尿失禁患儿术后排尿反射训练

Micturition reflex training of urine incontinence after operation

目的探讨小儿尿失禁的术后功能训练方法。方法对27例6～14岁尿失禁术后患儿,进行排尿反射训练,采用扩张尿道、Crede手法、Valsalva动作、腹肌锻炼、耻骨尾骨肌收缩训练及定时排尿、抑制尿意等训练。结果随访6个月～4年,排尿功能恢复有效率为88.89%,控尿时间30～140min。结论排尿反射训练是盆底加强、膀胱逼尿肌加强术后重要的治疗措施。

Objective To investigate the training methods of urine incontinence after operati on.Method27children aged 6to 14years with urine incontinence after opera tion received the micturition refle x training.Dilation of urine tract,Crede methods,Valsalva training,a b-dominal muscles training and inhibi ting urine sense training were conducted.Result During the 6months to 4years follow-up survey period,the effective rate of rehabilitatio n of emiction is 88.89%and the time of controlling emiction is 30～140minu tes.Conclusion The mic-turition reflex training is an important treatment after the operation o f pelvic floor and musculus detrusor vesicae enhancement.