髋部肌锻炼对压力性尿失禁患者的应用效果  

Effects of hip muscle exercise on patients with stress urinary incontinence

作　　者：史蕾[1] 齐进春[1] 耿连霞[1] 胡然[1] 徐辉[1] 张永泰 SHI Lei;QI Jin-chun;GENG Lian-xia;HU Ran;XU Hui;ZHANG Yong-tai(Department of Urinary Surgery,the Second Hospital of Hebei Medical University,Shijiazhuang 050000,China)

机构地区：[1]河北医科大学第二医院泌尿外科,河北石家庄050000

出　　处：《河北医科大学学报》2020年第3期291-294,共4页Journal of Hebei Medical University

摘　　要：目的观察抗阻力髋部肌锻炼对轻中度压力性尿失禁(stress urinary incontinence,SUI)患者的应用效果。方法选取轻中度SUI患者130例,按随机数学表法分为观察组65例和对照组65例。观察组采用抗阻力髋部肌锻炼,包含髋外展锻炼和髋内收锻炼;对照组采用盆底肌锻炼,2组均锻炼12周。于干预前和干预12周后比较2组尿失禁次数评分和1 h尿垫试验漏尿量。结果干预12周后,2组尿失禁次数评分均低于干预前,1 h尿垫试验漏尿量明显少于干预前,观察组患者尿失禁次数评分明显低于对照组,1 h尿垫试验漏尿量明显少于对照组,差异有统计学意义(P<0.05)。结论髋部肌锻炼可显著改善SUI患者的尿失禁症状,减少漏尿量,值得临床推广。Objective To observe the effect of hip muscle training on resistance in patients with stress urinary incontinence.Methods One hundred and thirty patients with mild to moderate stress urinary incontinence(SUI)were selected as the research object.They were randomly divided into observation group(65 cases)and control group(65 cases).The observation group took resistance hip muscle training,including hip abduction exercise and hip adduction exercise;The control group took pelvic floor muscle exercise,both groups exercised for 12 weeks.Before and 12 weeks after the intervention,urinary incontinence frequency questionnaire and 1 hour pad test were used for evaluation.Results After 12 weeks of intervention,the scores of urinary incontinence times in the two groups were lower than that before intervention,and the urine leakage in the one hour urine pad test was significantly less than that before intervention.The scores of urinary incontinence times in the observation group was significantly lower than that in the control group,and the urine leakage in the one hour urine pad test was significantly less than that in the control group(P<0.05).Conclusion Hip muscle exercise can significantly improve the symptoms of urinary incontinence in Sui patients and reduce the amount of urine leakage,which is worthy of clinical promotion.

关 键 词：尿失禁 压力性 髋部肌锻炼 盆底肌锻炼 

分 类 号：R694.54[医药卫生—泌尿科学]