盆底肌功能训练预防和治疗产后尿失禁的效果观察

目的：评价盆底肌功能训练在预防和治疗产后尿失禁的效果。方法：将265例自然分娩初产妇随机分为对照组139例和观察组126例。对照组实施常规产后健康教育指导,观察组由专业助产士实施8周以上一对一的健康教育及盆底肌功能训练指导。分别在产后3、6、12个月对两组产妇的排尿状况、尿垫试验阳性率、盆底肌收缩力进行评估。结果：观察组产后3、6、12个月排尿状况评分、尿垫试验阳性率、盆底肌收缩力评分与对照组比较,差异有统计学意义（P〈0．05,P〈O．01）。结论：产后盆底肌功能训练能有效预防和治疗产后尿失禁。     

盆底肌功能训练防治产后尿失禁的效果观察

[目的]观察盆底肌功能训练防治产后尿失禁的效果。[方法]将198例自然初次分娩产妇随机分成两组,观察组100例在产后由专人指导进行盆底肌功能训练,对照组98例产后进行一般健康教育和常规护理。产后3个月、6个月、12个月评价两组产妇排尿状况评分、盆底肌收缩力评分和尿垫试验阳性情况。[结果]观察组产后3个月、6个月、12个月排尿状况评分低于对照组,盆底肌张力强度评分和尿垫试验阳性率高于对照组(P<0.05)。[结论]产后盆底肌功能训练可改善产妇产后盆底肌功能,有利于产妇的产后康复,提高产妇的生活质量。     

Kegel盆底肌训练治疗产后尿失禁35例效果观察

目的:探讨Kegel盆底肌训练治疗产后尿失禁的效果。方法:将67例自然分娩初产妇随机分为实验组35例和对照组32例,实验组于产后3个月开始进行12周的产后健康教育和Kegel盆底肌训练指导,对照组给予常规健康教育,两组均于产后3个月、6个月进行随访,通过问卷调查、盆底肌力测定及尿垫试验评价其排尿情况。结果:产后3个月两组排尿状况评分、盆底肌力评分、尿失禁发生率比较差异均无统计学意义(P>0.05),产后6个月两组比较差异均有统计学意义(P<0.05)。结论:Kegel盆底肌训练能有效治疗产后尿失禁。     

针灸结合盆底肌训练治疗产后压力性尿失禁

目的观察针灸结合盆底肌训练治疗产后压力性尿失禁的疗效。方法 100例符合筛选条件、自然分娩的产妇分成对照组50例和治疗组50例。对照组单纯采用盆底肌训练,治疗组采用针灸(毫针针刺、艾灸)和盆底肌训练综合治疗。于治疗4周后进行疗效评定。结果治疗组总有效率84%,对照组总有效率56%(χ2=10.54,P<0.01)。结论针灸治疗可提高盆底肌训练对产后压力性尿失禁的疗效。     

产后早期盆底肌功能训练对预防产后尿失禁的临床效果分析

目的探讨进行早期盆底肌功能训练预防产后尿失禁的效果。方法将1500例足月、初产、头位自然分娩的产妇,随机分A组、B组、C组各500例。使用不同的方法进行产后盆底肌功能训练,于产后3个月随访,进行效果评价、比较。结果 A、B组产妇漏尿发生率分别为4.49%、11.11%,较C组(漏尿发生率22.5%)低,差异有显著意义(P0.05)。结论产后早期进行盆底肌功能训练可降低尿失禁的发生率,但要为产妇提供个性化的训练方法。     

盆底肌训练早期干预预防初产妇产后压力性尿失禁效果的Meta分析

目的评价盆底肌训练对初产妇产后压力性尿失禁的临床效果。方法计算机检索MEDLINE、EMBASE等数据库。纳入盆底肌训练治疗初产妇产后压力性尿失禁的随机对照试验,并追索已纳入文献的参考文献。由2位评价员独立进行文献筛查、质量评价和资料提取,并交叉核对,意见不一致时讨论解决,或向专家咨询解决。采用RevMan 5.2软件进行Meta分析。结果初检出950篇文献,最后纳入5篇文献,随机对照试验(1 520例,其中干预组778例、对照组742例)。Meta分析结果显示:进行盆底肌训练在预防和控制压力性尿失禁发生率方面与常规护理比较有统计学意义,[OR合并=0.78,95%CI(0.61,0.98),P=0.03]。孕期进行盆底肌训练与产后进行盆底肌训练比较无统计学意义[OR=0.91,95%CI(0.66,1.25),P=0.56]。对不适合Meta分析的资料进行系统综述,结果显示盆底肌训练能增强盆底肌力,提高最大盆底肌收缩力(P0.05),同时患者依从性随着时间的推移下降。结论盆底肌训练能有效预防和治疗产后压力性尿失禁,孕期与产后进行盆底肌训练效果无差异。     

