行为治疗在预防初产妇产后压力性尿失禁中的作用  

The effect of behavior therapy for preventing postpartum stress urinary incontinence in primipara

作　　者：邱敏捷[1] 黎灿强[1] 徐乐[1] 蒋杰宏[1] 王志峰[1] 姚聪[1] 杨毅[1] 

机构地区：[1]南方医科大学附属何贤纪念医院泌尿外科,广东广州511400

出　　处：《吉林医学》2015年第12期2629-2631,共3页Jilin Medical Journal

基　　金：广州市番禺区科技计划资助项目[项目编号:2011-Z-03-08]

摘　　要：目的:探讨行为治疗在预防初产妇产后压力性尿失禁(SUI)的临床效果。方法:筛选在门诊定期产检并住院分娩的孕妇527例作为研究对象,随机分为研究组263例和观察组264例。研究组接受由专人指导实施一对一的健康教育及行为治疗训练指导,观察组常规接受门诊定期随访,了解并记录SUI事件。两组病例均随访至第8周,分别统计并分析两组病例在产后第4周、第8周时的SUI发病率及生活质量指数(QOL)情况。结果:研究组与观察组在分娩方式、新生儿体重方面的差异无统计学意义(P>0.05)。与观察组相比,研究组的产后SUI发生率较低,QOL较高,差异均有统计学意义(P<0.01)。结论:SUI的行为治疗方法简单、有效,对于初产妇应该进行预防性的行为锻炼,可减少产后SUI的发生,提高产妇的生活质量,无任何不良反应,易于接受,值得临床推广。objective To investigate the effect of behavior therapy for preventing postpartum stress urinary incontinence in primipa-ra. Method 527 primiparas were selected,they were randomly divided into study group （263 cases）and the observation group（264 cases） . Study group received one by hand to guide the implementation of health education and behavioral therapy training guidance,and the observation group was followed up regularly,recorded incontinence events. Two groups of patients both were followed up to 8 weeks after postnatal. The SUI mor-bidity and quality of life index score in the two groups were counted and analyzed respectively in 4 weeks and 8 weeks after postnatal. Results The differences between study group and observation group about mode of delivery and birth weight was not statistically significant（P〉0. 05） . Compared with the observation group,the study group had lower incidence of postpartum urinary incontinence,higher quality of life scores, which differences were statistically significant（ P〈0. 01）. Conclusion Behavioral treatment for SUI is simple and effective to reduce the inci-dence of postnatal urinary incontinence and improve the quality of life without any side effects. It is easy to accept,worthy of promotion.

关 键 词：产后 压力性尿失禁 行为治疗 

分 类 号：R473.71[医药卫生—护理学]