Tchou D C, Adams C, Varner R E, Denton B
Kapiolani Women's and Children's Medical Center, Honolulu, HI 96184.
Phys Ther. 1988 May;68(5):652-5. doi: 10.1093/ptj/68.5.652.
The purpose of this study was to investigate the effects of pelvic-floor musculature exercises in the treatment of women with anatomical urinary stress incontinence. Fourteen female subjects, ranging in age from 33 to 67 years, participated in a four-week pelvic-floor musculature exercise program. Subjects underwent a pretraining urodynamic evaluation and were reexamined after four weeks of exercise training. Paired t tests of subjects' pretraining and posttraining values of bladder capacity, functional urethral length, and static urethral pressure profile showed no significant differences. Multivariate regression analysis demonstrated that the covariates of weight, motivation, and age did not significantly influence subjects' bladder capacity, functional urethral length, or static urethral pressure profile. Nine of the 14 subjects had a negative result on the posttraining urinary stress test (R = 0, p less than .01). The urinary stress test result was the only variable to change significantly from pretraining to posttraining measurements. All subjects reported posttraining improvement in control of urinary incontinence. A short-term exercise program for pelvic-floor musculature produced positive changes in subjects with anatomical urinary stress incontinence.
本研究的目的是调查盆底肌肉锻炼对解剖性压力性尿失禁女性患者的治疗效果。14名年龄在33至67岁之间的女性受试者参加了为期四周的盆底肌肉锻炼计划。受试者在训练前接受了尿动力学评估，并在四周的运动训练后再次接受检查。对受试者训练前和训练后的膀胱容量、功能性尿道长度和静态尿道压力曲线值进行配对t检验，结果显示无显著差异。多变量回归分析表明，体重、动机和年龄等协变量对受试者的膀胱容量、功能性尿道长度或静态尿道压力曲线没有显著影响。14名受试者中有9名在训练后的尿失禁压力测试中结果为阴性（R = 0，p < 0.01）。尿失禁压力测试结果是从训练前到训练后测量中唯一有显著变化的变量。所有受试者均报告训练后尿失禁控制情况有所改善。针对盆底肌肉的短期锻炼计划对解剖性压力性尿失禁患者产生了积极的变化。
