骨盆底肌肉運動

Pelvic Floor Muscle Exercise

鄒頡龍(Chieh-lung Chou)

《中華民國泌尿科醫學會雜誌》 12卷1期 (2001/03) Pp. 9-15

https://doi.org/10.7024/JUAROC.200103.0009

摘要

尿失禁是一種非常普遍，卻被過份輕忽的疾病。之前，治療尿失禁的專家致力於尿失禁的手術治療，但手術並不能適用於所有尿失禁患者，尤其是合併有「急迫性尿失禁」、患有其他嚴重內科疾病、或尿失禁症狀仍輕微的患者，應優先選擇「非手術治療」，骨盆底肌肉運動正是其中非常重要的一環。骨盆底肌肉訓練是一種物理治療，藉由病人主動式的收縮運動，強化骨盆底肌肉，也隨之加強尿道括約肌的力量。除了傳統的訓練方式，還可以運用生物回饋儀、陰道錐體、電刺激等輔助工具，以提高成功率。近來研究顯示：除了應力性尿失禁，骨盆底肌肉訓練對於急迫性尿失禁、混合型尿失禁也有治療效果，並能增進婦女性生活滿意度。經由適當的評估與療程安排，患者能從骨盆底肌肉訓練得到助益。

關鍵字

尿失禁 ； 骨盆底肌肉運動 ； 物理治療

並列摘要

Urinary incontinence is a common, but underestimated disease. Treatment consists primarily in surgical correction; however, surgery has is risks and is not indicated for urge urinary incontinence, mild stress urinary incontinence, or high-risk patients. Nonsurgical treatment should be considered first for these patients. Pelvic floor muscle exercise is a kind of physiotherapy which increases the strength of the external sphincter by active contraction of the pelvic floor muscle. Pelvic floor muscle training may result in hypertrophy of the muscle, thereby increasing the external mechanical pressure on the urethra. Recent studies suggest that pelvic floor muscle exercise in not only useful in the treatment if stress urinary incontinence, but also for urgent and mixed urinary incontinence. Pelvic floor exercise seems to be safe and effective; it should be considered as one of the primary choices for the treatment if urinary incontinence.

並列關鍵字

urinary incontinecnce ； pelvic floor muscle exercise ； physiotherapy