盆底肌肉锻炼对压力性尿失禁患者术后控尿效果的影响

目的探讨盆底肌肉锻炼对女性压力性尿失禁患者经阴道无张力尿道中段吊带术后控尿效果的影响。方法根据手术时间的先后顺序,将101例压力性尿失禁患者分为对照组(51例)和观察组(50例),对照组患者术后出院时行常规出院指导,观察组患者在此基础上进行一对一的盆底肌肉锻炼指导。治疗前及干预指导3个月后分别采用国际尿失禁咨询委员会尿失禁问卷简表评价患者尿失禁的严重程度。结果共完成94例资料的有效收集。观察组(48例)治疗后ICIQ-SF总分、漏尿次数和漏尿量低于对照组(46例)(P0.05);观察组患者漏尿程度总体低于对照组患者(P=0.041);观察组的主观治愈率高于对照组(P=0.009)。结论压力性尿失禁患者术后给予盆底肌肉锻炼指导,有利于改善患者术后尿失禁症状及漏尿程度,提高患者的主观治愈率,对患者术后控尿效果的改善优于单纯的手术治疗。

The impact of pelvic muscle training on urinary continence in postoperative female patients with stress urinary incontinence

Objective To study the impact of pelvic muscle training on urinary continence in stress urinary incontinence (SUI) patients after tension-free vaginal tape (TVT) surgery,and to provide evidence for clinical nurses taking measures to promote postoperative rehabilitation for patients.Methods 101 participants were randomly divided into the control group (51 cases) and experimental group (50 cases) according to the operation time.Patients in control group were instructed to the routine discharge guidance,while patients in experimental group received pelvic muscle training guidance by one-to-one for 3 months.All patients were asked for completing the international incontinence questionnaire short form (Chinese edition) (ICIQ-SF) to assess urinary incontinence status at pre-operation time and 3 months after the surgery respectively.Results 94 participants completed the data collected,After treatment,the ICIQ-SF total score,the median score of frequency of urinary leakage,quantity of urinary leakage in experimental group (48 cases) was 1point,0 point and 0 point respectively,it was lower than the control group (46cases) of 3 points,1 points and 2 points respectively.There were significantly difference between the two groups (P＜ 0.05).The degree of leakage of urine for patients in experimental group were much lower than that of the control group (P =0.041).The subjective cure rate in control group was 30.43％,and 60.42％ for experimental group,which was much higher than that of the control group (P =0.009).Conclusion Pelvic muscle training for SUI patients after TVT surgery can help patients to alleviate postoperative incontinence symptoms and increase the subjective cure rate.The effect of pelvic muscle training on urinary continence for postoperative patients with SUI was much better than that of single TVT surgery patients.