盆底肌肉锻炼对产后压力性尿失禁的影响

Pelvic muscles exercise for postpartum stress urinary incontinence

目的探讨产后进行盆底肌肉锻炼(pelvic floormuscle training,PFMT)对产后压力性尿失禁的影响。方法将148例住院自然分娩初产妇,随机分为训练组和对照组。训练组75例于产后进行6～8周以上PFMT,对照组73例进行一般的产后健康教育指导,分别于产后6个月及12个月随访,通过排尿状况、盆底肌张力及尿垫试验进行评估,评价进行PFMT对产后压力性尿失禁的影响。结果在产后6个月及12个月随访中,训练组的压力性尿失禁发生率明显低于对照组,差异有显著性意义(P<0.01)。结论产后进行PFMT可以有效防治产后压力性尿失禁的发生和发展。

Objective For pelvic muscles after pelvic floor exercise （country）, PFMT muscle of postpartum stress urinary incontinence.Methods 148 patients hospitalized methods will naturally childbirth, randomly divided into training and editorial controls. In dyslalia 75 cases were 6-8 weeks postpartum PFMT above group, 73 cases of general education, health and postpartum respectively after six months and 12 months follow-up, through micturition, pelvic muscle tension and urine test evaluation, mat of postpartum PFMT evaluation of the effects of stress incontinence. Results In the 6 months and 12 months of follow-up, the training of stress urinary incontinence incidence post-pci significant difference （P〈0.01）.Conclusion PFMT can effectively control for postpartum postpartum stress urinary incontinence occurs and development.