目的 观察盆底肌训练结合注意力训练对女性压力性尿失禁患者盆底功能和尿失禁症状的影响。 方法 选取女性压力性尿失禁患者50例，按照随机数字表法将其分为对照组和实验组，每组25例。对照组进行常规盆底肌训练，实验组在此基础上结合注意力训练。治疗前和治疗6周后(治疗后)，应用盆底表面肌电图评估两组患者的盆底肌表面肌电值，采用国际咨询委员会尿失禁问卷表简表(ICIQ-SF )评估两组患者治疗前后的尿失禁程度变化，用尿失禁生活质量问卷(I-QOL)评估两组患者治疗前后生活质量的变化。 结果 治疗前，两组患者盆底肌表面肌电值、ICIQ-SF评分、I-QOL评分比较，差异均无统计意义(P>0.05)。治疗6周后，实验组盆底肌快速收缩峰值[ (40.7±3.29) μV ]、紧张收缩平均肌电值[ (31.1±5.11)μV ]和耐力收缩平均肌电值[(29.39±2.60) μV ]、ICIQ-SF评分[(3.60±0.88)分]和I-QOL评分[ (84.71±5.14)分]较对照组改善优异，差异有统计学意义(P<0.05)。 结论 盆底肌训练结合注意力训练可以有效改善女性压力性尿失禁患者的盆底功能和尿失禁症状，提高生活质量。 Objective To explore any effect of pelvic floor muscle training and/or attention training on pelvic floor function and women′s symptoms of stress urinary incontinence (SUI). Methods Fifty incontinent women were divided into a control group (n=25) and an experimental group (n=25). Both groups received conventional pelvic muscle rehabilitation training, but the experimental group was additionally provided with attention training for 6 weeks. Before and after the 6 weeks of treatment, both groups were evaluated using surface electromyography of the pelvic floor. The short form of the International Urinary Incontinence Advisory Committee′s urinary incontinence questionnaire (ICIQ -SF) was used to assess the severity of incontinence and quality of life (I-QOL). Results Before the treatment there was no significant difference between the 2 group′s pelvic floor myographs, nor in their average ICIQ-SF and I-QOL scores. After the treatment, however, compared with the control group, significant improvement was observed in experimental group′s peak amplitude during rapid contraction, average EMG in tonic contraction and endurance contraction. Their average ICIQ-SF and I-QOL scores were also better. Conclusion Supplementing pelvic floor muscle training with attention training can effectively improve the urinary continence and the life quality of women with stress urinary incontinence.
Supplementing pelvic floor muscle training with attention training can more effectively relieve women′s stress urinary incontinence
Objective To explore any effect of pelvic floor muscle training and/or attention training on pelvic floor function and women′s symptoms of stress urinary incontinence (SUI). Methods Fifty incontinent women were divided into a control group (n=25) and an experimental group (n=25). Both groups received conventional pelvic muscle rehabilitation training, but the experimental group was additionally provided with attention training for 6 weeks. Before and after the 6 weeks of treatment, both groups were evaluated using surface electromyography of the pelvic floor. The short form of the International Urinary Incontinence Advisory Committee′s urinary incontinence questionnaire (ICIQ -SF) was used to assess the severity of incontinence and quality of life (I-QOL). Results Before the treatment there was no significant difference between the 2 group′s pelvic floor myographs, nor in their average ICIQ-SF and I-QOL scores. After the treatment, however, compared with the control group, significant improvement was observed in experimental group′s peak amplitude during rapid contraction, average EMG in tonic contraction and endurance contraction. Their average ICIQ-SF and I-QOL scores were also better. Conclusion Supplementing pelvic floor muscle training with attention training can effectively improve the urinary continence and the life quality of women with stress urinary incontinence.
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