目的:探讨盆底康复训练对产后压力性尿失禁的治疗效果。方法:选择在笔者所在医院分娩、阴道分娩后诊断为压力性尿失禁的产妇124例,根据临床症状分为三组:轻度组48例,中度组44例,重度组32例,均进行8周的盆底肌康复训练,采用国际尿失禁咨询委员会问卷简表(ICI-Q-SF),对治疗前后ICI-Q-SF评分结果及治疗效果进行比较。结果:轻度组、中度组、重度组总有效率分别为83.33%、72.73%、43.75%,轻度组治疗效果明显好于中度组与重度组(P〈0.05)。治疗后ICI-Q-SF评分较治疗前明显降低(P〈0.05)。结论:盆底肌康复训练是治疗产后压力性尿失禁患者的有效、简便方法,值得推广。
Objective:To explore the effect of pelvic floor muscle training and nursing care in the treatment of postpartum stress urinary incontinence(SUI). Method:124 women diagnosed for stress urinary incontinence from author’s hospital were divided into three groups,mild group had 48 cases,moderate group had 44 cases and severe group had 32 cases.All women were performed pelvic floor muscle training for 8 weeks.Compared the ICI-Q-SF score of before and after treatments by means of ICI-Q-SF tables and the treatment effect.Result:The total effective rate of mild group was 83.33%,the total effective rate of moderate was 72.73%,and the total effective rate of severe group was 43.75%.The therapy effect of mild group was significantly better than moderate group and severe group(P〈0.05).The ICI-Q-SF scores after treatment were lower than that of before treatment(P〈0.05).Conclusion:It is an effective and simple method for women postpartum with stress urinary incontinence by pelvic floor muscle training,and it is worthy of promotion.