摘要
目的探讨四子散热熨对轻中度压力性尿失禁患者盆底功能的康复作用。方法将女性轻中度压力性尿失禁患者随机分为对照组(n=39)和观察组(n=38)。对照组采用常规康复护理,观察组在对照组基础上采用四子散热熨,每次20 min,3次/周,连续干预4周。干预前后评估患者盆底肌肉功能、盆底组织形态和尿失禁总体情况,干预1个月后随访时评估患者尿失禁总体情况和尿失禁疗效。结果干预后观察组盆底表面肌电值前静息阶段、快速收缩阶段和后静息阶段康复效果和肛提肌裂孔面积显著优于对照组;干预后与随访时,观察组尿失禁总体评分显著优于对照组,干预后观察组尿失禁疗效显著优于对照组(P<0.05,P<0.01)。结论四子散热熨能促进轻中度压力性尿失禁患者盆底功能康复,改善尿失禁。
Objective To observe the effect of Sizi powder hot compress on pelvic floor function of female patients with mild to moderate stress urinary incontinence(SUI).Methods Female patients with mild to moderate SUI were randomly and evenly divided into 2 groups.The control group(n=39)received conventional rehabilitation and nursing care,while the intervention group(n=38)additionally received Sizi powder hot compress therapy,20 minutes each time,3 times/week,for a total of 4 weeks.Before and after the intervention,patient′s pelvic floor muscle function,pelvic floor tissue morphology,the overall situation of urinary incontinence,were measured and compared;the overall situation of urinary incontinence and the efficacy of urinary incontinence therapy measured at 1 month post-intervention follow-up were also compared.Results After intervention,the pelvic floor surface electromyography values in the pre-rest,rapid contraction and post-rest stages in the intervention group were better than those in the control group,likewise for the area of levator ani muscle hole;the scores of overall situation of urinary incontinence measured after intervention and at 1 month post-intervention follow-up in the intervention group were significantly higher than those in the control group,likewise for efficacy of urinary incontinence therapy measured after intervention(P<0.05,P<0.01).Conclusion Sizi powder hot compress can boost recovery of pelvic floor muscle function in women with mild to moderate SUI,and improve urinary incontinence.
作者
刘秦宇
黄惠榕
刘芳
韩雪琪
邹依然
廖莲梅
Liu Qinyu;Huang Huirong;Liu Fang;Han Xueqi;Zou Yiran;Liao Lianmei(Nursing Department,The First People′s Hospital of Chongqing Liangjiang New Area,Chongqing 401121,China)
出处
《护理学杂志》
CSCD
北大核心
2022年第12期39-42,63,共5页
Journal of Nursing Science
基金
国家中医临床研究基地专项科研课题(JDZX201920)。
关键词
压力性尿失禁
四子散热熨
盆底功能
盆底表面肌电值
三维盆底超声
康复护理
stress urinary incontinence
Sizi powder hot compress
pelvic floor muscle function
pelvic floor surface electromyography
three-dimensional pelvic floor ultrasonography
rehabilitation nursing
