CAJ | 학술논문

目的：探索基层社区绝经过渡期患压力性尿失禁女性早期干预的效果观察，提供最佳的防治措施，降低压力性尿失禁的发生。方法南山区三个街道的基层社区女性年龄在40～55岁之间共1300例，采用自填问卷方式进行压力性尿失禁筛查。筛查结果患压力性尿失禁为231例（轻度206例、中度25例），按患病程度随机分为三组，A组77例雌激素软膏局部涂抹，B组77例盆底肌肉锻炼康复方法， C组77例盆底肌肉锻炼联合雌激素软膏局部涂抹。1、3个月后各项指标进行比较分析。结果三组干预1、3个月后压力性尿失禁症状改善有效率分别为 A 组41．59％、B 组62．34％、C 组75．33％及 A 组68．83％、B组83．12％、C组94．81％。三组进行统计学分析有显著性差异（P＜0．05）。结论（1）定期下社区进行健康教育讲座，提高认知能力及依从性。（2）女性尽早进行盆底肌肉康复训练，避免压力性尿失禁的发生。（3）加强体育锻炼，增强自我保健意识，提高社区绝经过渡期女性的生活质量。（4）轻、中度压力性尿失禁的女性，坚持盆底肌肉康复训练联合雌激素软膏外用治疗，疗效显著。
목적：탐색기층사구절경과도기환압력성뇨실금녀성조기간예적효과관찰，제공최가적방치조시，강저압력성뇨실금적발생。방법남산구삼개가도적기층사구녀성년령재40～55세지간공1300례，채용자전문권방식진행압력성뇨실금사사。사사결과환압력성뇨실금위231례（경도206례、중도25례），안환병정도수궤분위삼조，A조77례자격소연고국부도말，B조77례분저기육단련강복방법， C조77례분저기육단련연합자격소연고국부도말。1、3개월후각항지표진행비교분석。결과삼조간예1、3개월후압력성뇨실금증상개선유효솔분별위 A 조41．59％、B 조62．34％、C 조75．33％급 A 조68．83％、B조83．12％、C조94．81％。삼조진행통계학분석유현저성차이（P＜0．05）。결론（1）정기하사구진행건강교육강좌，제고인지능력급의종성。（2）녀성진조진행분저기육강복훈련，피면압력성뇨실금적발생。（3）가강체육단련，증강자아보건의식，제고사구절경과도기녀성적생활질량。（4）경、중도압력성뇨실금적녀성，견지분저기육강복훈련연합자격소연고외용치료，료효현저。
Objective To observe the effect of early intervention of women suffering from stress urinary incontinence in their menopausal transition, provide the best prevention measure, and reduce the incidence of stress urinary incontinence.Methods An investigation of 1300 cases of women, aged from 40~55, from the three streets in Nanshan District in Shenzhen.They were screened for stress urinary incontinence by filling the self-administered questionnaires.231 women (206 mild cases, 25 moderate cases) suffered from stress urinary incontinence.They were randomly divided into three groups according to their degrees of illness.A group had 77 cases who used the topical estrogen cream.B group had 77 cases who used the rehabilitation methods including pelvic floor muscle exercises.C group had 77 cases who used the pelvic floor muscle exercises with combination of topical estrogen cream.All cases were analyzed after 1 and 3 months based on the indicators.Results The efficiency rate after 1 month for A, B, and C group was 41.59%, 62.34%, and 75.33% respectively.It increased to 68.83%, 83.12%, and 94.81% respectively.There was a significant difference (P <0.05). Conclusions 1.Host community health education seminars regularly to improve female's knowledge on the illness and their compliance.2.Female should start the pelvic floor muscle earlier to avoid the occurrence of stress urinary incontinence.3.Increase physical activity;enhance self-care awareness;improve the quality of life of the menopausal transition female.4.For female, who suffered from mild to moderate stress urinary incontinence, should use the pelvic floor muscle rehabilitation with combination of topical estrogen cream treatments.