盆底肌肉锻炼联合雌激素治疗绝经妇女压力性尿失禁的临床观察  

Clinical observation of pelvic floor muscle exercise combined with estrogen in the treatment of stress urinary incontinence in post-menopausal women

作　　者：鄂春翔[1] 贾虹[1] 郑之琦[1] 刘阳 

机构地区：[1]齐齐哈尔市第一医院泌尿外科,黑龙江齐齐哈尔161005 [2]齐齐哈尔第二机床厂职工医院外一科,黑龙江齐齐哈尔161005

出　　处：《中国医药导报》2009年第13期58-59,共2页China Medical Herald

摘　　要：目的:观察盆底肌肉锻炼联合雌激素治疗绝经妇女压力性尿失禁的疗效。方法:将44例绝经妇女压力性尿失禁患者随机分为试验组和对照组,前者采用雌激素治疗联合盆底肌肉锻炼,后者单纯盆底肌肉锻炼。治疗后观察评定尿失禁改善情况,比较分析应用雌激素后的疗效。结果:试验组和对照组总有效率分别为100%和50%,差异具有显著性(P<0.01)。试验组用药后血清促卵泡素水平显著下降,雌激素水平上升至卵泡早期水平,体重、血脂及肝肾功能变化均无统计学意义。结论:盆底肌肉锻炼联合雌激素治疗绝经妇女压力性尿失禁疗效较好,值得临床推广。Objective： To observe the curative effect of pelvic floor muscle exercise combined with estrogen in the treatment of stress urinary incontinence in post-menopausal women. Methods： 44 cases of pressure urine incontinence of postmenopausal women were divided into experimental group and control group, the former accepted the trough bottom muscle exercise union with estrogen, the latter accepted pure trough bottom exercise. After the treatment,urine incontinence improvement situation were evaluated,the curative effects were compared. Results： The total effective rate of experimental group and control group were 100% and 50% respectively,the difference had statistical significance （P〈0.01）. After treatment, the blood serum prolan level of experimental group dropped obviously, the estrogen level rised to the levels of graafian follicle early time,the body weight, the blood fats and the hepatorenal function change had no statistical significance. Conclusion： The trough bottom muscle exercise combinated with estrogen in the treatment of pressure urine incontinence of post-menopause women has good curative effect,and it is worth being promoted.

关 键 词：雌激素 压力性 尿失禁 盆底肌肉锻炼 

分 类 号：R694.54[医药卫生—泌尿科学]