[1]姚 昭,解光尧.产后压力性尿失禁非手术治疗的研究[J].医学信息,2020,33(02):53-57.[doi:10.3969/j.issn.1006-1959.2020.02.015]
 YAO Zhao,XIE Guang-yao.Study on Non-surgical Treatment of Postpartum Stress Urinary Incontinence[J].Medical Information,2020,33(02):53-57.[doi:10.3969/j.issn.1006-1959.2020.02.015]
点击复制

产后压力性尿失禁非手术治疗的研究()
分享到:

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年02期
页码:
53-57
栏目:
综述
出版日期:
2020-01-15

文章信息/Info

Title:
Study on Non-surgical Treatment of Postpartum Stress Urinary Incontinence
文章编号:
1006-1959(2020)02-0053-05
作者:
姚 昭1解光尧12
(1.浙江中医药大学第三临床医学院、康复医学院,浙江 杭州 310053;2.浙江中医药大学附属第三医院,浙江 杭州 310053)
Author(s):
YAO Zhao1XIE Guang-yao12
(1.School of Rehabilitation Medicine, the Third Clinical Medical College of Zhejiang Chinese Medical University,Hangzhou 310053,Zhejiang,China;2.The Third Affiliated Hospital of Zhejiang Chinese Medical University,Hangzhou 310053,Zhejiang,China)
关键词:
压力性尿失禁非手术治疗康复训练
Keywords:
Stress urinary incontinenceNon-surgical treatmentRehabilitation training
分类号:
R694+.54
DOI:
10.3969/j.issn.1006-1959.2020.02.015
文献标志码:
A
摘要:
产后压力性尿失禁(PSUI)是女性在妊娠分娩后出现的常见症状,2016年我国“全面二孩”政策启动以来,孕产妇不断增加,产后压力性尿失禁发病率也不断升高,其可导致产后性焦虑甚至抑郁,严重影响产妇的生活质量及性功能。因此,对PSUI进行有效的干预治疗具有重要意义。目前,非手术治疗因安全、简便、有效已作为轻中度PSUI患者的首选治疗方案。本文就PSUI的影响因素及预防、盆底肌功能训练、生物反馈联合电刺激、盆底磁刺激、核心肌康复训练、中医疗法作一综述,旨在为提高PSUI康复治疗提供参考。
Abstract:
Postpartum stress urinary incontinence (PSUI) is a common symptom of women after pregnancy and childbirth. Since the launch of China’s "Comprehensive Two-Child" policy in 2016, the number of pregnant women has increased, and the incidence of postpartum stress urinary incontinence has also increased. It leads to postpartum anxiety and even depression, which seriously affects the quality of life and sexual function of women. Therefore, effective intervention treatment of PSUI is of great significance. At present, non-surgical treatment has become the first choice for patients with mild to moderate PSUI due to its safety, simplicity and effectiveness. This article summarizes the influencing factors and prevention of PSUI, functional training of pelvic floor muscles, biofeedback combined with electrical stimulation, magnetic stimulation of pelvic floor, core muscle rehabilitation training, and traditional Chinese medicine methods, in order to provide a reference for improving PSUI rehabilitation treatment.

参考文献/References:

