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目的探讨盆底肌锻炼联合穴位按摩在产后压力性尿失禁患者中的应用效果。方法选取2015年10月-2016年7月浙江中医药大学附属第一医院收治的96例产后压力性尿失禁患者为研究对象,随机分为对照组48例和观察组48例,对照组进行常规盆底肌锻炼治疗,观察组则进行盆底肌锻炼联合穴位按摩治疗。比较两组患者的临床总有效率、治疗前后的ICI-Q-SF量表及尿流动力学指标。结果观察组中轻度、中度及重度压力性尿失禁患者的临床总有效率均高于对照组(P<0.05),整组的临床总有效率高于对照组(P<0.05),治疗后的ICI-Q-SF量表及尿流动力学指标均好于对照组(P<0.05),两组治疗后的评估结果比较,差异有统计学意义(P<0.05)。结论盆底肌锻炼联合穴位按摩在产后压力性尿失禁患者中的应用效果较好,可显著改善患者的排尿状态及尿流动力学状态,适用于产后压力性尿失禁患者。
Objective To investigate the effect of pelvic floor exercises combined with acupoint massage on postpartum stress urinary incontinence. Methods A total of 96 postpartum stress urinary incontinence patients admitted to the First Affiliated Hospital of Zhejiang University of Traditional Chinese Medicine from October 2015 to July 2016 were selected and divided into control group (48 cases) and observation group (48 cases). The control group Pelvic floor muscle exercise treatment, the observation group was pelvic floor muscle exercises combined with acupressure treatment. The total effective rate of the two groups were compared, before and after treatment ICI-Q-SF scale and urodynamic indicators. Results The total clinical effective rate in the mild, moderate and severe stress urinary incontinence patients in the observation group was higher than that in the control group (P <0.05), and the total effective rate in the whole group was higher than that in the control group (P <0.05) After ICI-Q-SF scale and urodynamic indexes were better than the control group (P <0.05), the two groups after treatment compared the evaluation results, the difference was statistically significant (P <0.05). Conclusions Pelvic floor muscle exercise combined with acupoint massage is effective in postpartum stress urinary incontinence patients and can significantly improve urination and urodynamic status in patients with postpartum stress incontinence.