产后盆底肌功能训练治疗女性尿失禁

目的评价盆底肌功能训练在防治女性产后尿失禁的效果。方法138例住院自然初次分娩产妇，随机分成2组。训练组68例于产后进行6周盆底肌功能训练，对照组70例进行一般的产后健康教育，分别于产后6周及12周随访，通过盆底肌张力强度评分，尿失禁生活质量问卷调查和尿垫试验，评价进行盆底肌功能训练对尿失禁的影响。结果在产后6周时2组的尿失禁发生率无差异，产后12周时训练组尿失禁发生率降低，盆底肌张力强度评分增加，差异有统计学意义（P〈0．05）；对照组比较，差异无统计学意义。结论产后盆底肌功能训练可以提高盆底肌力和减少女性产后尿失禁。

The Effect of Pelvic Floor Training on Female Urinary Incontinence during Postpartum

Objective To evaluate the effect of postpartum pelvic floor muscle exercise on the prevention and treatment of urinary incontinence. Methods One hundred thirty-eight healthy postpartum women were randomly allocated to a training （n= 68） or a control group （n= 70）. The training group attended a 6-week intensive pelvic floor muscle exercise course. The control group received the customary information. Pelvic floor muscle strength was measured pretreatment at the 6th and post-treatment at the 12th week after delivery, using pelvic floor muscle strength oxford scale. Urinary leakage was registered by interviewing incontinence quality-of-life and a standardized pad test. Results At baseline （6 weeks postpartum） there was no significant difference in the number of women with urinary incontinence in the training group compared to the control group. At 12 weeks postpartum, after the 0-week treatment period, there was difference （P〈0.05） in favor of the training group. In addition,a significantly greater improvement in pelvic floor muscle strength was found in the training group rather than in the control group. Conclusion A specially designed postpartum pelvic floor muscle exercise course is effective in increasing pelvic floor muscle strength and reducing urinary incontinence in the immediate postpartum period.