盆底肌功能训练预防和治疗产后尿失禁的效果观察

Observation the effect of bottom muscle function training prevention and treatment urine incontinence

目的:评价盆底肌功能训练在预防和治疗产后尿失禁的效果。方法:将265例自然分娩初产妇随机分为对照组139例和观察组126例。对照组实施常规产后健康教育指导,观察组由专业助产士实施8周以上一对一的健康教育及盆底肌功能训练指导。分别在产后3、6、12个月对两组产妇的排尿状况、尿垫试验阳性率、盆底肌收缩力进行评估。结果:观察组产后3、6、12个月排尿状况评分、尿垫试验阳性率、盆底肌收缩力评分与对照组比较,差异有统计学意义(P<0.05,P<0.01)。结论:产后盆底肌功能训练能有效预防和治疗产后尿失禁。

Objective： Effect observation for prevention of boRom muscle training and treatment of urine incontinence after delivery; Method： 265 cases of women who were initial delivery of natural childbirth were divided into 126 cases as observation group and 139 cases as control group. The control group was for health education instruction after normal delivery and observation group was for training instruction of one to one bottom function by special person for more than 8 weeks based on the situation. The assessment of the urination situation, diaper test positive rate and bottom muscle shrinking are made for 3, 6 and 12 months after delivery. Results： The assessment of urination situation, diaper test positive rate and bottom muscle shrinking were made for 3, 6 and 12 months postpartum compared with the control group. The urine incontinence rote of the observation group after the delivery was evidently lower than the control group but bottom muscle tension was evidently higher than the control group so difference statistics meaning （ P 〈 0.05, P 〈 0.01 ）. Conclusion ： The effect observation for prevention of bottom muscle training and treatment of urine incontinence after delivery has feasible.