李俊英,贾秀荣,刘富霞
LI Junying,JIA Xiurong,LIU Fuxia

• 1:张家口市第五医院妇产科

摘要(Abstract)：

目的:探讨盆底肌群训练对初产妇顺产后压力性尿失禁(SUI)的治疗效果。方法:选择初产妇顺产后尿失禁患者130例,随机分为两组,观察组于产后6周后将训练圆锥置入阴道,并作收缩盆底肌动作,每次15~20 min,每天训练3次;对照组口服盐酸米多君2.0 mg/次和替勃龙2.5 mg/次,一日3次;连续治疗两个月后,观察两组产妇的盆底肌综合收缩力、盆底肌肉功能和尿道功能。结果:治疗后,观察组盆底肌肉综合收缩力优于对照组(P<0.05);阴道静息压(VRP)、阴道收缩压(VSP)和阴道收缩持续时间高于对照组(P<0.05),功能性尿道长度及最大尿道关闭压高于对照组(P<0.05)。结论:产后盆底功能康复训练治疗,能有效改善盆底肌肉及尿道功能,降低尿失禁的发生率,对于产后SUI发生具有一定的治疗效果。
Objective: To investigate the therapeutic effect of pelvic floor muscle training on stress urinary incontinence( SUI) after delivery of primipara. Methods: A total of 130 primiparas with SUI after delivery were divided randomly into two groups. In the observation group,training cone was inserted into vagina after 6 postnatal weeks and began pelvic floor muscle contraction,every time 15 ~20 minutes,three times a day; the control group was given midodrine hydrochloride 2. 0 mg / and tibolone 2. 5 mg / time orally,three times a day. After two months,observing contraction force,pelvic floor muscle function and urethral function. Results: Pelvic floor muscle comprehensive contraction force of the observation group was better than the control group( P < 0. 05); vaginal resting pressure( VRP),vaginal systolic blood pressure( VSP) and vaginal contraction duration were higher than the control group( P < 0. 05); functional urethral length and the maximum urethral closure pressure were higher than that of the control group( P < 0. 05). Conclusions: Pelvic floor muscle training can effectively improve the pelvic floor muscle and urethral function,reduce the incidence of urinary incontinence,and is effective for postpartum SUI.

关键词(KeyWords)： 盆底肌群;功能训练;初产妇;顺产;尿失禁
pelvic floor muscles;functional training;primipara;vaginal delivery;urinary incontinence

Abstract:

Keywords:

基金项目(Foundation): 河北省科学技术成果(编号:20122024)

作者(Author): 李俊英,贾秀荣,刘富霞
LI Junying,JIA Xiurong,LIU Fuxia

DOI: 10.19367/j.cnki.1000-2707.2015.04.025

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