盆底康复训练治疗中老年妇女压力性尿失禁的效果评价

目的观察盆底康复治疗压力性尿失禁的临床效果。方法选取86例压力性尿失禁的妇女随机分成对照组（n=43）和治疗组（n=43）,治疗组由专人指导进行盆底肌康复治疗,对照组进行一般健康教育。治疗前和治疗结束时评价2组自觉症状、盆底肌收缩力、1 h尿垫试验和尿失禁生活质量问卷评分。结果治疗组在治疗后自觉症状有改善,轻度和中度患者漏尿症状改善率分别为95.65%和81.25%。盆底肌张力强度评分上升,治疗前平均肌力为（2.56±0.42）分,治疗后为（3.29±0.98）分,差异有统计学意义（P〈0.05）。治疗前1 h尿垫试验（1HPTV）平均值为（5.93±2.05）g,治疗后为（4.16±1.84）g,差异有统计学意义（P〈0.05）,治疗后生活质量问卷评分与对照组相比,差异无统计学意义（P〉0.05）。结论盆底康复训练可改善妇女盆底肌功能,治疗压力性尿失禁有效。

Effect of pelvic floor rehabilitation on stress urinary incontinence of elderly female

Objective To observe the effect of pelvic floor rehabilitation on female stress urinary incontinence（ SUI）. Methods Eighty-six female cases with stress urinary incontinence were randomly allocated into training group（ n=43） and control group（ n=43）. The training group attended a pelvic floor rehabilitation course,and the control group received the routine education only. The effect was assessed after the treatment. Results In the training group,the symptoms of all patients were relieved. The symptom improvement rate of the patients with mild or moderate SUI were95. 65% and 81. 25%. Their pelvic floor muscle strength was 3. 29±0. 98 after treatment,which was higher than that before treatment（ 2. 56±0. 42）. The average 1HPTV was 5. 93± 2. 05 g before treatment and 4. 16± 1. 84 g after treatment,and there was significant difference（ P〈0. 05）. But I-QOL showed no significant difference between the two groups after treatment（ P〉0. 05）. Conclusions Pelvic floor rehabilitation course is effective in improving the pelvic floor muscle function status. It＇s a safe and effective method in the treatment of female stress urinary incontinence.