Hahn I, Milsom I, Fall M, Ekelund P
Department of Physiotherapy, Sahlgrens Hospital, Gothenburg, Sweden.
Br J Urol. 1993 Oct;72(4):421-7. doi: 10.1111/j.1464-410x.1993.tb16170.x.
One hundred and seventy women with genuine stress urinary incontinence participated in a pelvic floor exercise (PFE) programme (duration 4.7 +/- 0.2 months, range 1-18). Twenty-seven women awaiting surgery for genuine stress urinary incontinence constituted the control group. The women were evaluated using a provocation test, vaginal palpation and subjective assessment before and after treatment. After the PFE programme, 23% of the women considered themselves cured, 48% were improved and 29% unchanged. According to the provocation test used in this study 64% were cured or improved following PFE. The long-term results of PFE were assessed by means of a postal questionnaire 2 to 7 years after completion of the supervised training period (response rate 152/170; 89%). During this time 38 women (25%) had undergone operative treatment. Of the remaining patients, 13 (11%) reported that they were still cured, 50 (44%) continued to be improved, 35 (31%) were unchanged and 16 (14%) had deteriorated. However, the frequency of PFE training during the follow-up period was unsatisfactory, as only 15% were training several times a day. This indicates that continued guidance from a physiotherapist could improve the long-term efficacy of PFE training.
170名真性压力性尿失禁女性参加了一项盆底肌锻炼（PFE）计划（持续时间4.7±0.2个月，范围1 - 18个月）。27名等待真性压力性尿失禁手术的女性构成对照组。在治疗前后，通过激发试验、阴道触诊和主观评估对这些女性进行评估。PFE计划结束后，23%的女性认为自己已治愈，48%有所改善，29%无变化。根据本研究中使用的激发试验，64%的女性在进行PFE后治愈或有所改善。在监督训练期结束2至7年后，通过邮寄问卷对PFE的长期效果进行评估（回复率152/170；89%）。在此期间，38名女性（25%）接受了手术治疗。在其余患者中，13名（11%）报告仍处于治愈状态，50名（44%）持续改善，35名（31%）无变化，16名（14%）病情恶化。然而，随访期间PFE训练的频率并不理想，因为只有15%的人每天训练几次。这表明物理治疗师的持续指导可以提高PFE训练的长期效果。
