盆底康复训练对预防产后压力性尿失禁的疗效观察  

作　　者：李淑玲[1] 廖惠璇[1] 

机构地区：[1]南方医科大学附属石龙人民医院,523320

出　　处：《中国社区医师（医学专业）》2011年第36期73-74,共2页

摘　　要：目的:探讨产妇产后进行盆底康复训练对预防产后压力性尿失禁的疗效。方法:将140例在本院分娩的单胎足月顺产的初产妇随机分为两组,每组各70例。试验组使用盆底肌肉康复器进行盆底生物反馈训练及阴道锥体训练,对照组进行一般的产后健康教育,两组均于产后6周及产后6个月进行盆底肌肉肌力评估及压力性尿失禁的诊断。结果:实验组产妇SUI的发生率比对照组明显降低,差异有统计学意义(P<0.01)。实验组治疗后盆底肌肉肌力较治疗前有明显提高,差异有统计学意义(P<0.01),对照组治疗前后盆底肌肉肌力无明显变化(P>0.05);治疗后实验组盆底肌肉肌力较对照组明显提高,差异有统计学意义(P<0.01)。结论:盆底肌肉康复锻炼作为一种早期预防产后尿失禁治疗方法,可使产后SUI的发生率明显下降,且方法简单,无损伤及不良反应,是女性SUI非手术疗法中一个好的选择。Objective：To explore the effects of pelvic floor rehabilitation training on the prevention of postpartum stress urinary in- continence. Methods： The 140 primiparas were randomly divided into two groups, each group 70 patients. Experimental group received biofeedback training and pelvic floor training through using pelvic floor muscle rehabilitation apparatus, control group received post - natal health education. Both groups received pelvic floor muscle assessment and diagnosis of stress urinary incontinence in 6 weeks andt 6 months postpartum. Results ： The incidence of stress urinary incontinence for experimental groups was significantly lower than control group. Pelvic floor muscle strength of experimental grouphave increased significantly after treatment than before treatment, no significant change in the control group. Conclusion ： Pelvic floor muscle rehabilitation exercises as a method of early prevention for postpartum urinary incontinence could significantly decrease the incidence. It is a good choice of non - surgical therapy for women with stress urinary incontinence.

关 键 词：盆底康复训练 压力性尿失禁疗效 

分 类 号：R473.71[医药卫生—护理学]