前列腺电切术前盆底肌功能训练对预防患者术后尿失禁的作用

目的：探讨前列腺电切术（ TURP）前盆底肌功能训练对患者术后尿失禁的预防效果。方法选取收治拟行TURP治疗的前列腺良性增生患者100例,随机分为实验组与对照组,每组50例。对照组患者实施常规治疗及护理措施,实验组在对照组治疗及护理的基础上术前进行盆底肌功能训练。比较两组患者术后尿失禁的情况。结果实验组患者术后尿失禁评分、发生率及持续时间均明显低于对照组（均P＜0.05）。结论对前列腺良性增生患者TURP术前进行盆底肌功能训练可以明显改善术后尿失禁状况,减少其发生及持续时间,对TURP术后患者尿失禁具有理想的预防效果。     

Kegel运动训练联合盆底肌生物反馈治疗产后压力性尿失禁

目的：探究Kegel运动训练联合盆底肌生物反馈在产后压力性尿失禁患者中的应用效果。方法：选取2018年5月~2020年3月收治的产后压力性尿失禁患者102例,按随机数字表法分为对照组和观察组,各51例。对照组给予Kegel运动训练治疗,观察组给予Kegel运动训练、盆底肌生物反馈联合治疗。对比两组疗效及治疗前后盆底肌力、尿失禁程度评分、尿流动力学指标（最大尿道压、膀胱顺应性、功能性尿道长度、最大尿流率时逼尿肌压）。结果：观察组治疗总有效率92.16%较对照组68.63%高（P＜0.05）;观察组治疗后盆底肌力大于对照组（P＜0.05）;治疗后观察组尿失禁程度评分低于对照组（P＜0.05）;治疗后观察组最大尿道压、膀胱顺应性、功能性尿道长度、最大尿流率时逼尿肌压均高于对照组（P＜0.05）。结论：Kegel运动训练联合盆底肌生物反馈治疗产后压力性尿失禁患者,可改善盆底肌力、尿流动力学状态,疗效显著。     

产后压力性尿失禁患者盆底肌训练现状及应对策略的研究进展

本文在介绍产后压力性尿失禁患者盆底肌训练现状的基础上,对盆底肌训练的影响因素与应对策略进行综述,以期为孕产期盆底康复方案提供借鉴.     

盆底肌肉训练对产后压力性尿失禁影响的探讨

目的 探讨盆底肌肉训练在产后压力性尿失禁产妇中的临床作用。 方法 对60例产妇入院资料进行分析,将其随机分为2组。2组均进行常规护理,实验组在常规护理的基础上进行盆底肌肉训练。在产妇产后1年,通过问卷调查、尿垫试验和盆底肌力评价2组盆底肌肉训练的效果。 结果 实验组产后12个月排尿状况评分为(1.86±0.33)分,低于对照组(2.60±0.47)分,差异有统计学意义(t=19.71,P<0.05);产后12个月盆底肌力评分为(4.46±0.42)分,高于对照组(3.13±0.39)分,差异亦有统计学意义(t=18.82,P<0.01);实验组产后12个月尿垫试验阳性率为10.00%,低于对照组36.67%(χ²=4.56,P<0.05)。 结论 产后压力性尿失禁采用盆底肌肉训练治疗效果理想。     

产后压力性尿失禁妇女盆底肌训练知信行现状及影响因素分析

目的:调查产后压力性尿失禁（SUI）患者盆底肌训练知信行情况。方法:便利选取2018年1月—2019年1月北京某妇产医院产后12周在盆底门诊就诊患者213例,采用产褥期妇女盆底肌功能锻炼知信行及需求问卷进行调查,分析患者盆底肌功能锻炼知信行的影响因素。结果:213例SUI患者盆底肌训练知信行总体标准分为（75.70±1...     

