Wilson P D, Herbison G P
Department of Obstetrics and Gynaecology, Dunedin School of Medicine, University of Otago, New Zealand.
Int Urogynecol J Pelvic Floor Dysfunct. 1998;9(5):257-64. doi: 10.1007/BF01901501.
A randomized controlled trial was carried out to evaluate the extent to which a program of reinforced pelvic floor muscle exercises (PFME) reduces urinary incontinence 1 year after delivery. Two hundred and thirty women who were incontinent 3 months postpartum were randomized to either a control group doing standard postnatal pelvic floor muscle exercises (n = 117) or to an intervention group (n = 113) who saw a physiotherapist for instruction at approximately 3, 4, 6 and 9 months postpartum. Results collected 12 months after delivery included prevalence and frequency of incontinence and PFME, sexual satisfaction, perineometry measurements and pad tests. Twenty-six (22%) of the control group and 59 (52%) of the intervention group withdrew before the final assessment. The prevalence of incontinence was significantly less in the intervention group than in the control group (50% versus 76%, P=0.0003), and this group also did significantly more PFME. There were no significant differences between the groups as regards sexual satisfaction, perineometry measurements or pad test results.
开展了一项随机对照试验，以评估强化盆底肌肉锻炼（PFME）计划在产后1年减少尿失禁的程度。230名产后3个月出现尿失禁的女性被随机分为两组，一组为对照组，进行标准的产后盆底肌肉锻炼（n = 117），另一组为干预组（n = 113），干预组在产后约3、4、6和9个月时接受物理治疗师的指导。分娩12个月后收集的结果包括尿失禁和PFME的患病率及频率、性满意度、会阴测量和护垫试验。26名（22%）对照组女性和59名（52%）干预组女性在最终评估前退出。干预组的尿失禁患病率显著低于对照组（50%对76%，P = 0.0003），且该组进行的PFME也显著更多。两组在性满意度、会阴测量或护垫试验结果方面无显著差异。
