【摘要】 目的探讨盆底综合康复治疗对老年女性压力性尿失禁患者的临床疗效及其对焦虑抑郁情绪的影响。方法选取2015年7月~2016年7月在北京老年医院妇科就诊的老年女性轻中度压力性尿失禁患者80例,随机分为试验组和观照组各40例。分别用生物反馈电刺激联合盆底肌肉锻炼法及单独的盆底肌肉锻炼法进行治疗并随访,比较两组尿失禁的治愈率、自觉症状评分及焦虑抑郁评分的改变。结果采用盆底综合康复治疗的试验组治疗后和随访后的尿失禁治愈率分别为90%(36/40)和72.5%(29/40),均显著高于对照组(P<0.05)。试验组治疗后和随访后的症状评分均显著低于治疗前(P<0.05)。试验组在治疗后及随访后的焦虑自评量表评分和老年抑郁评分均显著低于治疗前及同时期的对照组(P<0.05)。结论盆底综合康复治疗更有效地改善老年女性压力性尿失禁的症状,同时减轻患者焦虑抑郁的负面情绪。更多还原

【Abstract】 Objective To investigate the effect of comprehensive pelvic floor rehabilitation and its influence on anxiety and depression disorders related to urinary incontinence in elderly women. Methods Eighty elderly female patients suffering from light or moderate stress urinary incontinence randomly received either a combination of biofeedback, electrical stimulation and pelvic floor muscle training or pelvic floor muscle training alone. Such index as symptoms of urinary incontinence and change of anxiety and depression disorders were individually assessed. Results The cure rates of the test group receiving the comprehensive rehabilitation treatment were 90%(36/40) following therapy and 72.5%(29/40)at follow-up. These results were significantly better than those of the control group(P < 0.05). The mean scores for symptoms of urinary incontinence in the test group after therapy and at follow-up were significantly lower than at baseline(P < 0.05). Scores on the Self-Rating Anxiety Scale and Geriatric Depression Scale in the test group after therapy and at follow-up were significantly lower than before; they were also lower than the control group’s scores in the same period(P < 0.05). Conclusion Comprehensive pelvic floor rehabilitation effectively relieves the symptoms of urinary incontinence in elderly women and alleviates their mental disorders as well.更多还原