Pelvic floor muscle training effect on urinary incontinence knowledge, attitudes, and severity: an experimental study

This study of Taiwanese women investigated effects of pelvic floor muscle training (PFMT) on urinary incontinence (UI) severity and on participants' knowledge and attitudes regarding UI and PFMT. Of 114 participants in a 4-h PFMT program, 55 suffering from UI completed 2 questionnaires, 1 before and 1 after the program. Among them, 78% reported experiencing UI under increased abdominal pressure, and 82% had suffered the condition for more than 1 year. Participants achieved reductions in UI severity after PFMT; and the program produced a significant difference in their knowledge about, though not in their attitudes toward, both UI and PFMT.     

基于跨理论模型的护理干预在产后尿失禁患者盆底肌功能锻炼中的应用

目的:探讨基于跨理论模型的护理干预在产后尿失禁患者盆底肌功能锻炼中的应用效果。方法:采用便利抽样法,选取2019年8月—2020年8月于北京协和医院盆底康复中心就诊的128例产后尿失禁患者为研究对象。按照患者就诊先后时间进行分组,将2019年8—12月收治的64例患者设为对照组,将2020年1—8月收治的64例患者设为...     

Beneficial effects of biofeedback-assisted pelvic floor muscle training in patients with urinary incontinence after radical prostatectomy: A systematic review and metaanalysis

ObjectivesThis systematic review and metaanalysis compared the effects of biofeedback-assisted pelvic floor muscle training with those of pelvic floor muscle training alone in patients with urinary incontinence after radical prostetactomy.DesignA review and metaanalysis study design.Data sourcesThe metaanalysis was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and MetaAnalyses guidelines. A systematic search of PubMed/Medline OVID, the Cumulative Index to Nursing and Allied Health Literature, Cochrane Library, BioMed Central, Web of Science, Chinese Electronic Periodical Services, Chinese Journal and Thesis Database, and China National Knowledge Infrastructure was performed for retrieving records.Review methodsFor determining the effects of training type on urinary incontinence, randomized controlled trials on biofeedback-assisted pelvic floor muscle training with or without electrical stimulation were compared with those on pelvic floor muscle training with or without electrical stimulation, respectively, in the metaanalysis. The Cochrane Collaboration tool in the Cochrane Handbook for Systematic Review of Interventions 5.1.0 was used to assess the methodological quality of the included trials. Subjective and objective measurement of urinary incontinence improvement and the quality of life were the primary and secondary outcome measures, respectively. Data were analyzed using Comprehensive Meta-Analysis software 2.0. In addition, subgroup analyses and metaregression were performed to explore the possible sources of heterogeneity.ResultsThirteen randomized controlled trials involving 1108 patients with prostatectomy incontinence were included. The immediate-, intermediate-, and long-term effects of objectively measured biofeedback-assisted pelvic floor muscle training on urinary incontinence were significant (mean effect size = −0.316, −0.335, and −0.294; 95% CI: −0.589 to −0.043, −0.552 to −0.118 and −0.535 to −0.053; p = 0.023, 0.002, and 0.017, respectively) when compared with those of pelvic floor muscle training alone. However, when urinary incontinence was measured subjectively, only the intermediate and long-term effects of biofeedback were found (p = 0.034 and 0.005, respectively). Small-to-moderate immediate- and intermediate-term effects on the quality of life were observed when biofeedback-assisted pelvic floor muscle training was compared with pelvic floor muscle training alone. No publication bias was observed among studies.ConclusionsBiofeedback can be an adjunct treatment to pelvic floor muscle training for reducing urinary incontinence in patients who have undergone radical prostatectomy.     

Pelvic floor muscle training versus no treatment,or inactive control treatments,for urinary incontinence in women: a cochrane systematic review abridged republication

Background

Pelvic floor muscle training is the most commonly used physical therapy treatment for women with urinary incontinence.

Biofeedback for pelvic floor muscle training in women with stress urinary incontinence: a systematic review with meta-analysis

Background

Several clinical effects have been attributed to the use of biofeedback (BF) as an adjuvant in the treatment of women with stress urinary incontinence (SUI).

Impact of pelvic floor muscle training on sexual function of women with urinary incontinence and a comparison of electrical stimulation versus standard treatment (IPSU trial): a randomised controlled trial

Aims

To evaluate the clinical and cost-effectiveness of electric stimulation plus standard pelvic floor muscle training compared to standard pelvic floor muscle training alone in women with urinary incontinence and sexual dysfunction.