盆底肌训练对女性膀胱过度活动症患者症状及生活质量的影响研究  

The effects of pelvic floor muscle training on symptom and quality of life in female patients with overactive bladder

作　　者：徐土珍[1] 孙秋华[2] 黄啸[3] 吕伯东[1] 蒋鹏[3] 孟宏舟[3] 

机构地区：[1]浙江中医药大学附属第二医院泌尿外科,杭州310005 [2]浙江中医药大学护理学院 [3]浙江大学医学院附属第一医院泌尿外科

出　　处：《中华泌尿外科杂志》2014年第8期591-595,共5页Chinese Journal of Urology

摘　　要：目的 探讨盆底肌训练缓解女性膀胱过度活动症（OAB）患者症状及改善患者生活质量的疗效.方法 采取前瞻性随机抽样的方法,于2012年1-8月在门诊选取女性OAB患者107例,实际完成研究者91例,盆底肌训练加健康教育结合托特罗定治疗46例（实验组）,普通健康教育结合托特罗定治疗45例（对照组）,干预3个月,分别于干预前及干预2周、1个月、3个月对两组患者膀胱过度活动症症状评分（OABSS）、盆底肌肌力牛津分级进行测评,干预后6个月随访,同时采用King生活质量量表在干预前及干预3、6个月时对患者生活质量进行测评.结果 治疗前实验组盆底肌力、OABSS评分分别为（2.87±0.65）、（7.61±2.28）分,对照组分别为（2.80±0.55）、（7.44±2.41）分,组间比较差异均无统计学意义（P＞0.05）.治疗前实验组King生活质量量表各维度得分与对照组比较差异均无统计学意义（P＞0.05）.治疗1个月、3个月后实验组患者盆底肌力得分分别为（3.15±0.63）、（3.57±0.58）分,对照组为（2.89±0.57）、（3.09±0.67）分,组间比较差异有统计学意义（P＜0.05）.治疗后6个月时实验组OABSS评分为（1.13±1.93）分,对照组为（2.47±2.18）分,组间比较差异有统计学意义（JP＜0.05）.治疗3个月后King生活质量量表中排尿问题严重性、行为受限、运动受限、社交受限、症状严重程度得分,两组间比较差异有统计学意义（P＜0.05）.干预6个月后,两组患者各维度得分与治疗前比较差异均有统计学意义（P＜0.05）.结论 长期的盆底肌训练结合药物治疗能有效缓解女性OAB症状,提高患者生活质量.Objective To elavluate the efficacy of pelvic floor muscle training （PFMT） on symptoms and quality of life in the treatment of female overactive bladder （OAB）.Methods Ninety-one female patients with OAB completed the prospective study and were divided into 2 groups.The study group had PFMT combined with comprehensive health education and tolterodine （n =46）,and the control group had comprehensive health education combined with tolterodine （n =45）.OAB symptom score （OABSS）,King＇s health questionnaire （KHQ） and modified Oxford scale （MOS） were evaluated at baseline,2 weeks,1 month and 3 months.The patients were followed up for 6 months.Results The MOS and OABSS score in study group before the treatment were 2.87±0.65 and 7.61 ±2.28,respectively,and in control group they were 2.80±0.55 and 7.44±2.41,respectively.There was no significant difference between the 2 grotps （P＞ 0.05）.There was no significant difference in KHQ domains before the treatment between the 2 groups （P＞ 0.05）.The MOS scores were 3.15±0.63 and 3.57±0.58 after treatment of 1 and 3 months in study group,which were significantly improved compared with the values of 2.89±0.57 and 3.09±0.67 in control group （P＜0.05）.The OABSS score was 1.13± 1.93 in study group after treatment of 6 months,which was significantly improved compared with the values of 2.47±2.18 in control group （P＜0.05）.The Incontinence impact,Role Limitations,Physical Limitations,Social Limitations and Symptom Severity in study group improved significantly compared with the values in control group after treatment of 3 months （P＜0.05）.Domains of KHQ scores were totally significantly improved after treatment of 6 months in study group than in control group（P＜0.05）.Conclusion Long term PFMT may play an important role in the treatment of OAB,and can also improve the quality of life of the patients.

关 键 词：女性 膀胱过度活动症 盆底肌训练 生活质量 

分 类 号：R694[医药卫生—泌尿科学]