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目的 探讨盆底康复治疗对压力性尿失禁患者的临床疗效及尿流动力学的影响.方法 将78例压力性尿失禁患者采用随机数字表法分为观察组与对照组,各39例.两组均给予常规治疗及训练,观察组在此基础上给予盆底康复治疗.比较两组临床疗效、治疗前后尿失禁症状问卷评分与尿流动力学指标.结果 治疗5周及10周末观察组总有效率均显著高于对照组(P＜0.05);治疗后各时点两组尿失禁症状问卷各项评分均显著低于治疗前(P＜0.05或0.01),观察组较对照组下降更显著(P＜0.01);治疗后各时点两组最大尿流率均显著低于治疗前(P＜0.01),腹压漏尿点压及最大尿道闭合压均显著高于治疗前(P＜0.01),观察组较对照组变化更显著(P＜0.01).结论 盆底康复治疗对压力性尿失禁患者疗效显著,可显著改善患者的尿流动力学状态,值得推广应用.“,”Objective To investigate the effect of pelvic floor rehabilitation therapy in the patients with stress incontinence and influence on the urodynamics. Methods 78 patients with stress incontinence were randomly divided into the observation group and the control group, 39 cases in each group. The two groups were all given routine treatment and training, the observation group was given pelvic floor rehabilitation therapy on this basis. The clinical effect, ICI-Q-SF questionnaire score and urodynamics indexes before and after treatment were compared between the two groups. Results The total effective rate of the observation group was significantly higher than that of the control group after treatment of 5 weeks and 10 weeks (P＜0.05); after treatment, the ICI-Q-SF questionnaire scores of the two groups at each time point were significantly lower than those before treatment (P＜0.05 or 0.01),the observation group declined more significantly than the control group (P＜0.01); after treatment, the Qmax of the two groups at each time point were significantly lower than those before treatment (P＜0.01),the ALPP and MUCP were all significantly higher than those before treatment (P＜0.01),the observation group changed more significantly than the control group (P＜0.01). Conclusion The clinical effect of pelvic floor rehabilitation therapy in the patients with stress incontinence is significant, it can significantly improve the urodynamics state of patients and it is worthy of popularization and application.