补肾益气法结合盆底肌肉训练预防产后压力性尿失禁200例  

Two Hundred Cases of Postpartum Stress Urinary Incontinence Prevented with Method of Tonifying Kidney and Supplementing Qi in Combination with Pelvic Floor Muscle Training

作　　者：程亮亮 CHENG Liang-liang(Xiangyang City Hospital of TCM,Xiangyang,Hubei,China,441021)

机构地区：[1]襄阳市中医医院,湖北襄阳441021

出　　处：《河南中医》2018年第11期1698-1701,共4页Henan Traditional Chinese Medicine

摘　　要：目的:观察补肾益气法结合盆底肌肉训练预防产后压力性尿失禁的临床疗效。方法:将自然分娩的600例产妇随机分为对照组A、对照组B和治疗组,每组各200例。对照组A进行常规产后宣教,对照组B进行产后宣教及盆底肌肉训练,治疗组进行产后宣教及盆底肌肉训练,同时口服补肾益气中药。三组产妇分别于产后6周进行随访,对预防产后压力性尿失禁的效果进行评估。结果:对照组A产妇漏尿量及漏尿次数多于对照组B及治疗组,对照组B产妇漏尿量及漏尿次数多于治疗组,任意两组比较,差异均有统计学意义(P <0. 05)。I类肌肌力比较,对照组A与对照组B及治疗组比较,差异有统计学意义(P <0. 05)。II类肌肌力比较,对照组B及治疗组肌力优于对照组A,治疗组肌力优于对照组B,差异有统计学意义(P <0. 05)。结论:补肾益气法结合盆底肌肉训练可有效预防产后压力性尿失禁。Objective: To observe the clinical curative effect of method of tonifying kidney and supplementing qi in combination with pelvic floor muscle training on postpartum stress urinary incontinence. Methods: Six hundred delivery women with natural childbirth were randomly divided into the control group A,the control group B and the treatment group,with 200 cases in each group. The control group A received routine postpartum propaganda education,the control group B received postpartum propaganda education and pelvic floor muscle training,and the treatment group received postpartum propaganda and pelvic floor muscle training,at the same time plus oral Chinese medicine for tonifying kidney and supplementing qi. All the delivery women in the three groups were followed up at the 6th week after childbirth,and the effect of prevention of postpartum stress urinary incontinence was evaluated. Results: The urine leakage amount and frequency in the control group A were more than those in the control group B and C. The urine leakage amount and frequency in the control group B were more than those in the group C. The difference between any two groups was statistically significant ( P < 0. 05) . Compared with the group B and the group C,there was no significant difference in class Ⅰ muscle strength between the two groups But there was statistical difference between the group A with the group B or the group C( P < 0. 05) . The class Ⅱ muscle strength of the control group B and C was better than that of the control group A,and the class Ⅱ muscle strength of the control group C was better than that of the control group B,the difference was statistically significant ( P < 0. 05) . Conclusion: Method of tonifying kidney and supplementing qi in combination with pelvic floor muscle training can effectively prevent postpartum stress urinary incontinence.

关 键 词：压力性尿失禁 补肾益气法 盆底肌肉训练 

分 类 号：R277.591.5[医药卫生—中医学]