摘要
目的探讨盆底肌训练在脑卒中后尿失禁住院患者中的治疗效果。方法采用随机双盲对照试验,将87例脑卒中后尿失禁住院患者分为试验组(n=43)和对照组(n=44)。对照组进行一般常规护理,试验组在对照组的基础上加用盆底肌训练。比较两组患者排尿情况、临床疗效、国际尿失禁咨询委员会问卷简表(ICI-Q-SF)评分。结果干预后,试验组患者白天排尿次数、尿失禁次数、ICI-Q-SF评分较治疗前明显降低,且明显低于对照组,差异有统计学意义(P<0.05)。试验组痊愈7例,显效12例,有效14例,无效10例,有效率为76.74%,明显高于对照组,差异有统计学意义(P<0.05)。结论盆底肌训练对脑卒中后尿失禁患者有一定治疗效果。
Objective To explore the treatment effect of pelvic floor muscle training(PFMT)in the hospitalized patients with urinary incontinence after stoke.Methods Eighty-seven inpatients with urinary incontinence after stoke were randomized to the experimental group(n=43)and control group(n=44)by adopting the double blinded controlled experiment.The control group conducted the general conventional nursing,and on the basis of the control group,the experimental group was added with PFMT.The urination condition,clinical treatment effect and ICI-Q-SF score were compared between the two groups.Results The daytime urinary frequency,urinary incontinence frequency and ICI-Q-SF score after intervention in the experimental group were significantly decreased compared with those before treatment,moreover were significantly lower than those in the control group,and the differences were statistically significant(P<0.05);seven cases in the experimental group were cured,12 cases were significantly effective,14 cases were effective,10 cases were ineffective,and the effective rate was 76.74%,which was significantly higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion PFMT has a certain effect on the inpatients with urinary incontinence after stroke.
作者
李娟
赵雪姣
周莹
田芳
潘慧
LI Juan;ZHAO Xuejiao;ZHOU Ying;TIAN Fang;PAN Hui(Guizhou Provincial People's Hospital,Guiyang,Guizhou 550002,China)
出处
《重庆医学》
CAS
2019年第6期965-968,972,共5页
Chongqing medicine
基金
中国留学基金委公派留学资助项目(201708525063)
贵州省卫生计生委科学技术基金资助项目(gzwjkj2017-1-012)
关键词
盆底肌训练
卒中
尿失禁
治疗应用
pelvic floor exercises
stroke
urinary incontinence
therapeutic uses
