盆底肌肉功能锻炼联合行为训练对老年女性尿失禁患者的作用分析  

Analysis on the effect of pelvic floor muscle function exercise combined with behavior training on elderly female patients with urinary incontinence

作　　者：张礼娟 朱云[2] 李金霞[3] ZHANG Li-Juan;ZHU Yun;LI Jin-Xia(Deportment of Hehabiliatiom,Huzhou Hospial of Trudional Chiner Medicine,Huzhou,Zhejiang 313000,China)

机构地区：[1]湖州市中医院康复科,浙江湖州313000 [2]湖州市中医院盆底肌康复中心,浙江湖州313000 [3]湖州市中医院针灸推拿科,浙江湖州310000

出　　处：《中国妇幼保健》2020年第19期3534-3537,共4页Maternal and Child Health Care of China

基　　金：浙江省中医药科技局计划项目(2020ZA111)。

摘　　要：目的分析盆底肌肉功能锻炼联合行为训练对老年女性尿失禁患者的作用。方法选取该院2017年3月-2019年3月期间收治的老年女性尿失禁患者100例,随机分为研究组和对照组,每组各50例。对照组患者接受盆底肌肉功能锻炼进行干预,研究组患者接受盆底肌肉功能锻炼联合行为训练进行干预。观察并对比两组患者治疗后的临床效果,观察并对比两组患者治疗前以及治疗后2个月、4个月以及12个月的排尿状况和两组患者盆底肌肉收缩力评分,观察并对比两组患者治疗后不同时间段尿垫试验阳性率情况。结果研究组患者总有效率显著优于对照组患者(P<0.05);在治疗前两组患者排尿情况对比,差异无统计学意义(P>0.05);研究组患者在治疗后2个月、4个月以及12个月的排尿状况显著优于对照组患者(P<0.05);治疗前两组患者盆底肌收缩能力对比,差异无统计学意义(P>0.05);治疗后2个月、4个月以及12个月研究组患者盆底肌收缩能力显著优于对照组患者(P<0.05);在治疗后2个月、4个月以及12个月时,研究组患者尿垫试验阳性率显著优于对照组患者(P<0.05)。结论给予老年女性尿失禁患者盆底肌肉功能锻炼联合行为训练进行干预,临床效果较为显著且可以改善患者的排尿状况以及临床症状,优化患者盆底肌收缩能力,降低患者尿垫试验阳性率,值得临床推广。Objective To analyze the effect of pelvic floor muscle function exercise combined with behavior training on elderly female patients with urinary incontinence;methods:100 elderly female patients with urinary incontinence admitted to our hospital from March2017 to March 2019 were randomly divided into study group and control group,with 50 cases in each group.Methods The pelvic floor muscle function exercise combined with behavior training was intervened,and the clinical effect of the two groups after treatment was observed and compared.The urination status of the two groups before treatment and after treatment for 2 months,4 months and 12 months,and the pelvic floor muscle contractility score of the two groups were observed and compared.Results The total effective rate of the study group was significantly better than that of the control group(P<0.05),and there was no significant difference in the urination between the two groups before treatment(P>0.05).The micturition status of the patients in the study group after 2 months,4 months and 12 months was significantly better than that of the control group(P<0.05).There was no significant difference in the contractility of pelvic floor muscle between the two groups before treatment(P>0.05).At 2 months,4 months and 12 months after treatment,the pelvic floor muscle contractility of the study group was significantly better than that of the control group(P<0.05).At 2 months,4 months and 12 months after treatment,the positive rate of urine pad test in the study group was significantly better than that in the control group(P<0.05).Conclusion The clinical effect of pelvic floor muscle function exercise combined with behavior training for elderly female patients with urinary incontinence is effective The results are more significant and can improve the urination status and clinical symptoms of patients,optimize the pelvic floor muscle contraction ability,reduce the positive rate of urine pad test,which is worthy of clinical promotion.

关 键 词：盆底肌肉功能锻炼 行为训练 老年女性尿失禁 

分 类 号：R473.59[医药卫生—护理学]