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压力性尿失禁女性的自我管理：策略、结果及纳入临床护理

Self-management in women with stress incontinence: strategies, outcomes and integration into clinical care.

作者信息

Titman Sarah C, Radley Stephen C, Gray Thomas G

机构信息

Community Continence Service, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.

Urogynaecology Unit, Sheffield Teaching Hospitals NHS Trust, Sheffield, UK.

出版信息

Res Rep Urol. 2019 Apr 17;11:111-121. doi: 10.2147/RRU.S177826. eCollection 2019.

DOI:10.2147/RRU.S177826
PMID:31114767
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6489641/
Abstract

The objective of this review is to present and discuss up-to-date conservative treatment strategies for the management of stress urinary incontinence (SUI) in women. This review aims to provide an overview of the importance of initial self-management strategies and conservative management options for women with SUI and how these treatments can be integrated into clinical practice. The various treatment modalities available including pelvic floor physiotherapy, biofeedback, and neuromuscular electrical stimulation devices, in addition to lifestyle changes which can significantly affect symptoms, are discussed. The relevance and importance of individual assessment and training programs is highlighted in addition to additional adjuncts available to facilitate rehabilitation and symptom improvement. Expected outcomes for women with mild to moderate SUI who participate in targeted individualized conservative management programs are generally good, with a high likelihood of substantial improvement in symptoms.

摘要

本综述的目的是介绍和讨论女性压力性尿失禁（SUI）管理的最新保守治疗策略。本综述旨在概述初始自我管理策略和SUI女性保守管理方案的重要性，以及这些治疗如何融入临床实践。讨论了各种可用的治疗方式，包括盆底物理治疗、生物反馈和神经肌肉电刺激设备，以及可显著影响症状的生活方式改变。除了有助于康复和症状改善的其他辅助手段外，还强调了个体评估和培训计划的相关性和重要性。参与针对性个体化保守管理方案的轻至中度SUI女性的预期结果通常良好，症状有很大改善的可能性很高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5281/6489641/33496ca8622d/RRU-11-111-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5281/6489641/cd25ed6471fd/RRU-11-111-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5281/6489641/80e76642d76e/RRU-11-111-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5281/6489641/33496ca8622d/RRU-11-111-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5281/6489641/cd25ed6471fd/RRU-11-111-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5281/6489641/80e76642d76e/RRU-11-111-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5281/6489641/33496ca8622d/RRU-11-111-g0003.jpg

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Eur J Obstet Gynecol Reprod Biol. 2018 Dec;231:15-18. doi: 10.1016/j.ejogrb.2018.10.011. Epub 2018 Oct 6.
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Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women.盆底肌训练与不治疗或非积极对照治疗对女性尿失禁的效果比较
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Web-Based Treatment for Women With Stress Urinary Incontinence.
Urol Nurs. 2014 Sep-Oct;34(5):252-7.
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Urol Nurs. 2014 Jul-Aug;34(4):193-202.
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Pelvic floor muscle training in women with stress urinary incontinence causes hypertrophy of the urethral sphincters and reduces bladder neck mobility during coughing.压力性尿失禁女性的盆底肌训练会导致尿道括约肌肥大，并在咳嗽时减少膀胱颈部的活动度。
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