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学科主题: 临床医学
题名:
Effects of Combined Spinal-Epidural Analgesia during Labor on Postpartum Electrophysiological Function of Maternal Pelvic Floor Muscle: A Randomized Controlled Trial
作者: Xing, Ji-Juan1; Liu, Xiu-Fen2; Xiong, Xiao-Ming3; Huang, Li2; Lao, Cheng-Yi1; Yang, Mei4; Gao, Shan4; Huang, Qiong-Yan1; Yang, Wei1; Zhu, Yun-Feng1; Zhang, Di-Hua5
刊名: PLOS ONE
发表日期: 2015-09-04
DOI: 10.1371/journal.pone.0137267
卷: 10, 期:9
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Multidisciplinary Sciences
研究领域[WOS]: Science & Technology - Other Topics
关键词[WOS]: PRESSURE MEASUREMENTS ; VAGINAL DELIVERY ; DEPRESSION ; PREGNANCY ; SEQUELAE ; REDUCE ; RISK ; PAIN
英文摘要:

Objective

Combined spinal-epidural analgesia (CSEA) is sometimes used for difficult births, but whether it contributes to postpartum pelvic muscle disorder is unclear. This randomized controlled trial examined whether CSEA given during labor affects the electrophysiological index of postpartum pelvic floor muscle function.

Methods

A consecutive sample of primiparous women who delivered vaginally at term were randomly assigned to a CSEA group (n = 143) and control group (n = 142) between June 2013 and June 2014. All were assessed 6-8 weeks later for electrophysiological function of pelvic floor muscle.

Results

The two groups were similar in the degree of muscle strength, muscle fatigue, and pelvic dynamic pressure of pelvic floor muscle. The CSEA and control groups showed similar proportions of women with normal muscle strength (score >= 4) in type I pelvic fibers (23.1% vs. 14.1%, P = 0.051) and type II pelvic fibers (28.0% vs. 24.6%, P = 0.524). The groups also contained similar proportions of women who showed no fatigue in type I fibers (54.5% vs. 48.6%, P = 0.315) or type II fibers (88.8% vs. 87.3%, P = 0.699). Similarly low proportions of women in the CSEA group and control group showed normal pelvic dynamic pressure 11.2% vs. 7.7%, P = 0.321). However, women in the CSEA group spent significantly less time in labor than those in the control group (7.25 vs. 9.52 h, P <0.001).

Conclusions

CSEA did not affect the risk of postpartum pelvic muscle disorder in this cohort of primiparous women who gave birth vaginally. A significant shorter duration of labour was observed in the CSEA-group.

语种: 英语
所属项目编号: 20133189
项目资助者: Scientific and Technological Key Project of Nanning City
WOS记录号: WOS:000360688200043
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/52413
Appears in Collections:北京大学第一临床医学院_期刊论文

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作者单位: 1.Maternal & Child Hlth Hosp Nanning City, Dept Anesthesia, Nanning 530011, Peoples R China
2.Peking Univ, Affiliated Hosp 1, Pain Management Dept, Beijing 100034, Peoples R China
3.Maternal & Child Hlth Hosp Nandan Cty, Dept Obstet & Gynecol, Hechi 547200, Peoples R China
4.Maternal & Child Hlth Hosp Nanning City, Matern Care Dept, Nanning 530011, Peoples R China
5.Maternal & Child Hlth Hosp Nanning City, Child Care Dept, Nanning 530011, Peoples R China

Recommended Citation:
Xing, Ji-Juan,Liu, Xiu-Fen,Xiong, Xiao-Ming,et al. Effects of Combined Spinal-Epidural Analgesia during Labor on Postpartum Electrophysiological Function of Maternal Pelvic Floor Muscle: A Randomized Controlled Trial[J]. PLOS ONE,2015,10(9).
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