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目的探讨阴道雌激素联合盆底康复锻炼对于女性绝经后泌尿生殖道萎缩的临床疗效。方法 2013年2月-2014年1月该院收治的绝经后泌尿生殖道萎缩患者中抽取196例,随机分为观察组(联合盆底康复治疗)与对照组(经阴道给予雌激素类药物治疗)各98例,3个月后,通过比较症状改善情况、盆底肌力水平、阴道健康评分及子宫内膜厚度等,评估两组疗效。结果观察组患者的症状改善比例、盆底肌力水平均优于对照组,且阴道健康评分及子宫内膜厚度较对照组有显著上升,组间对比有统计学差异(P<0.05)。结论阴道雌激素联合盆底康复治疗能有效改善女性绝经后泌尿生殖道萎缩症状,促进病情康复,在临床治疗中需引起重视。
Objective To investigate the clinical effect of vaginal estrogen combined with pelvic floor rehabilitation exercise on female genitourinary tract atrophy after menopause. Methods A total of 196 patients with postmenopausal genitourinary tract atrophy in our hospital from February 2013 to January 2014 were randomly divided into observation group (pelvic floor rehabilitation) and control group (vaginal administration of estrogen therapy ) Of 98 cases. After 3 months, the two groups were evaluated by comparing the symptom improvement, pelvic floor muscle strength, vaginal health score and endometrial thickness. Results The symptom improvement rate and pelvic floor muscle strength in the observation group were better than those in the control group, and the vaginal health score and endometrial thickness were significantly increased compared with the control group. There was significant difference between the two groups (P <0.05). Conclusion Combined treatment of vaginal estrogen and pelvic floor can effectively improve the symptoms of genitourinary tract atrophy in postmenopausal women and promote the rehabilitation of the disease, which needs attention in clinical treatment.