Bø K, Talseth T
Department of Biology and Sport Medicine, Norwegian University of Sport and Physical Education, Oslo, Norway.
Obstet Gynecol. 1996 Feb;87(2):261-5. doi: 10.1016/0029-7844(95)60375-1.
To evaluate clinically and urodynamically the effect of pelvic floor muscle exercise on genuine stress incontinence 5 years after cessation of a structured training program.
All 23 women who had participated in a 6-month intensive pelvic floor muscle exercise regimen participated in the follow-up study. Mean age was 50.7 years (range 30-70). The assessment included history by interview, use of subjective rating instruments (leakage index and social activity index), vaginal palpation, measurement of pelvic floor muscle strength by use of vaginal pressure measurement, cystometry, urethral pressure profiles during cough, and pad test with standardized bladder volume.
Three of 23 women had been treated surgically. Sixteen (70%) were exercising the pelvic floor muscles once a week or more. This included two of the women treated surgically. Of the 20 women not treated surgically, 70% were satisfied and did not want further treatment. Fifteen of 20 (75%) did not show any visible leakage during cough, and 11 had positive closure pressure during cough. There was a statistically significant increase in the scores of the leakage index and the pad test (P < .05) but not on the social activity index (P = .09). Pelvic floor muscle strength was reduced from a mean of 22 cm H2O (95% confidence interval [CI] 17-26.9) to 19.1 (95% CI 13.2-24.9) (P = .113) during the 5-year period.
There was a significant increase in incontinence measured by pad test and leakage index 5 years after cessation of organized pelvic floor muscle exercise. However, 75% showed no leakage during stress test, and 70% were satisfied with the condition. Seventy percent were exercising the pelvic floor muscles at least once a week, and pelvic floor muscle strength was maintained.
从临床和尿动力学角度评估在结构化训练计划结束5年后，盆底肌锻炼对真性压力性尿失禁的影响。
所有23名曾参加过为期6个月强化盆底肌锻炼方案的女性参与了随访研究。平均年龄为50.7岁（范围30 - 70岁）。评估内容包括通过访谈获取病史、使用主观评分工具（漏尿指数和社交活动指数）、阴道触诊、通过阴道压力测量评估盆底肌力量、膀胱测压、咳嗽时尿道压力分布以及标准化膀胱容量下的尿垫试验。
23名女性中有3名接受了手术治疗。16名（70%）女性每周进行一次或更多次盆底肌锻炼，其中包括2名接受手术治疗的女性。在20名未接受手术治疗且进行锻炼的女性中，70%表示满意且不想进一步治疗。20名女性中有15名（75%）在咳嗽时未出现可见漏尿，11名在咳嗽时有正向闭合压力。漏尿指数和尿垫试验得分有统计学显著增加（P < 0.05），但社交活动指数得分无变化（P = 0.09）。在5年期间，盆底肌力量从平均22 cm H₂O（95%置信区间[CI] 17 - 26.9）降至19.1（95% CI 13.2 - 24.9）（P = 0.113）。
在有组织的盆底肌锻炼停止5年后，通过尿垫试验和漏尿指数测量的尿失禁情况有显著增加。然而，75%的女性在压力测试时未出现漏尿，70%对自身状况满意。70%的女性每周至少进行一次盆底肌锻炼，且盆底肌力量得以维持。
