张小英.瑜伽训练在产后早期尿失禁治疗中的应用研究[J].实用中西医结合临床,2020,20(4): |
瑜伽训练在产后早期尿失禁治疗中的应用研究 |
Application of Yoga Training in the Treatment of Early Postpartum Urinary Incontinence. |
投稿时间:2019-04-14 修订日期:2020-03-01 |
DOI: |
中文关键词: 瑜伽 Kegel盆底肌训练 产后尿失禁 盆底肌力 |
英文关键词: |
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中文摘要: |
目的 探讨瑜伽训练在产后尿失禁治疗中的应用价值。方法 收集常规产后6周复查时明确诊断的产后早期尿失禁女性90例,随机分为2组,每组45例,分别接受Kegel盆底肌训练(Kegel组)和Kegel盆底肌训练联合瑜伽训练(Kegel+Yoga组),干预8周为1个疗程。参照Oxford盆底肌力评估法阴道指诊检测2组产妇干预前后盆底肌力变化情况,通过Bristol女性下尿路症状(BFLUTS)问卷调查2组产妇干预前后泌尿症状和生活质量2个维度评分变化情况,评估1个疗程后临床疗效。结果 2组产妇干预前一般资料(年龄、体质量指数、文化程度)、干预前盆底肌力、BFLUTS问卷中泌尿症状和生活质量维度评分差异无统计学意义(P>0.05)。干预后,2组盆底肌力、BFLUTS问卷中泌尿症状和生活质量维度评分均较干预前显著改善(P均<0.05);其中Kegel+Yoga组干预后上述指标和临床疗效均显著优于Kegel组(P均<0.05)。结论 产后早期瑜伽训练可以增强产妇盆底肌力,改善尿失禁症状,提高生活质量。 |
英文摘要: |
Objective To investigate the application value of yoga training in the treatment of postpartum urinary incontinence. Methods Objective To explore the application value of yoga training in the treatment of postpartum urinary incontinence. Methods Ninety women with early postpartum urinary incontinence diagnosed by routine 6-week postpartum examination were randomly divided into two groups, 45 cases in each group. The patients received Kegel pelvic floor muscle training (Kegel group) or Kegel pelvic floor muscle training combined with yoga training (Kegel + Yoga group) respectively, and the intervention lasted for 8 weeks as a course of treatment. Referring to Oxford pelvic floor muscle strength evaluation method, the changes of pelvic floor muscle strength before and after intervention were detected by vaginal finger examination. The changes of urinary symptoms score and quality of life score before and after intervention were investigated by Bristol female lower urinary tract symptoms (BFLUTS) questionnaire. The clinical efficacy was assessed after one course of treatment. Results There were no significant differences in general data (age, body mass index, educational level), pelvic floor muscle strength, urinary symptom score and quality of life score in BFLUTS questionnaire between the two groups before intervention (P > 0.05). After intervention, the pelvic floor muscle strength, the scores of urinary symptoms and the quality of life in BFLUTS questionnaire in both groups were significantly improved compared with those before intervention (P < 0.05). The above indexes and the clinical efficacy in Kegel + Yoga group after intervention were significantly better than those in Kegel group (P < 0.05). Conclusion Early postpartum yoga training can enhance the pelvic floor muscle strength, improve the symptoms of urinary incontinence and improve the quality of life. |
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