This review summarized diagnosis, etiology, risk factors, and harm of the elderly female stress urinary incontinence, expounded the types of stress urinary incontinence among elderly women, treated by non-surgical treatment, and focused on research hot spots in recent years, including lifestyle intervention, voiding habits training, pelvic floor reconstruction rehabilitation, biofeedback and electrical stimulation therapy, and pelvic floor rehabilitation combined with Chinese medicine treatment. In particular, physical therapy and internet plus nursing benefit treatment of urinary incontinence are new hot spots recently. The paper also analyzed the weaknesses and limitations of pelvic floor rehabilitation, the most effective method at present. Medical personnel are required to formulate a practical, simple, and effective treatment.
[1] 顾斐斐,徐燕.近5年我国女性尿失禁发病现况研究及对护理的启示[J].解放军护理杂志,2017,34(1):45-48.
[2] 孙自红.护理干预对老年女性尿失禁患者症状及自我效能影响的研究[D].山西医科大学,2011:1-4.
[3] 王宏.北京地区成年女性压力性尿失禁流行病学调查研究[D].中国协和医科大学,2006:90-95.
[4] 刘春燕.中国成年女性尿失禁的流行病学调查研究[D].中国协和医科大学,2007:26-32.
[5] 中华医学会妇产科学分会妇科盆底学组.女性压力性尿失禁诊断和治疗指南(2017)[J].中华妇产科杂志,2017,52(5):289-293.
[6] 范瑾,罗新.女性压力性尿失禁的诊断[J].实用妇产科杂志,2013,29(7):483-485.
[7] Miklos JR, Sze EH, Karram MM.A critical appraisal of the methods of measuring leak-point pressures in women with stress incontinence[J].Obstet Gynecol,1995,86(3):349-352.
[8] 张新华.分娩方式与女性尿失禁关系分析[J].中华实用诊断与治疗杂志,2011,25(3):289-290.
[9] 蒲丽辉,刘祚燕,胡秀英.老年女性患者尿失禁与抑郁的相关性研究[J].中国实用护理杂志,2015,31(17):1310-1314.
[10] National Institute For Health And Clinical Excellence.Urinary incontinence in women,guidance[M].London:NICE,2015:21.
[11] 皮周凯,张盘德,周惠嫦,等.阴道压力反馈盆底肌抗阻肌力训练治疗女性压力性尿失禁的疗效观察[J].中国康复理论与实践,2016,22(2):194-197.
[12] Skelly J,Benton J,Cassel B,et al.Promoting continenee using prompted voiding[M].Toronto:Registered Nruses Association of Ontario,2005:9-16.
[13] Vissers D,Neels H,Vermandel A,et al.The effect of non-surgical weight loss interventions on urinary incontinence in overweight women: a systematic review and meta-analysis[J].Obes Rev,2014,15(7):610-617.
[14] Dmochowski R R, Sanders S W, Appell R A,et al.Bladder-health diaries: an assessment of 3-day vs 7-day entries[J].BJU Int,2005,96(7):1049-1054.
[15] 马凤清,王惠珍.行为干预对成年女性压力性尿失禁患者生活质量的影响[J].护理学报,2011,18(15):5-8.
[16] Kegel AH.Progressive resistance exercise in the functional restoration of the perineal muscles[J].Am J Obstet Gynecol,1948,56(2):238-248.
[17] Lucas MG, Bosch RJ, Burkhard FC, et al.EAU guidelines on surgical treatment of urinary incontinence[J].Eur Urol,2012,62(6):1118-1129.
[18] 那彦群,叶章群,孙颖浩.中国泌尿外科疾病诊断治疗指南[M].北京:人民卫生出版社,2014:346.
[19] Castellani D, Saldutto P, Galica V, et al.Low-dose intravaginal estriol and pelvic floor rehabilitation in post-menopausal stress urinary incontinence[J].Urol Int,2015,95(4):417-421.
[20] 阳丽,罗军,罗晓梅.性激素六项与女性压力性尿失禁盆底康复效果的相关性[J].医学临床研究,2016,33(2):353-354.
[21] Hirakawa T, Suzuki S, Kato K, et al.Randomized controlled trial of pelvic floor muscle training with or without biofeedback for urinary incontinence[J].Int Urogynecol J,2013,24(8):1347-1354.
[22] Ong TA, Khong SY, Ng KL, et al.Using the vibrance kegel device with pelvic floor muscle exercise for stress urinary incontinence: A Randomized Controlled Pilot Study[J].Urology,2015,86(3):487-491.
[23] 邓翠莲,廖秋玲,钟玉瑶,等.盆底肌电刺激联合生物反馈在产后尿失禁产妇中的应用[J].护理实践与研究,2017,14(8):77-78.
[24] 边慧敏,邱莉,魏彩莲.针灸及护理调治女性尿失禁[J].光明中医,2011,26(11):2282.
[25] 封海霞,陆雪松,秦洪云,等.肌电生物反馈电刺激治疗尿失禁的疗效分析[J].中华物理医学与康复杂志,2007,29(5):328-330.
[26] 范保维,孙小丽,陈伟芳,等.健康教育-盆底肌训练模式预防女性尿失禁的随机对照试验[J].中华临床医师杂志(电子版),2011,5(23):7099-7101.
[27] 龙婷.盆底功能康复+中成药补中益气丸治疗女性张力性尿失禁的临床效果[J].医学信息,2014,27(33):331.
[28] 王小云,马艳,李进华,等.电针或穴位埋线联合盆底肌生物反馈训练治疗压力性尿失禁的疗效观察[J].中华物理医学与康复杂志,2016,38(8):615-617.
[29] 郭媛媛,陈建平.温针联合会阴冷热刺激与盆底肌功能训练治疗女性压力性尿失禁[J].中国处方药,2015,13(8):13-14.
[30] Nagashima Y,Oda H,Igaki M,et al.Application of heat- and steam-generating sheets to the lumbar or abdominal region affects autonomic nerve activity[J].Auton Neurosci,2006,126-127(Supplement C):68-71.
[31] Kim H,Yoshida H,Suzuki T.Effects of exercise treatment with or without heat and steam generating sheet on urine loss in community-dwelling Japanese elderly women with urinary incontinence[J].Geriatr Gerontol Int,2011,11(4):452-459.
[32] 穆晓云,丁艳萍,刘诗盈,等.基于微信平台的延伸护理服务对女性尿失禁病人生活质量的影响[J].护理研究,2016,30(15):1878-1879.
[33] 彭蕾,陈雪妹,许方蕾.脑卒中后尿失禁患者手术治疗护理新进展[J].外科研究与新技术,2017,6(2):145-148.
