《中国康复理论与实践》

《中国康复理论与实践》 ›› 2019, Vol. 25 ›› Issue (9): 1103-1106.doi: 10.3969/j.issn.1006-9771.2019.09.022

• 临床研究 • 上一篇    下一篇

悬吊训练疗法对产后压力性尿失禁患者盆底肌力的效果

姜仁建1, 李航2, 周杰2, 王美元2   

  1. 1.重庆市中医院康复医学科,重庆市 400021
    2.重庆市中医研究院康复医学科,重庆市 400021
  • 收稿日期:2019-02-16 修回日期:2019-03-19 出版日期:2019-09-25 发布日期:2019-09-25
  • 通讯作者: 李航，E-mail： 2376330255@qq.com E-mail:2376330255@qq.com
  • 作者简介:姜仁建(1983-)，男，土家族，重庆市人，硕士研究生，主治中医师，主要研究方向：产后康复。
  • 基金资助:
    重庆市科委课题(No. cstc2014jcsf10004)

Effects of Sling Exercise Therapy on Muscle Strength of Pelvic Floor for Patients with Postpartum Stress Urinary Incontinence

JIANG Ren-jian1, LI Hang2, ZHOU Jie2, WANG Mei-yuan2   

  1. 1.Rehabilitation Medicine Department, Chongqing Chinese Medicine Hospital, Chongqing 400021, China
    2.Rehabilitation Medicine Department, Chongqing Institute of Traditional Chinese Medicine, Chongqing 400021, China
  • Received:2019-02-16 Revised:2019-03-19 Published:2019-09-25 Online:2019-09-25
  • Contact: LI Hang, E-mail: 2376330255@qq.com E-mail:2376330255@qq.com
  • Supported by:
    Supported by Chongqing Science and Technology Commission Project (No. cstc2014jcsf10004)

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摘要： 目的 观察悬吊训练疗法对产后压力性尿失禁患者盆底肌力的影响。 方法 2018年2月至2019年2月，产后42 d确诊为产后压力性尿失禁的患者90例随机分为对照组(n = 45)和观察组(n = 45)。对照组接受凯格尔训练，观察组接受悬吊训练，共1个月。治疗前后测量患者盆底肌肌电，疗程结束后评价临床疗效。 结果 治疗后，两组盆底肌肌电较治疗前均明显提高(t > 3.879, P < 0.01)，观察组优于对照组(P < 0.05)。观察组有效率93.33%，明显高于对照组的75.56% (χ2 = 13.83, P < 0.05)。 结论 悬吊训练能更有效地提高产后压力性尿失禁患者盆底肌力，改善患者溢尿症状。

关键词: 压力性尿失禁, 产后, 悬吊训练疗法, 盆底肌

Abstract: Objective To observe the effects of sling exercise therapy on muscle strength of pelvic floor in patients with postpartum stress urinary incontinence. Methods From February, 2018 to February, 2019, 90 patients diagnosed as postpartum stress urinary incontinence 42 days after delivery were randomly divided into control group (n = 45) and observation group (n = 45). The control group received Kegel training, and the observation group received sling exercise therapy, for a month. The electromyogram of pelvic floor was measured before and after treatment, and the clinical efficacy was evaluated at the end of the treatment. Results The electromyogram of pelvic floor increased in both groups after treatment (t > 3.879, P < 0.01), and increased more in the observation group than in the control group (P < 0.05). The rate of improvement was 93.33% in the observation group, which was more than 75.56% in the control group (χ2 = 13.83, P < 0.05). Conclusion Sling exercise therapy can more effectively improve the muscle strength of pelvic floor for patients with postpartum stress urinary incontinence, and relieve the symptoms of overfall.

Key words: stress urinary incontinence, postpartum, sling exercise therapy, pelvic floor muscles

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