Fan Hiu Lan, Chan Symphorosa Shing Chee, Law Tracy Sze Man, Cheung Rachel Yau Kar, Chung Tony Kwok Hung
Department of Obstetrics and Gynaecology, Faculty of Medicine, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong.
Aust N Z J Obstet Gynaecol. 2013 Jun;53(3):298-304. doi: 10.1111/ajo.12075. Epub 2013 Apr 1.
Women suffering from urinary incontinence have impaired quality of life (QoL). Pelvic floor muscle training (PFMT) has been recommended to be the first-line treatment for them.
This study evaluated the role of (PFMT) in women with urinary incontinence.
All women suffering from urinary incontinence without pelvic organ prolapse who attended the urogynaecology unit of a university hospital from January 2009 to June 2010 were recruited. Urinary symptoms and impact on QoL were assessed using the Chinese validated Urogenital Distress Inventory short form (UDI-6) and Incontinence Impact Questionnaire short form (IIQ-7) before and after PFMT. Urodynamic studies (UDS) were used to differentiate the diagnoses of urinary incontinence.
Three hundred and seventy-two women, aged 52.3 ± 10.8 years and practised PFMT for 9.9 ± 7.3 months, completed the study. Over 65% recorded improvement in both UDI-6 and IIQ-7. Stratified for urodynamic diagnosis, stress incontinence group and those who had no UDS abnormality had significant improvement in their urinary symptoms and QoL after PFMT. UDI-6 and IIQ-7 also improved significantly after PFMT in groups where the clinical presentation was stress incontinence, overactive bladder symptoms or mixed urinary incontinence. Age was not associated with a significant difference in the response to PFMT.
Pelvic floor muscle training appears to be an effective first-line intervention for improving urinary symptoms and QoL of women presenting with urinary incontinence. Future studies on long-term effectiveness and cost-effectiveness are also required.
患有尿失禁的女性生活质量受损。盆底肌训练（PFMT）被推荐为她们的一线治疗方法。
本研究评估了盆底肌训练（PFMT）在尿失禁女性中的作用。
招募了2009年1月至2010年6月期间在某大学医院泌尿妇科就诊的所有无盆腔器官脱垂的尿失禁女性。在盆底肌训练前后，使用经中国验证的泌尿生殖系统困扰问卷简表（UDI - 6）和尿失禁影响问卷简表（IIQ - 7）评估泌尿症状及对生活质量的影响。采用尿动力学研究（UDS）来区分尿失禁的诊断。
372名年龄为52.3±10.8岁且进行了9.9±7.3个月盆底肌训练的女性完成了研究。超过65%的女性在UDI - 6和IIQ - 7上均有改善。根据尿动力学诊断分层，压力性尿失禁组和那些无尿动力学异常的患者在盆底肌训练后泌尿症状和生活质量有显著改善。在临床表现为压力性尿失禁、膀胱过度活动症症状或混合性尿失禁的组中，盆底肌训练后UDI - 6和IIQ - 7也有显著改善。年龄与盆底肌训练反应的显著差异无关。
盆底肌训练似乎是改善尿失禁女性泌尿症状和生活质量的一种有效的一线干预措施。还需要对长期有效性和成本效益进行进一步研究。
