盆底肌锻炼在女性压力性尿失禁患者中的应用价值

摘要

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。%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.