系统健康教育联合盆底肌抗阻训练在压力性尿失禁患者中的应用

Application of system health education combined with anti-resistance training of pelvic floor muscle in patients with stress urinary incontinence

目的探讨系统健康教育联合盆底肌抗阻训练在压力性尿失禁患者中的应用效果。方法选取我院2016年4月至2017年3月86例压力性尿失禁患者作为研究对象,采用随机数字表法将其等分为对照组和观察组,对照组采用常规护理,观察组采用系统健康教育联合盆底肌抗阻训练。比较两组患者康复效果。结果观察组Ⅰ类、Ⅱ类肌纤维肌力均高于对照组(P<0.05);观察组1h尿垫试验重量低于对照组(P<0.05);观察组腹压漏尿点压力(ALPP)、膀胱顺应性(BC)及最大尿道闭合压(MUCP)均高于对照组(P<0.05);观察组盆底肌锻炼时间及盆底肌收缩时间均长于对照组(P<0.05)。结论系统健康教育联合盆底肌抗阻训练用于压力性尿失禁患者中,可改善盆底肌力,提高尿动力学指标,延长盆底肌收缩时间及盆底肌锻炼时间。

Objective To explore the application effect of system health education combined with anti-resistance training of pelvic floor muscle in patients with stress urinary incontinence.Methods To select 86 cases of patients with stress urinary incontinence who were admitted to our hospital from April 2016 to March 2017 as a study object.They were averagely divided into control group and observation group by random number table method.The control group was used routine nursing and system health education combined with anti-resistance training of pelvic floor muscle was adopted in the observation group.The rehabilitation effects of the two groups were compared.Results The fiber muscle strength of class I and class II in the observation group were higher than those in the control group(P<0.05).The weight of the 1 hour urine pad test in the observation group was lower than that in the control group(P<0.05).The abdominal leak point pressure(ALPP),bladder compliance(BC)and the maximal urethral closure pressure(MUCP)in the observation group were higher than those of the control group(P<0.05).The time of pelvic floor muscle training and the time of pelvic floor muscle contraction were longer in the observation group than in the control group(P<0.05).Conclusion System health education combined with pelvic floor muscle resistance training for patients with stress urinary incontinence could improve pelvic floor muscle strength,improve urodynamic parameters,prolong the time of pelvic floor muscle contraction and the time of pelvic floor muscle training.