摘要
目的探讨一种治疗女性压力性尿失禁（SUI）新的盆底肌锻炼方式的临床效果。方法采用前瞻性随机抽样的方法，选取轻、中度女性SUI患者60例，其中进行盆底肌锻炼30例（实验组），第八套广播操锻炼30例（对照组）。应用国际尿失禁咨询委员会尿失禁问卷（ICI—Q—SF）、尿垫试验及尿动力学检测方法分别对两组患者锻炼前后的尿失禁程度、漏尿量、最大尿道闭合压和功能性尿道长度等指标进行测定。统计学比较组间各指标的差异。结果治疗前实验组尿失禁评分、漏尿量、最大尿道闭合压及功能尿道长度分别为（11．6±4．2）分、（5．9±2．2）m1、（39．4±12．5）cmH2O（1cmH2O=0．098kPa）和（2．5±1．2）cm，对照组分别为（10．3±2．2）分、（5．8±1．3）ml、（41．3±8．9）cmH2O和（2．1±0．5）cm，组间比较差异均无统计学意义（P〉0．05）。治疗后实验组患者尿失禁评分、漏尿量及最大尿道闭合压分别为（7．7±2．7）分、（1．8±1．2）ml、（65．9±8．9）cmH2O，对照组分别为（10．1±2．1）分、（5．7v1．1）ml和（44．6±9．5）cmH2O，组间比较差异有统计学意义（P〈0．05）。结论新的盆底肌锻炼方式能够缓解女性SUI患者的症状，推荐用于治疗轻、中度女性SUI患者的治疗。
Objective To evaluate the efficacy of a new pelvic muscle gymnastic exercise in the treatment of stress urinary incontinence （SUI）. Methods Prospectively, we randomly recruited 60 cases with mild and moderate SUI. We use ICI-Q-SF, pad Test and urodynamics to assess the degree of incontinence, volume of leakage, maximum urethral pressure and functional urethral length before and after intervention. Results The ICI-Q-SF score, volume of leakage, maximum urethral closure pressure and functional urethral length in study group before treatment were 11.6 ±4.2, （5.9±2.2） ml, （39.4 ± 12.5） cm H20 and （2.5 ±1.2） cm. The indicators in control group were 10.±2.2, （5.8 ±1.3） ml, （41.3 ±8.9） cm H20 and （2.1 ±0.5 ） cm respectively. There was no significant difference between the 2 groups （ P 〉 0.05 ）. The ICI-Q-SF score, volume of leakage and maximum urethral closure pressure in study group after treatment were 7.7 ±2.7, （ 1.8 ± 1.2） ml and （65.9 ± 8.9） cm H20, which were significantly improved than the values of 10. 1 ±2. 1, （5.7 ± 1. 1） ml and （44.6 ±9.5） cm H2O in control group （P 〈0.05）. Conclusions The new pelvic muscle exercise may play an important role in the treatment of mild and moderate SUI. Therefore, it could be recommended to the patients with mild and moderate SUI.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
2013年第3期201-203,共3页
Chinese Journal of Urology
关键词
尿失禁
压力性
盆底肌锻炼
Urinary incontinience, stress
Pelvic muscle exercise
