Finckenhagen H B, Bø K
Tidsskr Nor Laegeforen. 1998 May 20;118(13):2015-7.
Several randomised controlled trials have shown that pelvic floor muscle exercise has resulted in a 60-70% improvement or cure rate from stress incontinence. The aim of the present study was to assess whether these methods could be put into general use in a physiotherapy clinic in primary health care. 36 women, all with a diagnoses of stress urinary incontinence, mean age 49 (range 25-67 years), participated in the study. Before treatment they underwent vaginal examination to ensure there was proper pelvic floor muscle contraction. Pelvic floor muscle strength was assessed by vaginal pressure measurement. Urinary leakage was registered on a 13-item "leakage index", using a 5-point graded scale (1 = never leakage to 5 = always leakage). The women attended a six-month pelvic floor muscle exercise programme, training in groups led by a physiotherapist, and exercising at home with three series of 8-12 contractions a day. 12 patients reported to be cured, and 12 reported a significant improvement (67% in all). Five patients achieved some improvement, whereas in another five there was no change. None became worse. It is concluded that pelvic floor muscle exercises, under the guidance of trained physiotherapists, may be just as effective in clinical practice as in randomised controlled trials.
多项随机对照试验表明，盆底肌肉锻炼可使压力性尿失禁的改善率或治愈率达到60%至70%。本研究的目的是评估这些方法是否可以在初级卫生保健的理疗诊所中普遍应用。36名均被诊断为压力性尿失禁的女性参与了该研究，她们的平均年龄为49岁（年龄范围25至67岁）。治疗前，她们接受了阴道检查，以确保盆底肌肉能够正常收缩。通过阴道压力测量来评估盆底肌肉力量。使用5级评分量表（1 = 从不漏尿至5 = 总是漏尿）在一份包含13个项目的“漏尿指数”上记录漏尿情况。这些女性参加了为期六个月的盆底肌肉锻炼计划，在物理治疗师的指导下分组训练，并在家中每天进行三组，每组8至12次收缩的锻炼。12名患者报告治愈，12名报告有显著改善（总共67%）。5名患者有一定改善，而另外5名患者没有变化。无人病情恶化。研究得出结论，在训练有素的物理治疗师的指导下，盆底肌肉锻炼在临床实践中可能与在随机对照试验中一样有效。
