围绝经期妇女压力性尿失禁的康复治疗分析

Rehabilitation of Perimenopausal Women with Stress Urinary Incontinence

目的探讨围绝经期妇女压力性尿失禁的康复治疗方法。方法选取60例围绝经期压力性尿失禁妇女进行治疗,随机分为A组、B组和C组,每组20例。A组给予盆底锻炼,即Kegel训练;B组联合雌激素局部治疗;C组联合低频电刺激联合生物反馈治疗。结果尿失禁量与Kupperman评分呈正相关(r=0.752,P<0.01)。与治疗前比较,治疗1个月、3个月后Kupperman评分A组、B组、C组均明显降低(P<0.01);治疗1个月后,A组与B组比较差异无统计学意义;C组Kupperman评分明显降低(P<0.01),治疗3个月后进一步降低(P<0.01)。与治疗前比较,治疗1个月、3个月后尿失禁量A组、B组、C组均明显降低(P<0.01);A、B两组比较,尿失禁量治疗1个月、3个月后差异无统计学意义(P>0.05);C组与A、B两组比较,治疗1个月,3个月后尿失禁量明显降低(P<0.01)。结论盆底锻炼、低频电刺激联合生物反馈疗法可以明显减轻围绝经期妇女压力性尿失禁的症状。

Objective To study the rehabilitation for perimenopausal women with stress urinary incontinence.Methods 60 perimenopausal women with stress urinary incontinence were randomly divided into groups A,B and C,20 cases in each group.Group A for pelvic floor exercises,or Kegel training;group B received estrogen in addition;group C received low-frequency electrical stimulation and biofeedback in addition.Results Urinary incontinence volume and Kupperman score was positively correlated（r=0.752,P〈0.01）.Kupperman scores in groups A,B and C were significantly lower（P〈0.01） 1 month,3 months after treatment than before treatment.There was no statistical difference between group A and Group B at 1 month after treatment.Kupperman scores in Group C was significantly lower（P〈0.01）,and reduced further 3 months after treatment（P〈0.01）.The amount of urinary incontinence in groups A,B and C were significantly lower 1 month,3 months after treatment than before treatment（P〈0.01）.There was no significant difference in urinary volume between group A and group B 1 month and 3 months （P〉0.05）.The urinary incontinence was significantly lower between group C and groups A,B 1 month,3 months after treatment （P〈0.01）.Conclusion The pelvic floor exercise,low-frequency electrical stimulation and biofeedback therapy can significantly reduce perimenopausal symptoms of stress urinary incontinence.