231例基层社区女性压力性尿失禁早期干预效果观察  

Investigation on efficiency of 231 female cases by early intervention on stressed-urinary incontinence

作　　者：吴永红[1] 胡铧文 韩春艳[1] 

机构地区：[1]深圳市南山区计划生育服务中心,518052

出　　处：《齐齐哈尔医学院学报》2015年第8期1115-1116,共2页Journal of Qiqihar Medical University

基　　金：广东省人口和计划生育委员会科研项目(20133054)

摘　　要：目的：探索基层社区绝经过渡期患压力性尿失禁女性早期干预的效果观察，提供最佳的防治措施，降低压力性尿失禁的发生。方法南山区三个街道的基层社区女性年龄在40～55岁之间共1300例，采用自填问卷方式进行压力性尿失禁筛查。筛查结果患压力性尿失禁为231例（轻度206例、中度25例），按患病程度随机分为三组，A组77例雌激素软膏局部涂抹，B组77例盆底肌肉锻炼康复方法， C组77例盆底肌肉锻炼联合雌激素软膏局部涂抹。1、3个月后各项指标进行比较分析。结果三组干预1、3个月后压力性尿失禁症状改善有效率分别为 A 组41．59％、B 组62．34％、C 组75．33％及 A 组68．83％、B组83．12％、C组94．81％。三组进行统计学分析有显著性差异（P＜0．05）。结论（1）定期下社区进行健康教育讲座，提高认知能力及依从性。（2）女性尽早进行盆底肌肉康复训练，避免压力性尿失禁的发生。（3）加强体育锻炼，增强自我保健意识，提高社区绝经过渡期女性的生活质量。（4）轻、中度压力性尿失禁的女性，坚持盆底肌肉康复训练联合雌激素软膏外用治疗，疗效显著。Objective To observe the effect of early intervention of women suffering from stress urinary incontinence in their menopausal transition, provide the best prevention measure, and reduce the incidence of stress urinary incontinence.Methods An investigation of 1300 cases of women, aged from 40~55, from the three streets in Nanshan District in Shenzhen.They were screened for stress urinary incontinence by filling the self-administered questionnaires.231 women （206 mild cases, 25 moderate cases） suffered from stress urinary incontinence.They were randomly divided into three groups according to their degrees of illness.A group had 77 cases who used the topical estrogen cream.B group had 77 cases who used the rehabilitation methods including pelvic floor muscle exercises.C group had 77 cases who used the pelvic floor muscle exercises with combination of topical estrogen cream.All cases were analyzed after 1 and 3 months based on the indicators.Results The efficiency rate after 1 month for A, B, and C group was 41.59%, 62.34%, and 75.33% respectively.It increased to 68.83%, 83.12%, and 94.81% respectively.There was a significant difference （P 〈0.05）. Conclusions 1.Host community health education seminars regularly to improve female＆#39;s knowledge on the illness and their compliance.2.Female should start the pelvic floor muscle earlier to avoid the occurrence of stress urinary incontinence.3.Increase physical activity;enhance self-care awareness;improve the quality of life of the menopausal transition female.4.For female, who suffered from mild to moderate stress urinary incontinence, should use the pelvic floor muscle rehabilitation with combination of topical estrogen cream treatments.

关 键 词：绝经过渡期女性 压力性尿失禁 早期干预 

分 类 号：R694.54[医药卫生—泌尿科学]