[1]中华医学会妇产科学分会妇科盆底学组.女性压力性尿失禁诊断和治疗指南(2017)[J].中华妇产科杂志,2017,52(5):289-293. [2]Zhang L,Zhu L,Xu T,et al.A Population-based Survey of the Prevalence,Potential Risk Factors,and Symptom-specific Bother of Lower Urinary Tract Symptoms in Adult Chinese Women[J].European Urology,2015,68(1):97-112. [3]田荣,李莉,马娟.生物反馈电刺激联合盆底肌训练治疗产后压力性尿失禁的疗效观察及影响因素分析[J].中国临床医生杂志,2019,47(4):114-116. [4]王青,于晓杰,陈庚敏,等.产后压力性尿失禁发生的影响因素研究[J].中国妇产科临床杂志,2019(2):112-115. [5]冯莹,孙珂,陈晓燕,等.产后压力性尿失禁的发生影响因素的临床研究[J].实用妇科内分泌电子杂志,2019,6(13):66-67. [6]Dinc A,Oymak S,Celik M.Examining prevalence of urinary incontinence and risk factors in women in third postpartum month[J].International Journal of Urological Nursing,2019,13(1):13-22. [7]石薇,牛晓宇,陈悦悦,等.成都地区产后早期尿失禁的危险因素分析[J].四川大学学报(医学版),2019,50(4):598-603. [8]李雪姣,高慧娟,刘颖琳.产后盆底功能障碍的影响因素分析[J].新医学,2017,48(4):250-257. [9]卢明霞,凌静.Kegel运动联合Lamaze呼吸法对妊娠、孕妇分娩及盆底功能障碍性疾病影响的研究[J].中国妇幼保健,2013,28(27):4554-4556. [10]Yang S,Sang W,Feng J,et al.The Effect of Rehabilitation Exercises Combined with Direct Vagina Low Voltage Low Frequency Electric Stimulation on Pelvic Nerve Electrophysiology and Tissue Function in Primiparous Women:A Randomised Controlled Trial[J].Journal of Clinical Nursing,2017,26(23-24):4537-4547. [11]赵祥虎,马明,徐亮,等.呼吸训练在产后压力性尿失禁中的应用[J].中国康复理论与实践,2018,24(6):107-112. [12]龚慧珍,柳水琴,邱吉凤.探讨Kegel盆底肌训练降低产后尿失禁的效果[J].实用妇科内分泌电子杂志,2019,6(2):54-55. [13]Sigurdardottir T,Steingrimsdottir T,Geirssion RT,et al.Can postpartum pelvic floor muscle training reduce urinary and anal incontinence?An assessor-blinded randomized controlled trial [J].American Journal of Obstetrics and Gynecology,2019:S0002-9378(19)31116-0. [14]王潇,段培蓓,杜世正,等.孕期盆底肌训练预防或治疗初产妇尿失禁效果的Meta分析[J].护理研究,2019,33(1):33-40. [15]范国荣,薄海欣.达标理论在产后尿失禁患者盆底康复训练中的应用研究[J].中华护理杂志,2019,54(4):506-510. [16]张明娜,陈静,刘宏,等.移动健康教育微信平台预防产后早期压力性尿失禁的实践探索[J].中国护理管理,2018,18(11):86-89. [17]Asklund I,Nystr?觟m E,Sj?觟str?觟m M,et al.Mobile app for treatment of stress urinary incontinence: A randomized controlled trial[J].Neurourology and Urodynamics,2017,19(5):e154. [18]Latorre GFS,de Fraga R,Seleme MR,et al.An ideal e-health system for pelvic floor muscle training adherence:Systematic review[J].Neurourology and Urodynamics,2018,38(1):63-80. [19]王宏,薛紫怡,李梦梦,等.产后压力性尿失禁病人生物反馈治疗后盆底肌表面电信号变化观察[J].首都医科大学学报,2017,38(2):320-324. [20]曹燕,傅琦博,司俊文,等.