CAJ | 학술논문

目的：探讨盆底肌群训练对初产妇顺产后压力性尿失禁（SUI）的治疗效果。方法：选择初产妇顺产后尿失禁患者130例，随机分为两组，观察组于产后6周后将训练圆锥置入阴道，并作收缩盆底肌动作，每次15～20 min，每天训练3次；对照组口服盐酸米多君2．0 mg／次和替勃龙2．5 mg／次，一日3次；连续治疗两个月后，观察两组产妇的盆底肌综合收缩力、盆底肌肉功能和尿道功能。结果：治疗后，观察组盆底肌肉综合收缩力优于对照组（P ＜0．05）；阴道静息压（VRP）、阴道收缩压（VSP）和阴道收缩持续时间高于对照组（P ＜0．05），功能性尿道长度及最大尿道关闭压高于对照组（P ＜0．05）。结论：产后盆底功能康复训练治疗，能有效改善盆底肌肉及尿道功能，降低尿失禁的发生率，对于产后 SUI 发生具有一定的治疗效果。
목적：탐토분저기군훈련대초산부순산후압력성뇨실금（SUI）적치료효과。방법：선택초산부순산후뇨실금환자130례，수궤분위량조，관찰조우산후6주후장훈련원추치입음도，병작수축분저기동작，매차15～20 min，매천훈련3차；대조조구복염산미다군2．0 mg／차화체발룡2．5 mg／차，일일3차；련속치료량개월후，관찰량조산부적분저기종합수축력、분저기육공능화뇨도공능。결과：치료후，관찰조분저기육종합수축력우우대조조（P ＜0．05）；음도정식압（VRP）、음도수축압（VSP）화음도수축지속시간고우대조조（P ＜0．05），공능성뇨도장도급최대뇨도관폐압고우대조조（P ＜0．05）。결론：산후분저공능강복훈련치료，능유효개선분저기육급뇨도공능，강저뇨실금적발생솔，대우산후 SUI 발생구유일정적치료효과。
Objective:To investigate the therapeutic effect of pelvic floor muscle training on stress u-rinary incontinence (SUI)after delivery of primipara.Methods:A total of 130 primiparas with SUI after delivery were divided randomly into two groups.In the observation group,training cone was in-serted into vagina after 6 postnatal weeks and began pelvic floor muscle contraction,every time 15 ~20 minutes,three times a day;the control group was given midodrine hydrochloride 2.0 mg/and tibo-lone 2.5 mg/time orally,three times a day.After two months,observing contraction force,pelvic floor muscle function and urethral function.Results:Pelvic floor muscle comprehensive contraction force of the observation group was better than the control group (P <0.05);vaginal resting pressure (VRP), vaginal systolic blood pressure (VSP)and vaginal contraction duration were higher than the control group (P <0.05);functional urethral length and the maximum urethral closure pressure were higher than that of the control group (P <0.05).Conclusions:Pelvic floor muscle training can effectively improve the pelvic floor muscle and urethral function,reduce the incidence of urinary incontinence, and is effective for postpartum SUI.