对全子宫切除术后尿失禁患者进行盆底功能康复治疗的临床价值

Clinical value of pelvic floor functional rehabilitation in patients with urinary incontinence after total hysterectomy

目的:探讨对进行全子宫切除术后发生尿失禁的患者实施盆底功能康复治疗的效果。方法:将2018年4月至2019年4月期间在中国科技大学附属第一医院进行全子宫切除术后发生尿失禁的82例患者根据随机数表法分为对照组和研究组。术后对两组患者均进行常规治疗。在此基础上,对研究组患者进行盆底功能康复治疗。然后观察两组患者1 h内尿液的漏出量、发生尿失禁的频率、残余尿量及盆底肌收缩持续的时间。结果:治疗后,研究组患者1 h内尿液的漏出量及残余尿量均少于对照组患者,其发生尿失禁的频率低于对照组患者,其盆底肌收缩持续的时间长于对照组患者,P<0.05。结论:对进行全子宫切除术后发生尿失禁的患者实施盆底功能康复治疗可增强其盆底肌的功能,减轻其尿失禁的症状。

Objective:To investigate the effect of pelvic floor functional rehabilitation therapy for patients with urinary incontinence after total hysterectomy.Methods:Eighty-two patients with urinary incontinence after total hysterectomy in the First Affiliated Hospital of University of Science and Technology of China from April 2018 to April 2019 were divided into control group and study group according to random number table method.Postoperative routine treatment was performed in both groups.On this basis,the study group of patients with pelvic floor functional rehabilitation therapy.Then urine leakage,frequency of urinary incontinence,residual urine volume,and duration of pelvic floor muscle contraction were observed within 1 h in both groups.Results:After treatment,the urine leakage and residual urine volume within 1 h in the study group were less than those in the control group,the frequency of urinary incontinence was lower than that in the control group,and the duration of pelvic floor muscle contraction was longer than that in the control group(P<0.05).Conclusion:Pelvic floor rehabilitation therapy can enhance the function of pelvic floor muscle and reduce the symptoms of urinary incontin ence in patients with urinary incontinence after total hysterectomy.