盆底肌训练配合经阴道无张力尿道中段悬吊带术治疗压力性尿失禁的临床观察

Clinical Efficacy of TOT Combined with Pelvic Floor Muscle Exercise in the Treatment of Female Stress Urinary Incontinence

目的:观察经阴道无张力尿道中段悬吊带术(TOT)联合盆底肌功能锻炼治疗女性压力性尿失禁的临床疗效和对患者生活质量的影响。方法:选取2017年12月~2019年12月在某院妇产科进行TOT手术的尿失禁患者80例,根据随机数字法分为对照组和观察组各40例,对照组在术后给予常规护理,观察组在对照组的基础上给予盆底肌功能训练,评价两组患者在术后1月、3个月的临床疗效。结果:两组患者治疗后尿失禁症状均有明显改善,观察组有效率、生活质量改善情况优于对照组,两组间数据比较差异有统计学意义(P<0.05)。结论:盆底肌功能训练在提高女性压力性尿失禁患者术后的疗效确切,值得临床推广。

Objective:To observe the clinical efficacy and quality of life of TOT combined with pelvic floor muscle exercise in the treatment of female stress urinary incontinence.Methods:A total of 80 woman with stress urinary incontinence treated in a hospital from December 2017 to December 2019 were selected and divided into the control group and the observation group according to the random number table method,with 40 cases in each group.The control group received conventional care.The observation group received pelvic floor muscle exercise based on the control group.The changes of clinical efficacy after one month and three months were observed in the two groups.Results:After treatment,the clinical efficacy and quality of life in the two groups were improved.The trearment effect of the observation group was better than that of the control group.The differences were statistically significant(P<0.05).Conclusion:The pelvic floor muscle exercise is effective in the treatment of stress urinary incontinence in woman,which is worthy of clinical promotion.