中国康复理论与实践2026，Vol.32Issue(6)：690-698,9.DOI:10.3969/j.issn.1006-9771.2026.06.007
功能性盆底肌训练对女性压力性尿失禁患者的效果
Effect of functional pelvic floor muscle training on stress urinary incontinence in women
摘要
Abstract
Objective To observe the effect of functional pelvic floor muscle training on pelvic floor muscle function,incontinence symptoms and quality of life in female patients with stress urinary incontinence(SUI). Methods From February,2024 to July,2025,40 female patients with SUI were recruited from Beijing Bo'ai Hospital and advertisements.They were randomly divided into control group(n=20)and experimental group(n=20).The control group received conventional pelvic floor muscle contraction and relaxation training,and the experi-mental group received functional pelvic floor muscle contraction and relaxation training,for eight weeks.The da-ta of pelvic floor muscle strength,pelvic floor muscle surface electromyography(sEMG),1-hour urine pad test and Incontinence Quality of Life questionnaire(I-QOL)were collected before and after training.The compliance rate was counted after training. Results One case dropped down in the control group and three cases dropped down in the experimental group.After treatment,the pelvic floor muscle strength increased in both groups(|Z|>3.317,P<0.01),the pre-resting aver-age value,sustained contraction average value and durable contraction average value of sEMG improved in the control group(|t|>2.731,P<0.05),the mass of 1-hour urine pad significantly reduced(t>9.215,P<0.001)and the I-QOL score significantly increased(|t|>13.229,P<0.001)in both groups;compared with the control group,the pelvic floor muscle strength significantly increased(Z=-2.281,P=0.023),the mass of 1-hour urine pad significantly reduced(t=4.215,P<0.001),the I-QOL score significantly increased(t=-4.501,P<0.001),and the compliance rate significantly increased(Z=-2.798,P<0.01)in the experimental group. Conclusion Functional pelvic floor muscle training can significantly improve pelvic floor muscle strength,incontinence symptoms and quality of life in female patients with SUI.关键词
压力性尿失禁/盆底功能/功能性活动/功能性盆底肌训练Key words
stress urinary incontinence/pelvic floor function/functional activities/functional pelvic floor muscle training分类
医药卫生引用本文复制引用
李亚楠,叶淼,吴娟,陈聪,万玲芳,于丽丽,高琳琳,秦屹,靖华芳..功能性盆底肌训练对女性压力性尿失禁患者的效果[J].中国康复理论与实践,2026,32(6):690-698,9.基金项目
中国康复研究中心项目(No.2023ZX-05)Supported by China Rehabilitation Research Center Research Project(No.2023ZX-05) （No.2023ZX-05）
