中国医药导报
中國醫藥導報
중국의약도보
CHINA MEDICAL HERALD
2015年
2期
130-132,136
,共4页
产后压力性尿失禁%生活质量%盆底肌训练%生物反馈训练
產後壓力性尿失禁%生活質量%盆底肌訓練%生物反饋訓練
산후압력성뇨실금%생활질량%분저기훈련%생물반궤훈련
Postpartum stress urinary incontinence%Quality of life%Pelvic floor muscle training%Biofeedback training
目的：观察生物反馈联用盆底肌训练对产后压力性尿失禁患者生活质量的影响。方法选取2013年1月~2014年5月入住惠州市惠阳区妇幼保健院的产后压力性尿失禁患者256例，按随机原则分为两组，各128例。对照组给予盆底肌训练干预，干预组在对照组基础上加用生物反馈盆底肌训练干预，共观察8周。比较患者的治疗效果，并对患者的生活质量进行评分。结果干预组治愈率(64.8%)和有效率(34.4%)均优于对照组(44.5%、28.9%)，差异有统计学意义(χ2=9.033、9.216，均P<0.05)。干预前对照组和干预组限制性行为[(61.21±5.41)分比(61.54±5.37)分]、影响社会心理[(64.02±4.87)分比(64.13±4.96)分]、形成社会尴尬[(62.26±5.01)分比(62.37±5.08)分]评分比较，差异均无统计学意义(均P>0.05)；干预后，两组限制性行为[(67.12±7.42)分比(77.31±6.28)分]、影响社会心理[(69.26±5.64)分比(78.52±6.45)分]、形成社会尴尬[(70.45±7.46)分比(77.55±7.82)分]比较，差异均有高度统计学意义(t =3.417、2.819、2.744，均P<0.01)。结论对于产后尿失禁患者尽早给予生物反馈联用盆底肌训练干预能提高患者的治疗效果和生活质量。
目的：觀察生物反饋聯用盆底肌訓練對產後壓力性尿失禁患者生活質量的影響。方法選取2013年1月~2014年5月入住惠州市惠暘區婦幼保健院的產後壓力性尿失禁患者256例，按隨機原則分為兩組，各128例。對照組給予盆底肌訓練榦預，榦預組在對照組基礎上加用生物反饋盆底肌訓練榦預，共觀察8週。比較患者的治療效果，併對患者的生活質量進行評分。結果榦預組治愈率(64.8%)和有效率(34.4%)均優于對照組(44.5%、28.9%)，差異有統計學意義(χ2=9.033、9.216，均P<0.05)。榦預前對照組和榦預組限製性行為[(61.21±5.41)分比(61.54±5.37)分]、影響社會心理[(64.02±4.87)分比(64.13±4.96)分]、形成社會尷尬[(62.26±5.01)分比(62.37±5.08)分]評分比較，差異均無統計學意義(均P>0.05)；榦預後，兩組限製性行為[(67.12±7.42)分比(77.31±6.28)分]、影響社會心理[(69.26±5.64)分比(78.52±6.45)分]、形成社會尷尬[(70.45±7.46)分比(77.55±7.82)分]比較，差異均有高度統計學意義(t =3.417、2.819、2.744，均P<0.01)。結論對于產後尿失禁患者儘早給予生物反饋聯用盆底肌訓練榦預能提高患者的治療效果和生活質量。
목적：관찰생물반궤련용분저기훈련대산후압력성뇨실금환자생활질량적영향。방법선취2013년1월~2014년5월입주혜주시혜양구부유보건원적산후압력성뇨실금환자256례，안수궤원칙분위량조，각128례。대조조급여분저기훈련간예，간예조재대조조기출상가용생물반궤분저기훈련간예，공관찰8주。비교환자적치료효과，병대환자적생활질량진행평분。결과간예조치유솔(64.8%)화유효솔(34.4%)균우우대조조(44.5%、28.9%)，차이유통계학의의(χ2=9.033、9.216，균P<0.05)。간예전대조조화간예조한제성행위[(61.21±5.41)분비(61.54±5.37)분]、영향사회심리[(64.02±4.87)분비(64.13±4.96)분]、형성사회감개[(62.26±5.01)분비(62.37±5.08)분]평분비교，차이균무통계학의의(균P>0.05)；간예후，량조한제성행위[(67.12±7.42)분비(77.31±6.28)분]、영향사회심리[(69.26±5.64)분비(78.52±6.45)분]、형성사회감개[(70.45±7.46)분비(77.55±7.82)분]비교，차이균유고도통계학의의(t =3.417、2.819、2.744，균P<0.01)。결론대우산후뇨실금환자진조급여생물반궤련용분저기훈련간예능제고환자적치료효과화생활질량。
Objective To observe the effect of biofeedback training combined with pelvic floor muscle training on qual-ity of life of patients with postpartum stress urinary incontinence. Methods 256 patients with postpartum stress urinary incontinence from January 2013 to May 2014 in Maternal and Child Health Hospital of Huiyang District in Huizhou City were selected and randomly divided into control group and intervention group, each group had 128 cases. The con-trol group was given pelvic floor muscle training for 8 weeks. The intervention group was given pelvic floor muscle training combined with biofeedback training for 8 weeks. The treatment effect was compared, and the scores of life quality were evaluated in the two groups. Results The cure rate (64.8%) and effective rate (34.4%) in the intervention group were better than those in the control group (44.5%, 28.9%), the differences were statistically significant (χ2=9.033, 9.216, P<0.05). Before intervention in the two groups limiting behavior [(61.21±5.41) scores vs (61.54±5.37) scores], impact of social psychology [(64.02±4.87) scores vs (64.13±4.96) scores], formation of social embarrassment [(62.26±5.01) scores vs (62.37±5.08) scores] were compared, there were no significant differences (all P>0.05);after intervention, the scores of limiting behavior [(67.12±7.42) scores vs (77.31±6.28) scores], impact of social psychology [(69.26±5.64) scores vs (78.52±6.45) scores], formation of social embarrassment [(70.45±7.46) scores vs (77.55±7.82) scores] were compared, there were significant differences (t = 3.417, 2.819, 2.744, P < 0.01). Conclusion Early biofeedback training combined with pelvic floor muscle training can improve the treatment effect and quality of life for patients with postpartum stress urinary incontinence.
