摘要
目的:观察振腹推拿疗法治疗产后压力性尿失禁的临床疗效。方法:将60例产后压力性尿失禁患者随机分为对照组和治疗组,每组30例。治疗组采用振腹推拿疗法进行治疗,对照组采用凯格尔运动训练治疗。治疗前后分别对比两组患者排尿情况、健康调查简表评分和盆底肌功能评估。结果:治疗后,两组患者的24h尿失禁次数、24h排尿次数均较治疗前降低(P<0.01),且治疗组治疗后的24h尿失禁次数、24h排尿次数均低于对照组(P<0.01)。治疗后,两组患者的24h尿失禁次数、24h排尿次数均较治疗前降低(P<0.01),且治疗组治疗后的24h尿失禁次数、24h排尿次数均低于对照组(P<0.01)。治疗后,两组患者的前静息阶段、快速收缩阶段、紧张收缩阶段、耐力收缩阶段、后静息阶段5个阶段的盆底肌状态均较治疗前改善(P<0.01),且治疗组治疗后的前静息阶段、快速收缩阶段、紧张收缩阶段、耐力收缩阶段、后静息阶段5个阶段的盆底肌状态均优于对照组(P<0.01)。结论:振腹推拿疗法能够明显改善产后产妇的压力性尿失禁症状,并能够改善患者的盆底肌功能,提高患者的生活质量,相比于凯格尔运动训练治疗具有更好的临床疗效。
Objective:To observe the clinical efficacy of Zhenfu Tuina therapy in the treatment of postpartum stress urinary incontinence.Methods:60 cases of postpartum stress Urinary incontinence were randomly divided into a control group and a treatment group,30 cases in each group.The treatment group was treated with abdominal vibration and massage,and the control group was treated with Kegel exercise training.Compare the urination status,health survey brief score,and pelvic floor muscle function evaluation of the two groups of patients before and after treatment.Results:After treatment,the 24h Urinary incontinence frequency and 24h urination frequency of the two groups were lower than those before treatment(P<0.01),and the 24h Urinary incontinence frequency and 24h urination frequency of the treatment group were lower than those of the control group(P<0.01).After treatment,the 24h Urinary incontinence frequency and 24h urination frequency of the two groups were lower than those before treatment(P<0.01),and the 24h Urinary incontinence frequency and 24h urination frequency of the treatment group were lower than those of the control group(P<0.01).After treatment,the pelvic floor muscle status of the two groups of patients in the pre rest stage,rapid contraction stage,tension contraction stage,endurance contraction stage,and post rest stage improved compared to before treatment(P<0.01),and the pelvic floor muscle status of the treatment group in the pre rest stage,rapid contraction stage,tension contraction stage,endurance contraction stage,and post rest stage after treatment was better than that of the control group(P<0.01).Conclusion:Zhenfu Tuina therapy can significantly improve the symptoms of stress urinary incontinence in postpartum mothers,improve the function of pelvic floor muscles and improve the quality of life of patients,and has better clinical efficacy compared with Kegel exercise training treatment.
作者
戴晓晖
马昌瑞
国生
魏槃
周可林
DAI Xiao-hui;MA Chang-rui;GUO sheng;WEI Pan;ZHOU Ke-ling(Dongfang Hospital,Beijing University of Traditional Chinese Medicine,Beijing 100078;Beijing Tongzhou District Hospital of Integrative Medicine,Beijing 101199;Beijing University of Traditional Chinese Medicine,Beijing 100105)
出处
《按摩与康复医学》
2023年第8期8-11,共4页
Chinese Manipulation and Rehabilitation Medicine
关键词
振腹推拿
产后压力性尿失禁
临床疗效
症状评分
盆底肌功能
Zhenfu Tuina
postpartum stress urinary incontinence
clinical efficacy
symptom score
pelvic floor muscle function
