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陶慧.盆底肌训练(Kegel操)在女性压力性尿失禁术后的应用体会[J].上海护理,2016,16(8):
盆底肌训练(Kegel操)在女性压力性尿失禁术后的应用体会
DOI：
中文关键词:  盆底肌训练 Kegel操 压力性尿失禁 盆底表面肌电
英文关键词:Pelvic floor muscle training  Kegel exercise  Stress incontinence  Glazer assessment
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作者单位E-mail
陶慧* 上海交通大学医学院附属仁济医院南院泌尿科 49800591@qq.com 
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中文摘要:
      目的：探讨盆底肌训练(Kegel操)对女性压力性尿失禁患者术后症状及生活质量的影响。方法：选择2014年1月至11月间诊断为中重度压力性尿失禁,同时行TVT术的女性患者,术后将其随机分为干预组(Kegel操 健康宣教)和对照组(健康宣教),于术后1、6、12个月分别对两组患者的尿失禁症状、生活质量及Glazer盆底表面肌电进行评估。结果：术后12个月两组患者在尿失禁症状评分、Glazer盆底表面肌电评估、生活质量评分上存在统计学差异(P<0.05),而术后6个月未能体现出明显差异(P＞0.05)。同时术后12月时干预组的临床有效率明显高于对照组。结论：对于中重度压力性尿失禁的女性患者,在TVT术后长期结合盆底肌训练有利于增强盆底肌肉群的肌力,提高表面肌电评分,从而明显改善尿失禁的临床症状,有助于改善患者的预后及治疗的有效率。
英文摘要:
      Objective: To investigate the effect of pelvic floor muscle training (Kegel exercise) on the symptoms and quality of life in female patients with stress incontinence after surgical treatment. Methods: Female patients who were diagnosed moderate to severe stress incontinence from November to January 2014 were inclueded. Patients were randomly divided into treatment group (Kegel group) and control group (Health Education group). Symptoms of urinary incontinence, quality of life and Glazer assessment were assessed on the 1st, 6th and 12th month after operation. Results: After 12 months of surgery, there was significant difference between two groups in symptoms of urinary incontinence, quality of life and Glazer assessment (P<0.05). Furthermore, higher clinical efficacy was demonstrated in the treatment group. However, after 6 months of surgery, the difference mentioned above had no statistical significance(P > 0.05). Conclusion: Long-term pelvic floor muscle training after TVT surgery is beneficial to female patients with moderate to severe stress incontinence by enhancing the muscle strength of the pelvic floor, optimizing Glazer assessment. It would significantly releave the symptoms of urinary incontinence, and helped to obtain better prognosis and therapeuticl effect.
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