvic floor dysfunction (PFD) rats. Methods: thirty female rats of childbearing age were successfully modeled as PFD rats. They were all divided into blank control group (lidocaine intervention), conditional control group (EERK agonist intervention) and observation group (biofeedback electrical stimulation intervention). Each group had 10 rats. The change range of each characteristic index (MMP-2, HA, LN, IV-C, DES, Elafin) before and after each intervention was recorded and calculated, and the statistical difference of each index change range was compared. Results: after the intervention, the change range of each characteristic index (MMP, ha, LN, IV-C, DES, Elafin) was compared with that before the intervention, from high to low: observation group, conditional control group, blank control group, the difference among the three groups of rats was statistically significant (P<0.05). After the intervention, 8 of the 10 rats in the observation group improved, while the other 2 rats were ineffective. Comparing the change range of each index between the effective group and the ineffective group, the differences of MMP, ha, LN, IV-C, DES and Elafin were statistically significant (P<0.05). The influence of each characteristic index on the prognosis of rats from high to low is: HA(OR4.22), DES(OR4.06), MMP(OR3.86), Elafin(OR3.60), IV-C(OR3.53), LN(OR2.97). Conclusion: compared with drug injection, biofeedback electrical stimulation can better control the local inflammation of the lesion and promote the expression of repair protein.
基金supported by the Chinese Association of Plastics and Aesthetics under Award Number FRPR2020-nxxt-09。
文摘Background Pelvic floor dysfunction(PFD)affects women's health and quality of life seriously.Postpartum is a crucial stage and ideal opportunity for the prevention and treatment of PFD diseases.Therefore,it is essential to promote postpartum physical recoveryandeffectively improve the prevention and treatment effect of PFD through a simple,non-invasive and high-compliance pelvic floor rehabilitation programme during postpartum pelvic floorrehabilitation.Methods A literature review was conducted to develop the initial list of competencies which consisted of 23 items from six models.Two rounds of Delphi Surveys were conducted,inviting experts via email to rate the importance of each item and provide qualitative comments on their ratings.Consensus was predefined as a mean score of 4.0 or above and at least 75%agreement among the participants.Results The postnatal pelvic floor rehabilitation exercise programme developed in this study was guided by the holistic pelvic floor theory'proposed by Petros and Ulmsten.The effective recovery rate of the two rounds of expert consultation questionnaires was 100%.In the first round,some items were changed according to experts'opinions.In the second round,the expert authority coefficient was 0.819.The Kendall coefficient of expert opinion was 0.154(p<0.01).The final plan included 6 modules with 23 items.The postpartum pelvic floor rehabilitation exercise programme was formed,consisting of six exercises(APBKQS-exercise)such as abdominal breathing,pelvic exercise,bridge exercise,kneeling balance,quadrupedal stretching and supine hand-andkneeconfrontation.Conclusion The postnatal pelvic floor rehabilitation exercise programme constructed in this study integrates multiple exercises(APBKQS-exercise).Theexercise programme guided by the"holistic pelvic floor theory"incorporates the use of Women's Active Functional Fitness Equipment(WAFF)exercise air cushions to better achieve the purpose of alleviating joint pain,loosening contracture muscles,repairing pelvic floor muscles,strengthening abdominal core strength,and recovering body shape as soon as possible.
