CAJ | 학술논문

目的比较观察盆底肌肉功能锻炼与手术治疗女性中度压力性尿失禁(SUI)的临床疗效,为寻找合适的治疗方法提供理论参考.方法将114例中度SUI患者随机分为治疗组58例和对照组56例.对照组采用经闭孔阴道无张力吊带术(TVT-O)治疗,治疗组采用盆底肌肉功能锻炼治疗.连续治疗12周后评价临床疗效和生活质量,进行成本/效益分析.结果治疗组临床疗效总有效率为86.2%,高于对照组的83.9%.治疗后2组患者的生活质量得分与治疗前比较显著上升,尿失禁问卷得分与治疗前比较显著下降,且治疗组与对照组之间有差异.成本/效益分析表明,治疗组患者的医疗总成本、临床总有效率每增长一个百分点需要花费的成本和生活质量增长1分需要花费的成本均显著低于对照组.结论盆底肌肉功能锻炼是中度女性SUI患者的首选治疗方法,应当推广和应用.
목적 비교관찰분저기육공능단련여수술치료녀성중도압력성뇨실금(SUI)적림상료효,위심조합괄적치료방법제공이론삼고.방법 장114례중도SUI환자수궤분위치료조58례화대조조56례.대조조채용경폐공음도무장력조대술(TVT-O)치료,치료조채용분저기육공능단련치료.련속치료12주후평개림상료효화생활질량,진행성본/효익분석.결과 치료조림상료효총유효솔위86.2%,고우대조조적83.9%.치료후2조환자적생활질량득분여치료전비교현저상승,뇨실금문권득분여치료전비교현저하강,차치료조여대조조지간유차이.성본/효익분석표명,치료조환자적의료총성본、림상총유효솔매증장일개백분점수요화비적성본화생활질량증장1분수요화비적성본균현저저우대조조.결론 분저기육공능단련시중도녀성SUI환자적수선치료방법,응당추엄화응용.
Objective To study comparatively the clinical efficacy of pelvic floor muscle exercise (PFMlE)and surgical therapy in women with moderate stress urinary incontinence(SUI),in order to provide theoretical reference for finding an appropriate SUI treatment method. Methods 114 cases of women with moderate SUI were randomly divided into the treatment group and the control group. The control group Wag given surgical thempy. while the treatment group was given the PFME treatment. After 12 weeks the clinical efficacy and quality of life of the two groups were evaluated, the cost-benefit was analyzed. Results The total effective rate of treatment group was 86.2%.higher than 83.9% of the control group. Compared with before treatment, the I-QOL scores of the two groups increased significantly, the ICIQ scores of the two groups decreased significantly, and the treatment group was significantly different compared with the control group. The cost-benefit analysis showed that the total medical cost and the spending cost of the total clinical effective rate increased l percent and the I-QOL increased 1 score were significantly lower than that of the control group. Conclusions The PFME therapy of women with moderate SUI is the preferred treatment and it is worthy of promotion and application.