盆底肌锻炼对中年女性压力性尿失禁的疗效分析

谭春花

摘 要 目的：探讨社区开展盆底肌锻炼对中年女性压力性尿失禁的疗效。方法：随机抽取辖区内2个居委各50例中年女性压力性尿失禁患者，分为对照组50例，应用常规药物治疗，干预组50例，在常规药物治疗基础上应用盆底肌锻炼，比较两组患者治疗后尿失禁严重程度及生活质量评分。结果：干预后，干预组和对照组的尿失禁严重程度评分均较干预前明显改善，分别为（7.11±1.25）分比（13.56±3.81）分和（10.24±1.32）分比（13.54±3.79）分，差异有统计学意义（P<0.05），且干预组优于对照组（P<0.05）。干预组和对照组的生活质量评分均较干预前有明显改善，分别为（85.65±3.54）分比（72.36±5.25）分和（79.10±2.87）分比（72.44±5.31）分，差异有统计学意义（P<0.05），但干预组的改善程度优于对照组（P<0.05）。结论：盆底肌锻炼能显著改善中年女性压力性尿失禁严重程度，提高患者生活质量，可在社区内推广。

关键词 压力性尿失禁；盆底肌锻炼；中年女性；疗效

中图分類号：R694+.54 文献标志码：A 文章编号：1006-1533（2017）18-0034-02

Analysis of the effect of pelvic floor muscle exercise on stress urinary incontinence in the middle aged women

TAN Chunhua

（Beixinjing Community Health Service Center， Shanghai 200335， China）

ABSTRACT Objective： To investigate the effect of pelvic floor muscle exercise on stress urinary incontinence in the middle-aged women in the community. Methods： Fifty middle-aged female patients with stress urinary incontinence were randomly selected in each of 2 neighborhood committees and divided into a control group with 50 cases and treated with conventional drugs and an intervention group with 50 cases treated with pelvic floor muscle exercises on the basis of routine medication. The urinary incontinence severity and score of life quality were compared between the two groups after treatment. Results： After the intervention， the urinary incontinence severity scores of the intervention group and the control group were significantly improved， respectively （7.11±1.25） to （13.56±3.81） points and （10.24±1.32） to （13.54±3.79） points， and the difference was statistically significant（P<0.05）. The intervention group was better than the control group（P<0.05）. The scores of life quality of the intervention group and the control group were improved more significantly than those before the intervention， respectively （85.65±3.54） to （72.36±5.25） points and （79.10±2.87） to （72.44±5.31） points， and the difference was statistically significant（P<0.05）. But the improvement rate of the intervention group was better than that of the control group（P<0.05）. Conclusion： Pelvic floor muscle exercise treatment can significantly improve the severity of stress urinary incontinence in the middle-aged women and the quality of life of patients， which can be promoted in the community.

KEY WORDS stress urinary incontinence； pelvic floor muscle exercise； middle-aged women； curative effect

压力性尿失禁指机体在正常情况下无遗尿，但在打喷嚏、咳嗽、运动等各种原因引起腹压突然增高时导致患者尿液不自主地自尿道口流出的临床综合征[1]。该疾病的发病人群为中老年女性群体，若不及时加以有效治疗，会严重影响患者的生活质量，给患者的心理状况造成一定的负面影响[2]。本文报道北新泾街道社区卫生服务中心在社区内对中年女性压力性尿失禁患者实施盆底肌锻炼治疗的效果。

1 资料与方法

1.1 一般资料

2015年10月—2016年9月随机抽取北新泾街道2个居委各50例中年女性压力性尿失禁患者，均符合2002年国际控尿学会制定的压力性尿失禁诊断标准[3]，尿液分析结果正常，均未接受过手术或非手术治疗。将100例患者分为干预组50例和对照组50例。干预组患者年龄41～59岁，平均（50.62±5.78）岁，病程2～10年，平均（4.85±0.61）年。对照组患者年龄41～59岁，平均（50.59±5.74）岁，病程2～11年，平均（4.89±0.63）年。两组患者一般资料相比差异无统计学意义（P>0.05）。……