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  

To Explore the Clinical Effect of Pelvic Floor Rehabilitation Training in the Treatment of Perimenopausal Patients with Stress Urinary Incontinence

作　　者：任丽媛 REN Liyuan(Department of Rehabilitation and Pain,Fuxin Mining General Hospital of Liaoning Health Industry Group,Fuxin,Liaoning 123000,China)

机构地区：[1]辽宁省健康产业集团阜新矿总医院康复疼痛科,辽宁阜新123000

出　　处：《中国医药指南》2025年第10期100-102,共3页Guide of China Medicine

摘　　要：目的探讨治疗围绝经期压力性尿失禁时应用盆底康复训练的治疗效果。方法选取辽宁省健康产业集团阜新矿总医院2023年2月至2024年2月收治的围绝经期压力性尿失禁患者70例,以随机数字表法分组,对照组35例为常规训练,观察组35例为盆底康复训练,对比治疗有效率、尿流动力学指标水平[膀胱顺应性、腹压漏尿点压力(ALPP)、最大尿道闭合压(MUCP)]、尿失禁问卷表简表(ICI-Q-SF)、盆底肌力评分、尿失禁恢复情况。结果观察组治疗有效率、尿流动力学指标、盆底肌力评分、最大排尿量高于对照组(均P<0.05)。观察组ICI-Q-SF评分、1 h尿垫试验漏尿量、72 h漏尿次数均低于对照组(均P<0.05)。结论盆底康复训练是治疗围绝经期压力性尿失禁可显著改善患者尿失禁症状,同时可以改善尿流动力学水平和盆底肌力,有助于患者早日康复。Objective To explore the effect of pelvic floor rehabilitation training in the treatment of perimenopausal stress urinary incontinence.Methods A total of 70 patients with perimenopausal stress urinary incontinence admitted to the hospital from February 2023 to February 2024 were selected and divided into two groups according to the random number table method.35 patients who received routine rehabilitation training were set as the control group,and 35 patients who received pelvicfloor rehabilitation training were set as the observation group.Compare the treatment efficacy,urodynamic index levels[bladder compliance,abdominal leak point pressure(ALPP),maximum urethral closure pressure(MUCP)],urinary incontinence questionnaire summary(ICI-Q-SF),pelvicfloor muscle strength score,and urinary incontinence recovery status.Results The treatment efficiency,urodynamic indexes,pelvicfloor muscle strength score,and maximum urinary output of the observation group were higher than those of the control group(all P<0.05).ICI-Q-SF score,1 h urine pad test leakage volume,72 h leakage number of urine in the observation group were lower than that of the control group(all P<0.05).Conclusions Pelvic floor rehabilitation training is an effective method for the treatment of perimenopausal stress urinary incontinence,which can significantly improve the symptoms of urinary incontinence,improve the level of urinary mechanics and pelvicfloor muscle strength,help patients recover soon.

关 键 词：盆底康复训练 围绝经期 压力性尿失禁 尿流动力学 

分 类 号：R711.51[医药卫生—妇产科学] R694.54[医药卫生—临床医学]