綜合康復療法對女性壓力性尿失禁及性功能影響的臨床研究

陳燕娥 吳學明 溫云花

【摘要】目的：探討綜合康復療法對女性壓力性尿失禁及性功能的影響，提高患者治療效果。方法：選取2011年4月至2015年7月期間我院收治的女性壓力性尿失禁患者220例，隨機分為兩組，使其有可比性。對照組患者實施單純盆底肌鍛煉，觀察組患者實施綜合康復治療。對兩組患者盆底肌力進行評價，并采用尿墊試驗計量漏尿量；采用國際女性性功能評估量表（BISF-W）對兩組患者性功能進行評價。結果：干預前兩組患者盆底肌力評分、尿墊試驗漏尿量以及性功能評分差別不大，差異無統計學意義（P>0.05）。經過干預，觀察組和對照組盆底肌力評分分別為（3.73±0.19）分和（3.22±0.20）分，觀察組明顯高于對照組；兩組尿墊試驗漏尿量分別為（3.58±0.18）g和（4.63±0.24）g，觀察組明顯低于對照組；觀察組患者性欲、性喚起、性高潮、性心理、性行為異常以及射精時間評分分別為（163.65±15.04）分、（154.29±11.77）分、（159.28±13.52）分、（156.71±12.44）分、（167.73±12.08）分和（169.37±12.48）分，均明顯高于對照組，上述比較兩組差異有統計學意義（P<0.05）。結論：通過綜合康復療法治療女性壓力性尿失禁可以更好的改善患者的癥狀、提高盆底肌力，并改善患者的性功能。

【關鍵詞】綜合康復療法；女性；壓力性尿失禁；性功能

Effect of comprehensive rehabilitation therapy on female stress urinary incontinence and sexual functionCHEN Yane， WU Xueming， WEN Yunhua. Department of Gynaecology， Haikou City Maternal and Children Health Care Hospital， Haikou 570203， Hainan， China

【Abstract】Objectives： To investigate the effect of comprehensive rehabilitation therapy for female stress urinary incontinence and sexual function， in order to improve treatment outcomes. Methods： 220 female patients with stress urinary incontinence in our hospital from April 2011 to July 2015 were randomly divided into two groups. Patients in the control group received simple pelvic floor muscle exercise and those in the observation group were given comprehensive rehabilitation therapy. The pelvic floor muscle strength of the two groups was evaluated， and the leak volume was measured using urine pad； the sexual function was evaluated with the use of international female sexual function assessment scale （BISF-W）. Results： Before intervention， differences in the pelvic floor muscle strength score， leak volume and sexual function scores between the two groups were not statistically significant （P>0.05）. After the intervention， the pelvic floor muscle strength scores of observation group and control group were （3.73±0.19） points and （3.22±0.20） points respectively， with significant difference； the leak volume of the two groups was （3.58±0.18） g and （4.63±0.24） g， i.e. that of the observation group was significantly lower than the control group； the libido， arousal， orgasm， sexual psychology， sexual behavior， and abnormal ejaculation time of observation group was （163.65±15.04）， （154.29±11.77）， （159.28±13.52）， （156.71±12.44）， （167.73±12.08） and （169.37±12.48） respectively， significantly higher than the control group. All the differences mentioned above were statistically significant （P<0.05）. Conclusions： Comprehensive rehabilitation therapy can improve the symptoms， pelvic floor muscle strength and sexual function of female patients with stress urinary incontinence.

【Key words】Comprehensive rehabilitation therapy； Female； Stress urinary incontinence； Sexual function

【中圖分類號】R699.7【文獻標志碼】A

壓力性尿失禁是女性尿失禁的常見類型，主要由盆底肌以及尿道組織受損所致，發病率達到11%～57%，而且隨著年齡的增長，發病率也越來越高[1]。壓力性尿失禁的發生可對患者的生活質量以及身心健康造成嚴重傷害，因此早期進行診斷和治療對于患者有著重要的意義[2]。本研究通過對220例壓力性尿失禁女性實施盆底肌鍛煉和綜合康復療法，以對比兩種方法治療女性壓力性尿失禁的效果?，F報……