子宫托治疗老年女性盆腔脏器脱垂的生活质量评价分析(1)
[摘要] 目的 评估子宫托治疗老年女性盆腔脏器脱垂的临床疗效及生活质量。 方法 选择2016年1月～2017年12月收治Ⅱ度及以上老年POP患者48例，应用PFIQ-7问卷评分及POP-Q分度比较子宫托治疗前和治疗3个月、6个月及1年后的疗效，评估子宫托对POP患者生活质量及盆底解剖的影响。 结果 48例患者平均随访时间为(11.2±3.1)个月。治疗前与应用子宫托后3个月、6个月及1年的PFIQ-7问卷评分分别是(69.12±4.41)分、(6.32±1.61)分、(8.42±1.31)分、(7.82±2.01)分，使用子宫托后PFIQ-7问卷评分较治疗前明显降低(P<0.05)，治疗后不同时期PFIQ-7问卷评分比较，差异无统计学意义(P>0.05)。 结论 子宫托能够缓解中老年POP患者症状，无创、低廉，可提高老年患者生活质量。
[关键词] 盆腔脏器脱垂;子宫托;生活质量;问卷量表
[中图分类号] R711.2 [文獻标识码] B [文章编号] 1673-9701(2020)07-0059-04
Evaluation and analysis of life quality in pessary treatment of pelvic organ prolapse in elderly women
ZHOU Jiangyan GONG Chenghao LI Liping WANG Liqun
Gynecology Department， Jiangxi Maternal and Child Health Hospital， Nanchang 330006，China
[Abstract] Objective To evaluate the clinical efficacy of pessary and the quality of life of patients in the treatment of pelvic organ prolapse in elderly women. Methods Forty-eight elderly POP patients at grade Ⅱ or above who were admitted to the hospital from January 2016 to December 2017 were enrolled as subjects. PFIQ-7 questionnaire score and POP-Q scale were used to compare the efficacy before treatment and after 3 months， 6 months and 1 year of pessary treatment to evaluate the effect of pessary on the life quality and pelvic floor anatomy of POP patients. Results The average follow-up time of 48 patients was(11.2±3.1) months. The PFIQ-7 scores before treatment and at 3 months， 6 months and 1 year after pessary treatment were(69.12±4.41)， (6.32±1.61)， (8.42±1.31) and (7.82±2.01)， respectively. The PFIQ-7 scores after pessary treatment were significantly lower than those before treatment(P<0.05). PFIQ-7 questionnaire scores at different stages after treatment showed no statistically significant difference(P>0.05). Conclusion Pessaries can alleviate the symptoms of POP in middle-aged and elderly patients. It is non-invasive， inexpensive and can improve the quality of life of elderly patients.
[Key words] Pelvic organ prolapse; Pessary; Quality of life; Questionnaire scale
盆腔脏器脱垂(pelvic organ prolapse，POP)是中老年女性较常见的慢性多发病，伴随着人们生活水平提升和人口老龄化增加，POP现已成为影响中老年女性生活质量的严重疾病之一，50%以上女性经历不同程度的脱垂[1]。目前临床上针对较严重的POP多采用手术治疗，虽然手术治疗效果确切，但手术创伤大、医疗费用高及手术存在并发症等缺陷，老年患者常合并较多的慢性疾病，盆底修复手术常难以耐受。子宫托应用已有数千年历史，在发达国家如美国、欧州等已广泛应用，而在我国尚无大样本临床研究，本研究目的通过盆底障碍影响简易问卷(Pelvic floor impact questionnaire-7，PFIQ-7)评估应用子宫托对POP患者生活质量的影响，现报道如下。, 百拇医药(周江妍 龚逞豪 李丽萍 汪利群)
[关键词] 盆腔脏器脱垂;子宫托;生活质量;问卷量表
[中图分类号] R711.2 [文獻标识码] B [文章编号] 1673-9701(2020)07-0059-04
Evaluation and analysis of life quality in pessary treatment of pelvic organ prolapse in elderly women
ZHOU Jiangyan GONG Chenghao LI Liping WANG Liqun
Gynecology Department， Jiangxi Maternal and Child Health Hospital， Nanchang 330006，China
[Abstract] Objective To evaluate the clinical efficacy of pessary and the quality of life of patients in the treatment of pelvic organ prolapse in elderly women. Methods Forty-eight elderly POP patients at grade Ⅱ or above who were admitted to the hospital from January 2016 to December 2017 were enrolled as subjects. PFIQ-7 questionnaire score and POP-Q scale were used to compare the efficacy before treatment and after 3 months， 6 months and 1 year of pessary treatment to evaluate the effect of pessary on the life quality and pelvic floor anatomy of POP patients. Results The average follow-up time of 48 patients was(11.2±3.1) months. The PFIQ-7 scores before treatment and at 3 months， 6 months and 1 year after pessary treatment were(69.12±4.41)， (6.32±1.61)， (8.42±1.31) and (7.82±2.01)， respectively. The PFIQ-7 scores after pessary treatment were significantly lower than those before treatment(P<0.05). PFIQ-7 questionnaire scores at different stages after treatment showed no statistically significant difference(P>0.05). Conclusion Pessaries can alleviate the symptoms of POP in middle-aged and elderly patients. It is non-invasive， inexpensive and can improve the quality of life of elderly patients.
[Key words] Pelvic organ prolapse; Pessary; Quality of life; Questionnaire scale
盆腔脏器脱垂(pelvic organ prolapse，POP)是中老年女性较常见的慢性多发病，伴随着人们生活水平提升和人口老龄化增加，POP现已成为影响中老年女性生活质量的严重疾病之一，50%以上女性经历不同程度的脱垂[1]。目前临床上针对较严重的POP多采用手术治疗，虽然手术治疗效果确切，但手术创伤大、医疗费用高及手术存在并发症等缺陷，老年患者常合并较多的慢性疾病，盆底修复手术常难以耐受。子宫托应用已有数千年历史，在发达国家如美国、欧州等已广泛应用，而在我国尚无大样本临床研究，本研究目的通过盆底障碍影响简易问卷(Pelvic floor impact questionnaire-7，PFIQ-7)评估应用子宫托对POP患者生活质量的影响，现报道如下。, 百拇医药(周江妍 龚逞豪 李丽萍 汪利群)