盆底肌功能训练对产后尿失禁的意义分析

Analysis of the significance of pelvic floor muscle function training on postpartum urinary incontinence

目的分析盆底肌功能训练对产后尿失禁的意义。方法60例产后尿失禁产妇,随机分为对照组和试验组,每组30例。对照组采取临床常规康复方法,试验组在对照组基础上采取盆底肌功能训练。比较两组产妇盆底肌力检测评分、漏尿严重程度评分、盆底肌训练自我效能评分及盆底肌训练依从评分,国际尿失禁程度。结果试验组产妇盆底肌力检测评分(6.20±0.57)分、盆底肌训练自我效能评分(44.09±2.19)分、盆底肌训练依从评分(16.42±0.20)分均高于对照组的(4.60±0.52)、(34.52±2.15)、(14.05±0.13)分,漏尿严重程度评分(1.20±0.42)分低于对照组的(2.90±0.37)分,差异有统计学意义(P<0.05)。试验组产妇国际尿失禁轻度15例(50.00%),中度12例(40.00%),重度3例(10.00%);对照组产妇国际尿失禁轻度5例(16.67%),中度11例(36.67%),重度14例(46.67%);试验组产妇国际尿失禁程度优于对照组,差异有统计学意义(P<0.05)。结论采取盆底肌功能训练对产后尿失禁产妇的恢复效果显著,值得推广。

Objective To analyze the significance of pelvic floor muscle function training on postpartum urinary incontinence.Methods A total of 60 cases of postpartum urinary incontinence women were randomly divided into control group and experimental group,with 30 cases in each group.The control group received conventional clinical rehabilitation,and the experimental group received pelvic floor muscle function training on the basis of the control group.The pelvic floor muscle strength test score,severity score of urinary leakage,pelvic floor muscle training self-efficacy score,pelvic floor muscle training compliance score,and international urinary incontinence score were compared between the two groups.Results In the experimental group,the pelvic floor muscle strength test score(6.20±0.57)points,pelvic floor muscle training self-efficacy score(44.09±2.19)points and pelvic floor muscle training compliance score(16.42±0.20)points were higher than(4.60±0.52),(34.52±2.15),and(14.05±0.13)points in the control group;and the severity score of urinary leakage(1.20±0.42)points was lower than(2.90±0.37)points in the control group;all the differences were statistically significant(P<0.05).In the experimental group,the international urinary incontinence was mild in 15 cases(50.00%),moderate in 12 cases(40.00%)and severe in 3 cases(10.00%);in the control group,the international incontinence was mild in 5 cases(16.67%),moderate in 11 cases(36.67%),and severe in 14 cases(46.67%).The severity of international urinary incontinence in the experimental group was better than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Pelvic floor muscle function training has significant recovery effect on postpartum urinary incontinence women,and is worthy of promotion.