非侵入式盆底肌康复疗法对产后盆底功能恢复的影响[J].上海护理,2019,19(7):31-33. [21]李欣,刘植华,兰纯娜,等.电刺激-生物反馈联合盆底肌训练对产后压力性尿失禁的康复效果[J].医学临床研究,2015(10):2052-2053. [22]Stewart F,Berghmans B,B?覬 K,et al.Electrical stimulation with non-implanted devices for stress urinary incontinence in women[J].Cochrane Database Syst Rev,2017(12):CD012390. [23]仇秋明,仇秋苹,张瑶,等.电刺激联合生物反馈治疗产后压力性尿失禁的疗效与影响因素探究[J].湖南中医药大学学报,2018,38(A01):995-996. [24]葛君,冶海红,蒲巍林,等.研究康复训练联合生物反馈及电刺激在产后压力性尿失禁中的应用效果[J].中国妇产科临床杂志,2019,20(1):65-66. [25]姚晓曦.产妇产后盆底康复训练对其产后盆底肌功能的改善作用与压力性尿失禁发生率的影响[J].实用医技杂志,2019,26(7): 867-869. [26]Grape HH,Dedering A,Jonasson AF,et al.Retest reliability of surface electromyography on the pelvic floor muscles[J].Neurourology and Urodynamics,2009,28(5):395-399. [27]Lim R,Liong ML,Leong WS,et al.Effect of pulsed magnetic stimulation on sexual function in couples with incontinent partner[J].The Journal of Urology,2016,195(4):e334. [28]Lim R,Liong ML,Leong WS,et al.Randomized Controlled Trial of Pulsed Magnetic Stimulation for Stress Urinary Incontinence:1-Year Results[J].The Journal of Urology,2017,197(5):1302-1308. [29]林斌,朱景振,李龙坤.磁刺激治疗尿失禁随机对照试验的Meta分析[J].现代泌尿外科杂志,2017,22(2):138-142. [30]姜仁建,李航,周杰,等.悬吊训练疗法对产后压力性尿失禁患者盆底肌力的效果[J].中国康复理论与实践,2019,25(9):1103-1106. [31]张小英.孕期瑜伽训练对孕产妇盆底肌力的影响[J].社区医学杂志,2017,15(21):19-21. [32]陈文婷,赵子玲,陈大隆,等.针灸治疗女性压力性尿失禁临床疗效的Meta分析[J].广西中医药,2018,41(2):56-61. [33]张春敏.盆底康复训练联合针灸对产妇产后压力性尿失禁及盆底肌力的影响[J].中国妇幼保健,2018,33(9):1975-1978. [34]佟英奇,姚岚.针灸联合早期盆底肌康复训练预防产后尿失禁临床研究[J].中国中医药信息杂志,2019,26(1):43-45. [35]宋曙霞,王雄虎,何田田,等.腹针联合中药治疗产后盆底功能障碍临床研究[J].新中医,2019,51(8):211-214. [36]李静,曹保利,杜静.电针联合生物反馈电刺激治疗产后压力性尿失禁的临床体会[J].中华针灸电子杂志,2019,8(2):78-80. [37]孙晓东.骶四针疗法联合补脾固活汤治疗产后压力性尿失禁患者52例[J].光明中医,2017,32(21):3056-3058. [38]刘样,胡蓉,袁光辉,等.艾灸配合盆底肌训练治疗产后压力性尿失禁临床观察[J].上海针灸杂志,2018,37(2):192-195. [39]李建茹,张旭,张博.Kegel训练配合艾灸气海穴对于预防产后尿失禁的影响[J].临床医药文献电子杂志,2018,5(93):98. [40]肖夏清,章青英,钱光泽.隔附子饼灸联合盆底康复治疗仪对产后压力性尿失禁的疗效观察[J].内蒙古医学杂志,2018,50(6):689-690. [41]胡丹,邓鹏,焦琳,等.热敏灸联合Kegel锻炼疗法治疗女性压力性尿失禁疗效观察[J].针刺研究,2017,42(4):338-341. [42]王坚红,洪鑫燊.补中益气汤配合盆底生物反馈治疗产后Ⅰ级压力性尿失禁37例[J].湖南中医杂志,2019,35(3):53-54. [43]张睿.加味补中益气汤配合盆底功能锻炼治疗产后压力性尿失禁的疗效观察[J].中医临床研究,2018,10(7):113-114. [44]程亮亮.补肾益气法结合盆底肌肉训练预防产后压力性尿失禁200例[J].河南中医,2018,38(11):1698-1701. [45]曹东波,陈新.固脬汤治疗产后顽固性尿失禁60例临床观察[J].中医药导报,2004,10(9):15. [46]王姝婉,梁嘉丽,杨静,等.中药内服外治并用治疗产后压力性尿失禁[J].吉林中医药,2018,38(6):664-665.

