| 张华,王沛华,潘丽,等.微信小程序打卡督导管理模式下阴道哑铃训练对盆底功能障碍病人尿失禁及盆底静息压的影响[J].安徽医药,2026,30(8):1636-1645. |
| 微信小程序打卡督导管理模式下阴道哑铃训练对盆底功能障碍病人尿失禁及盆底静息压的影响 |
| Impact of vaginal dumbbell training under a check-in supervision model via WeChat mini program on urinary incontinence and pelvic floor resting pressure in patients with pelvic floor dysfunction |
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| DOI：10.3969/j.issn.1009-6469.2026.08.030 |
| 中文关键词: 盆底功能障碍性疾病 微信小程序打卡督导管理模式 阴道哑铃训练 尿失禁 盆底静息压 |
| 英文关键词: Pelvic floor dysfunction disorders Check-in supervision model via WeChat mini program Vaginal dumbbell train-ing Urinary incontinence Pelvic floor resting pressure |
| 基金项目:大同市科技计划项目( 2023059) |
| 作者 | 单位 | E-mail | | 张华 | 大同市第五人民医院, 产科,山西大同 037009 | | | 王沛华 | 大同市第五人民医院, 产科,山西大同 037009 | | | 潘丽 | 大同市第五人民医院, 产科,山西大同 037009 | | | 李丽 | 大同市第五人民医院,护理部,山西大同 037009 | | | 霍月红 | 大同市第五人民医院,风湿免疫科,山西大同 037009 | 63725438@qq.com | | 胡文娟 | 大同市第五人民医院,手术麻醉科,山西大同 037009 | | | 孙利平 | 大同市第五人民医院,风湿免疫科,山西大同 037009 | |
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| 中文摘要: |
| 目的探讨微信小程序打卡督导管理模式下阴道哑铃训练对盆底功能障碍(PFD)病人尿失禁情况及盆底静息压的影响。方法前瞻性选取 2022年 3月至 2024年 3月大同市第五人民医院收治的 120例 PFD病人，按照随机数字表法分为三组，对照组(n=40)于院内指导后，自主在家进行盆底肌训练，试验 A组(n=40)接受微信小程序打卡督导管理模式下的个性化家庭盆底肌训练，试验 B组(n=40)在试验 A组基础上联合阴道哑铃训练进行院外治疗，并采用微信小程序进行打卡督导。三组病人均连续治疗 12周，于治疗前、治疗结束后采用尿失禁问卷简表(ICI-Q-SF)评分、尿失禁生活质量量表(I-QOL)评估尿失禁情况，并对盆底压力水平进行测定，比较三组病人尿失禁情况及盆底静息压变化。结果试验 B组总有效率高于试验 A组及对照组(P<0.05)。干预后，试验 B组 ICI-Q-SF评分( 5.12±0.69)分低于试验 A组( 6.51±0.90)分及对照组( 7.66±1.08)分( P<0.05)I-QOL评分( 86.51±8.87)分高于试验 A组( 80.08±8.18)分及对照组( 73.78±7.83)分( P<0.05)。干预后，试验 B组盆底静息压8±1.15)cmH2O(1 cmH2O=0.098 kPa)、阴道收缩压( 82.06±6.96)cmH2O均高于试验 A组［(8.50±1.02)cmH2O、(78.95±6.76)cmH2O］和对照组［(8.03± (9.0，0.90)cmH2O、(73.50±6.31)cmH2O］(P<0.05)。结论相较于常规盆底肌训练以及微信小程序打卡督导管理模式下的个性化家庭盆底肌训练，采用微信小程序打卡督导管理模式下阴道哑铃训练能够进一步改善 PFD病人尿失禁情况，提高盆底静息压。 |
| 英文摘要: |
| Objective To explore the effect of vaginal dumbbell training under a check-in supervision model via WeChat mini pro-gram on urinary incontinence and pelvic floor resting pressure in patients with pelvic floor dysfunction (PFD).Methods Prospectiveselection of 120 patients with PFD admitted to Datong Fifth People's Hospital from March 2022 to March 2024 were selected and ran-domly divided into three groups using a random number table method. The control group (n=40) received in-house guidance and under-went pelvic floor muscle training at home. The experiment group A (n=40) received personalized home training for pelvic floor muscle under a check-in supervision model via WeChat mini program, while the experiment group B (n=40) received outpatient treatment in-cluding vaginal dumbbell training combined with pelvic floor muscle training under a check-in supervision model via WeChat mini pro-gram. All patients in the 3 groups were treated continuously for 12 weeks. Urinary incontinence was assessed by international consulta-tion on incontinence questionnaire short form (ICI Q-SF) and incontinence quality of life questionnaire (I-QOL) before and after treat-ment, and pelvic floor pressure was measured.The urinary incontinence and changes in pelvic floor resting pressure of the three groupswere compared.Results The total effective rate in experiment group B was higher than that in experiment group A and the control group (P<0.05). After intervention, the ICI-Q-SF scores in experiment group B were lower than those in experiment group A and the control group [ (5.12±0.69) points vs. (6.51±0.90) points vs. (7.66±1.08) points] (P<0.05), while the I-QOL scores in experiment group B were higher than those in experiment group A and the control group [(86.51±8.87) points vs. (80.08±8.18) points vs. (73.78±7.83) points] (P<0.05). After intervention, both pelvic floor resting pressure and vaginal squeeze pressure [(9.08±1.15) cmH.O (1 cmH.O=0.098 kPa), (82.06±6.96) cmH.O] in experiment group B were higher than those in experiment group A [(8.50±1.02) cmH.O, (78.95±6.76) cmH.O] and the control group [(8.03±0.90) cmH.O, (73.50±6.31) cmH.O] (P<0.05).Conclusion Compared with routine pelvic floor muscle training and personalized home pelvic floor muscle training under a check-in supervision model via WeChat mini program, vaginal dumbbell training under a check-in supervision model via WeChat mini program can further improve urinary incontinence and increase pelvic floor resting pressure in patients with PFD. |
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