Zanetti Míriam Raquel Diniz, Castro Rodrigo de Aquino, Rotta Adriana Lyvio, Santos Patrícia Diniz Dos, Sartori Marair, Girão Manoel João Batista Castello
Department of Gynecology, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brazil.
Sao Paulo Med J. 2007 Sep 6;125(5):265-9. doi: 10.1590/s1516-31802007000500003.
Urinary incontinence is a public health problem that affects more than 200 million people worldwide. Stress incontinence is the most prevalent type. Pelvic floor muscle exercises have been used for treating it, although there is no consensus regarding their application. The aim of this study was to compare the results from treating female stress urinary incontinence with pelvic floor muscle exercises with or without physiotherapist supervision.
This was a randomized, prospective, controlled trial in the Urogynecology and Vaginal Surgery Sector, Universidade Federal de São Paulo.
Forty-four women were randomized to be treated for stress urinary incontinence with pelvic floor exercises for three consecutive months, into two groups: one with and the other without physiotherapist supervision. They were evaluated before and after treatment using a quality-of-life questionnaire, pad test, micturition diary and subjective evaluation. Descriptive analysis was used to evaluate the population. The homogeneity of the two groups was evaluated using the Kruskal-Wallis and Chi-squared tests. The success of the two groups after treatment was evaluated using the Wilcoxon test.
The supervised group showed statistically greater improvement in the pad test, micturition diary and quality of life than did the control group. In the subjective evaluation, only 23.8% of the control group patients were satised with their treatment. In the supervised group, 66.8% of patients did not want any other treatment.
Supervised pelvic floor muscle exercises presented better results in objective and subjective evaluations than did unsupervised exercises.
尿失禁是一个影响全球超过2亿人的公共卫生问题。压力性尿失禁是最常见的类型。盆底肌肉锻炼已被用于治疗压力性尿失禁，尽管在其应用方面尚未达成共识。本研究的目的是比较在有或没有物理治疗师监督的情况下，通过盆底肌肉锻炼治疗女性压力性尿失禁的效果。
这是一项在圣保罗联邦大学泌尿妇科和阴道外科进行的随机、前瞻性对照试验。
44名女性被随机分为两组，连续三个月接受盆底锻炼治疗压力性尿失禁，一组有物理治疗师监督，另一组没有。在治疗前后，使用生活质量问卷、护垫试验、排尿日记和主观评估对她们进行评估。采用描述性分析来评估研究人群。使用Kruskal-Wallis检验和卡方检验评估两组的同质性。使用Wilcoxon检验评估两组治疗后的成功率。
与对照组相比，有监督组在护垫试验、排尿日记和生活质量方面的改善在统计学上更显著。在主观评估中，对照组只有23.8%的患者对治疗满意。在有监督组中，66.8%的患者不想接受任何其他治疗。
在客观和主观评估中，有监督的盆底肌肉锻炼比无监督的锻炼效果更好。
