Bø K, Talseth T, Vinsnes A
Norwegian University of Sport and Physical Education, Ullevål Stadium, Oslo.
Acta Obstet Gynecol Scand. 2000 Jul;79(7):598-603.
The purpose of the present study was to evaluate the effect of pelvic floor muscle exercise on quality of life, lifestyle and sex-life variables in genuine stress incontinent women.
Fifty-nine women with clinically and urodynamically proven genuine stress incontinence were randomized to either pelvic floor muscle exercise or an untreated control group. The intervention group was asked to perform 8-12 close to maximum contractions in 3 series per day. In addition they were exercising 45 minutes per week in groups. The intervention period was 6 months, and the women in the exercise group met once a month for individual assessment of pelvic floor muscle strength and motivation. Outcome measures were the Norwegian version of the Quality of Life Scale (QoLS-N) and the Bristol Female Lower Urinary Tract Symptoms (B-FLUTS) questionnaire.
The results showed that general quality of life measured by the generic quality of life questionnaire was not much affected by urinary incontinence. However, the disease specific questionnaire demonstrated that ability to participate in physical activity and some sex-life variables were affected by the condition. There was a statistically significant (p<0.01) reduction in number of women having problems with sex-life, social life, and physical activity in the exercise group after six months of pelvic floor muscle exercise.
Pelvic floor muscle exercise showed some effect on quality of life and sex-life variables.
本研究的目的是评估盆底肌肉锻炼对真性压力性尿失禁女性的生活质量、生活方式和性生活变量的影响。
59名经临床和尿动力学证实为真性压力性尿失禁的女性被随机分为盆底肌肉锻炼组或未治疗的对照组。干预组被要求每天分3组进行8 - 12次接近最大程度的收缩。此外，她们每周分组锻炼45分钟。干预期为6个月，锻炼组的女性每月会面一次，进行盆底肌肉力量和积极性的个体评估。结果测量指标为挪威版生活质量量表（QoLS - N）和布里斯托尔女性下尿路症状（B - FLUTS）问卷。
结果显示，通过通用生活质量问卷测量的总体生活质量受尿失禁影响不大。然而，疾病特异性问卷表明，身体活动能力和一些性生活变量受该疾病影响。经过6个月的盆底肌肉锻炼后，锻炼组中在性生活、社交生活和身体活动方面存在问题的女性数量有统计学意义的减少（p<0.01）。
盆底肌肉锻炼对生活质量和性生活变量显示出一定效果。