相似文献/References:

[1]韩林东,李 明.青少年特发性脊柱侧弯非手术治疗研究进展[J].医学信息,2018,31(08):28.[doi:10.3969/j.issn.1006-1959.2018.08.010]
 HAN Lin-dong,LI Ming.Progress in Non-operative Treatment of Adolescent Idiopathic Scoliosis[J].Medical Information,2018,31(02):28.[doi:10.3969/j.issn.1006-1959.2018.08.010]
[2]崔康健,杜成友.肝动脉化疗栓塞联合射频消融治疗肝癌的研究进展[J].医学信息,2018,31(09):16.[doi:10.3969/j.issn.1006-1959.2018.09.005]
 CUI Kang-jian,DU Cheng-you.Research Progress of Transcatheter Arterial Chemoembolization Combined with Radiofrequency Ablation for Liver Cancer[J].Medical Information,2018,31(02):16.[doi:10.3969/j.issn.1006-1959.2018.09.005]
[3]刘 峰,吴晓丽,谢建军.焦虑、抑郁与女性压力性尿失禁的相关性[J].医学信息,2020,33(02):116.[doi:10.3969/j.issn.1006-1959.2020.02.033]
 LIU Feng,WU Xiao-li,XIE Jian-jun.Correlation Between Anxiety,Depression and Stress Urinary Incontinence in Women[J].Medical Information,2020,33(02):116.[doi:10.3969/j.issn.1006-1959.2020.02.033]
[4]李 飞,杨丽丽,聂梦丽,等.经阴式二维盆底超声在压力性尿失禁中的诊断价值[J].医学信息,2020,33(04):171.[doi:10.3969/j.issn.1006-1959.2020.04.057]
 LI Fei,YANG Li-li,NIE Meng-li,et al.Diagnostic Value of Transvaginal Two-dimensional Pelvic Floor Ultrasound in Stress Urinary Incontinence[J].Medical Information,2020,33(02):171.[doi:10.3969/j.issn.1006-1959.2020.04.057]
[5]廖春雨.胸腰段骨折的分型及治疗现状[J].医学信息,2020,33(15):34.[doi:10.3969/j.issn.1006-1959.2020.15.012]
 LIAO Chun-yu.Classification and Treatment Status of Thoracolumbar Fractures[J].Medical Information,2020,33(02):34.[doi:10.3969/j.issn.1006-1959.2020.15.012]
[6]尚 禹.初产妇经阴道分娩与剖宫产对产后压力性尿失禁及盆底肌力的影响[J].医学信息,2020,33(18):107.[doi:10.3969/j.issn.1006-1959.2020.18.035]
 SHANG Yu.Influence of Vaginal Delivery and Cesarean Section of Primipara on Postpartum Stress Urinary Incontinence and Pelvic Floor Muscle Strength[J].Medical Information,2020,33(02):107.[doi:10.3969/j.issn.1006-1959.2020.18.035]
[7]钱艳平,牛红萍,王堉如,等.电针联合生物反馈治疗初产妇经阴道分娩后压力性尿失禁的临床效果[J].医学信息,2021,34(02):69.[doi:10.3969/j.issn.1006-1959.2021.02.019]
 QIAN Yan-ping,NIU Hong-ping,WANG Yu-ru,et al.Clinical Effect of Electroacupuncture Combined with Biofeedback in the Treatment of Stress Urinary Incontinence After Vaginal Delivery of Primipara[J].Medical Information,2021,34(02):69.[doi:10.3969/j.issn.1006-1959.2021.02.019]
[8]黄彩云,陆凤莹,梁雪琼.高明区老年女性压力性尿失禁发病情况调查[J].医学信息,2021,34(08):139.[doi:10.3969/j.issn.1006-1959.2021.08.036]
 HUANG Cai-yun,LU Feng-ying,LIANG Xue-qiong.Investigation on the Incidence of Stress Urinary Incontinence Among Elderly Women in Gaoming District[J].Medical Information,2021,34(02):139.[doi:10.3969/j.issn.1006-1959.2021.08.036]
[9]邓淑珍.低频脉冲电刺激配合雷火灸治疗压力性尿失禁的效果及对盆底肌力和康复效果的影响[J].医学信息,2021,34(22):84.[doi:10.3969/j.issn.1006-1959.2021.22.025]
 DENG Shu-zhen.Effect of Low Frequency Pulse Electric Stimulation Combined with Thunder Fire Moxibustion on Stress Urinary Incontinence and its Effect on Pelvic Floor Muscle Strength and Rehabilitation[J].Medical Information,2021,34(02):84.[doi:10.3969/j.issn.1006-1959.2021.22.025]

更新日期/Last Update: 2020-01-15