[生物反馈盆底肌训练对产后及绝经后女性压力性尿失禁的影响]

[Effect of pelvic floor muscle training with biofeedback on stress urinary incontinence in postpartum and post-menopausal women].

作者信息

Liu Juan, Zeng Jie, Wang Hailan, Zhou Yan, Zeng Chunyan

机构信息

Department of Gynecology, Third Affiliated Hospital of Guangzhou Medical University, Guangzhou 510150, China. Email:

Department of Gynecology, Third Affiliated Hospital of Guangzhou Medical University, Guangzhou 510150, China.

出版信息

Zhonghua Fu Chan Ke Za Zhi. 2014 Oct;49(10):754-7.

PMID:25537247

Abstract

OBJECTIVE

To investigate the short-term effect of pelvic floor muscle training (PFM) with biofeedback on stress urinary incontinence (SUI) in postpartum and post-menopausal women.

METHODS

According to the different period that the SUI occurs, 107 women with SUI were divided into two groups: the group of SUI in postpartum with 60 women, and the group of SUI in post- menopausal with 47 women. PFM with biofeedback was performed on all patients for 8 weeks. One hour pad- weighing test, voiding diary, transperineal three- dimensional ultrasound and female pelvic floor muscle assessment were recorded before and after treatment.

RESULTS

There was statistically significant difference in 1 hour pad-weighing test between pre- treatment and post-treatment for the group of SUI in postpartum (the negative, mild, moderate, and severe cases of post-treatment: 21, 24, 14, 1, of pre-treatment: 0, 30, 28, 2; P < 0.05), and the group of SUI in post-menopausal (the negative, mild, moderate, and severe cases of post-treatment: 7, 22, 11, 7, of pre-treatment: 0, 14, 25, 8; P < 0.05). The strength of the pelvic floor muscles of type I and type II in two groups after treatment were significantly different from those in pre-treatment (P < 0.01). The efficient rate of improvement in symptoms after treatment in the group of SUI in postpartum was 88% (53/60) and the cure rate was 38% (23/60). While the efficient rate in the group of SUI in post-menopausal women was 64% (30/47) and the cure rate was 15% (7/47). There was statistically significant difference in the development of symptoms in two groups after treatment (P = 0.003).

CONCLUSION

PFM with biofeedback is an effective treatment for SUI in postpartum and post-menopausal women, especially for postpartum ones.

摘要

目的

探讨生物反馈盆底肌训练（PFM）对产后及绝经后女性压力性尿失禁（SUI）的短期疗效。

方法

根据SUI发生的不同时期，将107例SUI女性分为两组：产后SUI组60例，绝经后SUI组47例。对所有患者进行8周的生物反馈盆底肌训练。记录治疗前后的1小时垫重量试验、排尿日记、经会阴三维超声及女性盆底肌评估。

结果

产后SUI组治疗前与治疗后1小时垫重量试验有统计学差异（治疗后阴性、轻度、中度和重度病例分别为21、24、14、1例，治疗前为0、30、28、2例；P<0.05），绝经后SUI组治疗前与治疗后1小时垫重量试验也有统计学差异（治疗后阴性、轻度、中度和重度病例分别为7、22、11、7例，治疗前为0、14、25、8例；P<0.05）。两组治疗后Ⅰ型和Ⅱ型盆底肌肌力与治疗前相比有显著差异（P<0.01）。产后SUI组治疗后症状改善有效率为88%（53/60），治愈率为38%（23/60）。绝经后女性SUI组有效率为64%（30/47），治愈率为15%（7/47）。两组治疗后症状改善情况有统计学差异（P=0.003）。