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通过盆底进行呼吸？健康未育年轻女性盆底肌肉功能与呼气流量的相关性。

Breathing with the pelvic floor? Correlation of pelvic floor muscle function and expiratory flows in healthy young nulliparous women.

作者信息

Talasz Helena, Kofler Markus, Kalchschmid Elisabeth, Pretterklieber Michael, Lechleitner Monika

机构信息

Department of Internal Medicine, Hochzirl Hospital, Hochzirl 1, 6170, Zirl, Austria.

出版信息

Int Urogynecol J. 2010 Apr;21(4):475-81. doi: 10.1007/s00192-009-1060-1. Epub 2009 Dec 8.

DOI:10.1007/s00192-009-1060-1
PMID:19997721
Abstract

INTRODUCTION AND HYPOTHESIS: The aim of this cross-sectional study was to determine correlations between pelvic floor muscle (PFM) function and expiratory function in healthy young nulliparous women. METHODS: In 40 volunteers, PFM function was assessed by vaginal palpation. Forced expiration patterns were evaluated visually and by palpation of the suprapubic insertion region of the anterolateral abdominal muscles. Forced vital capacity (FVC) and forced expiratory flows (FEF) were determined by spirometry. RESULTS: Incremental positive correlation was found between voluntary PFM contraction strength and forced expiratory flow at 25%, 50% and 75% (FEF(25%), FEF(50%), FEF(75%)) of the FVC, respectively. Positive correlation was also found between PFM contraction strength and forced expired volume in 1 s (FEV(1)). No correlation was found between PFM contraction strength and FVC or peak expiratory flow (PEF). CONCLUSIONS: Despite some limitations of this study, the observed correlation between PFM contraction strength and forced expiratory flows may serve as theoretical background for a potential role of coordinated abdominal and PFM training in diseases with expiratory flow limitations.

摘要

引言与假设：本横断面研究旨在确定健康未育年轻女性盆底肌（PFM）功能与呼气功能之间的相关性。 方法：对40名志愿者通过阴道触诊评估盆底肌功能。通过观察以及触诊前外侧腹肌耻骨上附着区域评估用力呼气模式。通过肺活量测定法测定用力肺活量（FVC）和用力呼气流量（FEF）。 结果：分别在FVC的25%、50%和75%（FEF(25%)、FEF(50%)、FEF(75%)）时，发现自主盆底肌收缩强度与用力呼气流量之间呈递增正相关。盆底肌收缩强度与1秒用力呼气容积（FEV(1)）之间也呈正相关。未发现盆底肌收缩强度与FVC或呼气峰值流量（PEF）之间存在相关性。 结论：尽管本研究存在一些局限性，但观察到的盆底肌收缩强度与用力呼气流量之间的相关性，可为在呼气流量受限疾病中进行协调性腹部和盆底肌训练的潜在作用提供理论背景。

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本文引用的文献

[1]
Transversus abdominis: a different view of the elephant.

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[2]
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Int Urogynecol J Pelvic Floor Dysfunct. 2004

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Man Ther. 2004-2

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