盆底肌训练治疗女性轻中度压力性尿失禁临床疗效及生活质量影响的研究  

Clinical Effects of Pelvic Floor Muscle Training on Mild and Moderate Stress Urinary Incontinence in Female and the Influence on Quality of Life

作　　者：宋宝林[1] 邵欢[1] 沈瑞林[1] 赫艳梅[1] 朱欣伟[1] 陈涵凯 

机构地区：[1]嘉兴市中医医院泌尿外科,浙江嘉兴314000

出　　处：《泌尿外科杂志（电子版）》2016年第3期41-44,63,共5页Journal of Urology for Clinicians(Electronic Version)

基　　金：嘉兴市科技计划项目支持(2013AY21053-5)

摘　　要：目的探讨盆底肌训练(pelvic floor muscle training,PFMT)治疗女性轻中度压力性尿失禁的疗效,以及对生活质量的影响。方法选取2013年5月至2015年12月在本院确诊为轻中度压力性尿失禁的女性患者100例,在医生指导及监督下行盆底肌训练12周,治疗前后分别行国际尿失禁咨询委员会尿失禁问卷简表(international consultation on incontinence questionnaire-short form,ICI-Q-SF)问卷调查、1小时尿垫试验、尿失禁生活质量量表(incontinence quality of life measure,I-QOL)问卷调查。结果100例患者中有81例完成了研究,19例脱落。81例患者PFMT治疗结束后总有效率73.8%,轻度组有效率83.7%,中度组有效率62.2%。PFMT治疗前ICI-Q-SF评分(9.38±2.71)分,治疗后ICI-Q-SF评分(5.15±4.73)分,差异有统计学意义(P<0.001)。治疗前I-QOL评分(63.97±11.45)分,治疗后I-QOL评分(81.21±19.13)分,差异有统计学意义(P<0.001)。结论盆底肌训练对压力性尿失禁患者的症状、生活质量都有明显的改善,是轻中度压力性尿失禁患者的首选治疗方法。Objective To probe into the therapeutic effects of pelvic floor muscle training （ PFMT ） on the mild and moderate stress urinary incontinence, as well as the influence on quality of life. Methods O n e hundred female patients were diagnosed with mild and moderate stress urinary incontinence in our hospital from M a y 2013 to December 2015 , and underwent 12 weeks of PFMT under the guidance and supervision of the doctors. T he in-ternational consultation on incontinence questionnaire - short form （ICI - Q - S F ） questionnaire survey,1h pad - test,and incontinence quality of life measure （ I - QOL ） questionnaire survey were conducted before and after their treatments. Results There are 100 patients whereas 81 finished the whole research and 19 lost. The total effective rate of the 81 cases of patients was 73. 8 % upon the completion of the PFMT treatment,with that of83.7% in the mild group and 62. 2% in the moderate group. Th e ICI - Q - S F score before and after the PFMT treatment were （9. 38 ± 2. 71 ） and （5. 15 ±4. 73） respectively, the differences were statistically significant （P 〈0.001）. The I -QOL scores before and after treatments were （63.97 ±11.45） and （81.21 ±19. 13）, respectively,with statistical significance （ P 〈0.001）. Conclusions T he P F M T can remarkably improve the symptoms and quality of life of patients with stress urinary incontinence, and it is the preferred therapeutic meth-od for patients with mild and moderate stress urinary incontinence.

关 键 词：盆底肌训练 压力性尿失禁 生活质量 

分 类 号：R711.59[医药卫生—妇产科学]