盆底肌肉功能训练防治产后压力性尿失禁

Prevention and treatment of postpartum stress urinary incontinence with pelvic floor muscles function training

目的:评价盆底肌肉功能训练在治疗产后压力性尿失禁的临床效果及作用。方法:初次分娩产妇60例随机分成两组,训练组30例于产后进行盆底肌肉功能训练,对照组30例进行一般的产后健康教育。两组患者于新产后(产后3日内)、产后3个月及12个月采用问卷调查、尿垫试验及盆底肌力评分,评价产后压力性尿失禁恢复效果。结果:训练组产后3个月及12个月排尿状况评分和尿垫试验阳性率显著低于新产后并显著低于同期对照组,差异均有统计学意义(P<0.05);盆底肌力评分显著高于新产后并显著高于同期对照组,差异均有统计学意义(P<0.05)。结论:产后压力性尿失禁早期行盆底肌肉功能训练可以明显改善漏尿症状,提高盆底肌力。

Objective：To evaluate the clinical efficacy and affect of pelvic floor muscles function training（PFMT） for treatment of postpartum stress urinary incontinence（SUI）.Methods：Sixty primiparous women were randomly divided into two groups： 30 women in training group were treated with PFMT,while 30 women in control group received routine postpartum health education.The women in the two groups were evaluated by questionnaire,urine pad test,and pelvic muscle tension score within 3 days,at 3 and 12 months,respectively;the recovery of postpartum SUI was evaluated.Results：The urine scores and positive rates of urine pad test in training group at 3 and 12 months were statistically significantly lower than those in training group within 3 days and control group within 3 days,at 3 and 12 months（P0.05）;while pelvic muscle tension score in training group at 3 and 12 months were statistically significantly higher than those in training group within 3 days and control group within 3 days,at 3 and 12 months（P0.05）.Conclusion：Early PFMT can obviously improve urinary leakage and pelvic muscle tension for women with postpartum SUI.