盆底肌肉锻炼对产后压力性尿失禁的影响

• 作 者: 温醒华 石少权 王建英
• 机 构: 中山大学附属第五医院产科,
• 出 处: 中国实用医药
• 发表日期: 2010年15期
• 关键词: 盆底肌肉锻炼(PFMT) 产后 压力性尿失禁 影响

目的探讨产后进行盆底肌肉锻炼(pelvic floormuscle training,PFMT)对产后压力性尿失禁的影响。方法将148例住院自然分娩初产妇,随机分为训练组和对照组。训练组75例于产后进行6～8周以上PFMT,对照组73例进行一般的产后健康教育指导,分别于产后6个月及12个月随访,通过排尿状况、盆底肌张力及尿垫试验进行评估,评价进行PFMT对产后压力性尿失禁的影响。结果在产后6个月及12个月随访中,训练组的压力性尿失禁发生率明显低于对照组,差异有显著性意义(P<0.01)。结论产后进行PFMT可以有效防治产后压力性尿失禁的发生和发展。

Objective To investigate the effect of postpartum pelvic floormus training (PFMT) on postpartum stress urinary incontinence. Methods 148 cases of primipara of natural delivery in hospital were randomly divided into training group and control group. In the training group, 75 cases were given PFMT more than 6-8 weeks postpartum and 73 cases in the control group were given general postpartum health education instruction. They were followed up for 6 months and 12 months postpartum respectively. Through the urination, pelvic floor muscle tension and urine pad test Evaluate the impact of PFMT on postpartum stress urinary incontinence. Results The incidence of stress incontinence in training group was significantly lower than that in control group at 6 months and 12 months postpartum, the difference was significant (P <0.01). Conclusions Postpartum PFMT can effectively prevent the occurrence and development of postpartum stress urinary incontinence.