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目的 :探讨治疗和改善绝经后妇女压力性尿失禁有效的非手术治疗方法。方法 :采用倍美力 +安宫黄体酮序贯疗法配合盆底肌功能锻炼 ,对 12例绝经后压力性尿失禁妇女进行治疗并对其疗效进行对照分析。结果 :本研究发现 ,尿失禁量与Kupperman评分呈正相关 (r=0 .86 2 ,P <0 .0 1) ;12例患者经治疗后 1个月 ,尿失禁较治疗前明显好转 (P <0 .0 1) ,治疗 3个月尿失禁进一步好转 (P <0 .0 1)。激素替代治疗配合盆底肌锻炼疗效优于单用盆底肌锻炼或口服安慰剂者 (P <0 .0 1)。结论 :激素替代治疗配合盆底肌锻炼可以明显减轻绝经后妇女压力性尿失禁 ,同时全身也有良好反应。
Objective: To investigate the effective non-surgical treatment of stress urinary incontinence in postmenopausal women. METHODS: Twelve patients with post-menopausal stress urinary incontinence were treated with sequential therapy of progesterone and progesterone in combination with pelvic floor muscle functional exercise. The efficacy of the treatment was compared. Results: In this study, urinary incontinence was positively correlated with Kupperman score (r = 0.86 2, P <0.01). One month after treatment, urinary incontinence was significantly improved in 12 patients (P < 0 .0 1), urinary incontinence was further improved after 3 months of treatment (P <0.01). Hormone replacement therapy combined with pelvic floor muscle exercise better than single pelvic floor muscle exercise or oral placebo (P <0. 01). Conclusion: Hormone replacement therapy combined with pelvic floor muscle exercise can significantly reduce stress urinary incontinence in postmenopausal women, but also have good systemic response.