中国医药科学
中國醫藥科學
중국의약과학
CHINA MEDICINE AND PHARMACY
2014年
15期
171-173,180
,共4页
压力性尿失禁%盆底肌锻炼%女性
壓力性尿失禁%盆底肌鍛煉%女性
압력성뇨실금%분저기단련%녀성
Stress urinary incontinence%Pelvic floor muscle exercise%Women
目的：探讨盆底肌锻炼在女性压力性尿失禁患者中的应用价值。方法选择2011年3月~2013年3月我院接诊的80例女性压力性尿失禁患者进行研究。按照随机数字表法，随机分为观察组和对照组。对照组采用常规的体操锻炼对患者进行治疗，观察组采用新式的盆底肌锻炼对患者进行治疗。观察记录两组患者治疗前后的肌力状况，治疗前后漏尿量及尿垫试验的结果，并采用治疗后的临床疗效评价标准对两组患者治疗临床疗效进行比较分析。结果两组患者治疗后肌力均明显增高（P＜0.01），治疗后观察组肌力明显高于对照组（P＜0.01）；治疗后，观察组患者的肌力分度明显优于对照组，两组比较差异有统计学意义（u=-2.4795，P=0.0132）。观察组患者的漏尿量明显少于对照组（P＜0.01），治疗后3、6及12个月后，患者尿垫试验阳性率明显低于对照组（P＜0.05）。治疗总有效率（97.5%）明显高于对照组（72.5%），两组比较差异有统计学意义（u=-2.9441，P=0.0032）。结论盆底肌锻炼在女性压力性尿失禁患者中的应用价值较高，值得临床推广应用。
目的：探討盆底肌鍛煉在女性壓力性尿失禁患者中的應用價值。方法選擇2011年3月~2013年3月我院接診的80例女性壓力性尿失禁患者進行研究。按照隨機數字錶法，隨機分為觀察組和對照組。對照組採用常規的體操鍛煉對患者進行治療，觀察組採用新式的盆底肌鍛煉對患者進行治療。觀察記錄兩組患者治療前後的肌力狀況，治療前後漏尿量及尿墊試驗的結果，併採用治療後的臨床療效評價標準對兩組患者治療臨床療效進行比較分析。結果兩組患者治療後肌力均明顯增高（P＜0.01），治療後觀察組肌力明顯高于對照組（P＜0.01）；治療後，觀察組患者的肌力分度明顯優于對照組，兩組比較差異有統計學意義（u=-2.4795，P=0.0132）。觀察組患者的漏尿量明顯少于對照組（P＜0.01），治療後3、6及12箇月後，患者尿墊試驗暘性率明顯低于對照組（P＜0.05）。治療總有效率（97.5%）明顯高于對照組（72.5%），兩組比較差異有統計學意義（u=-2.9441，P=0.0032）。結論盆底肌鍛煉在女性壓力性尿失禁患者中的應用價值較高，值得臨床推廣應用。
목적：탐토분저기단련재녀성압력성뇨실금환자중적응용개치。방법선택2011년3월~2013년3월아원접진적80례녀성압력성뇨실금환자진행연구。안조수궤수자표법，수궤분위관찰조화대조조。대조조채용상규적체조단련대환자진행치료，관찰조채용신식적분저기단련대환자진행치료。관찰기록량조환자치료전후적기력상황，치료전후루뇨량급뇨점시험적결과，병채용치료후적림상료효평개표준대량조환자치료림상료효진행비교분석。결과량조환자치료후기력균명현증고（P＜0.01），치료후관찰조기력명현고우대조조（P＜0.01）；치료후，관찰조환자적기력분도명현우우대조조，량조비교차이유통계학의의（u=-2.4795，P=0.0132）。관찰조환자적루뇨량명현소우대조조（P＜0.01），치료후3、6급12개월후，환자뇨점시험양성솔명현저우대조조（P＜0.05）。치료총유효솔（97.5%）명현고우대조조（72.5%），량조비교차이유통계학의의（u=-2.9441，P=0.0032）。결론분저기단련재녀성압력성뇨실금환자중적응용개치교고，치득림상추엄응용。
Objective To investigate the value of pelvic floor muscle exercise for female stress urinary incontinence patients. Methods 80 cases of female stress urinary incontinence patients from March 2011 to March 2013 in our hospital were studied. According to a random number table method, they were randomly divided into observation group and control group. Control group were used conventional pelvic floor muscle exercise for patients, and the observation group were used improved pelvic floor muscle exercise for patients.The muscle condition, results of urine leakage volume before and after treatment, and the pad test were observed and recorded. The clinical efficacy of the two groups were analyzed. Results The muscle strength of the two groups were significantly increased(P<0.01), muscle strength after treatment of the observation group was significantly higher(P < 0.01); After treatment, the muscle strength index of the observation group was more than the control group, the two groups was statistically significant(u=-2.4795, P=0.0132). The quantity of fluid loss of the observation group was significantly less than the control group(P<0.01), after treatment, 6 and 12 months later, the patient pad test positive rate of the observation group was significantly lower than the control group(P<0.05). Total effective rate of the observation group(97.5%) was significantly higher than the control group(72.5%), the two groups was statistically significant(u=-2.9441, P=0.0032). Conclusion The value of pelvic floor muscle exercise for female stress urinary incontinence patients is good,worthy of clinical popularization and application.
