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多胎妊娠会改变家兔盆腔肌肉的收缩特性,影响阴道压力的产生。

Multiparity modifies contractile properties of pelvic muscles affecting the genesis of vaginal pressure in rabbits.

作者信息

López-Juárez Rhode, Zempoalteca René, Corona-Quintanilla Dora Luz, Jiménez-Estrada Ismael, Castelán Francisco, Martínez-Gómez Margarita

机构信息

Doctorado en Ciencias Biológicas, Universidad Autónoma de Tlaxcala, Tlaxcala, México.

Centro Tlaxcala de Biología de la Conducta, Universidad Autónoma de Tlaxcala, Tlaxcala, México.

出版信息

Neurourol Urodyn. 2018 Jan;37(1):106-114. doi: 10.1002/nau.23305. Epub 2017 May 24.

Abstract

AIMS

To characterize the contractile properties of the bulbospongiosus (Bsm), isquiocavernosus (Ism), and pubococcygeus muscles (Pcm), and their involvement in the genesis of vaginal pressure in nulliparous and multiparous rabbits.

METHODS

Age-matched nulliparous and multiparous rabbits were used to record the isometric contractile responses of each muscle as well as the intravaginal pressure evoked by single square electrical pulses and stimulation trains of ascending frequency. To establish significant differences between groups, two-tail unpaired Student t tests were carried out. The linear correlation between intravaginal pressure and muscle contractile force was analyzed with Pearson correlation tests. For all cases, a P ≤ 0.05 was set as statistically significant.

RESULTS

Multiparity decreased the contractile force of Bsm and Ism generated by high-frequency stimulation trains. The normalized force of the Pcm increased when evoked at 1, 4, and 10 Hz while this decreased at higher frequencies (20, 50, and 100 Hz). The contraction of both Bsm and Ism raised particularly the pressure on the perineal vagina while that of the Pcm increased the pressure in the pelvic vagina. Such a functional segregation is still present in multiparous rabbits albeit it was modified.

CONCLUSIONS

Multiparity induces changes in the contractile responses of Bsm, Ism, and Pcm, which alterates the vaginal pressure.

摘要

目的

描述球海绵体肌(Bsm)、坐骨海绵体肌(Ism)和耻骨尾骨肌(Pcm)的收缩特性,以及它们在未生育和经产兔阴道压力产生过程中的作用。

方法

使用年龄匹配的未生育和经产兔记录每块肌肉的等长收缩反应,以及单个方形电脉冲和频率递增的刺激序列诱发的阴道内压力。为了确定组间的显著差异,进行了双侧不成对学生t检验。用Pearson相关检验分析阴道内压力与肌肉收缩力之间的线性相关性。对于所有情况,设定P≤0.05为具有统计学意义。

结果

经产状态降低了高频刺激序列产生的Bsm和Ism的收缩力。当以1、4和10Hz诱发时,Pcm的标准化力增加,而在更高频率(20、50和100Hz)时则降低。Bsm和Ism的收缩尤其增加了会阴阴道的压力,而Pcm的收缩增加了盆腔阴道的压力。这种功能分离在经产兔中仍然存在,尽管有所改变。

结论

经产状态会引起Bsm、Ism和Pcm收缩反应的变化,从而改变阴道压力。

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