盆底康复训练治疗围绝经期压力性尿失禁患者的临床效果  

Clinical effect of pelvic floor rehabilitation training in the treatment of perimenopausal patients with stress urinary incontinence

作　　者：文华翠 周秀春[1] WEN Huacui;ZHOU Xiuchun(Department of Gynecology,Jiangmen Xinhui District Maternal and Child Health Hospital,Guangdong Province,Jiangmen 529100,China)

机构地区：[1]广东省江门市新会区妇幼保健院妇科,广东江门529100

出　　处：《妇儿健康导刊》2023年第24期32-34,共3页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE

摘　　要：目的探讨盆底康复训练治疗围绝经期压力性尿失禁患者的临床效果。方法选取江门市新会区妇幼保健院2018年1月至2022年10月收治的118例围绝经期压力性尿失禁患者,根据随机数字表法分为观察组和对照组,各59例。观察组给予盆底康复训练,对照组给予常规康复训练,比较两组临床效果、尿流动力学相关指标(ALPP、MUCP、BC)、尿失禁程度(ICI-Q-SF评分)、盆底肌力情况。结果观察组临床总有效率高于对照组(P<0.05);治疗后观察组ALPP、MUCP、BC水平高于对照组(P<0.05);治疗后观察组ICI-QSF评分低于对照组,盆底肌力评分高于对照组(P<0.05)。结论盆底康复训练治疗围绝经期压力性尿失禁,可以提高临床效果,改善尿失禁程度,提高盆底肌力,值得推广应用。Objective To explore the clinical effect of pelvic floor rehabilitation training in the treatment of perimenopausal patients with stress urinary incontinence.Methods A total of 118 patients with perimenopausal stress urinary incontinence admitted to Jiangmen Xinhui District Maternal and Child Health Hospital from January 2018 to October 2022 were selected.According to the random number table method,they were divided into observation group and control group,with 59 cases in each group.The observation group was given pelvic floor rehabilitation training,and the control group was given routine rehabilitation training.The clinical effect,urodynamic related indexes(ALPP,MUCP,BC),degree of urinary incontinence(ICI-Q-SF score)and pelvic floor muscle strength were compared between the two groups.Results The total clinical effective rate of the observation group was higher than that of the control group(P<0.05).After treatment,the levels of ALPP,MUCP and BC in the observation group were higher than those in the control group(P<0.05).After treatment,the ICI-Q-SF score of the observation group was lower than that of the control group,and the pelvic floor muscle strength score was higher than that of the control group(P<0.05).Conclusion Pelvic floor rehabilitation training in the treatment of perimenopausal stress urinary incontinence can improve the clinical effect,degree of urinary incontinence,and the pelvic floor muscle strength,which is worthy of popularization and application.

关 键 词：盆底康复训练 围绝经期压力性尿失禁 尿流动力学 尿失禁程度 盆底肌力 

分 类 号：R711[医药卫生—妇产科学]