A preliminary observational study on the improvement of stress urinary incontinence symptoms in middle-aged multiparous women through rope skipping training
跳绳训练对中年经产妇压力性尿失禁症状改善的初步观察研究

摘要

目的 分析跳绳训练对中年经产妇压力性尿失禁（SUI）症状的改善效果。方法 将60例轻中度SUI中年经产妇作为研究对象。所有受试者接受标准化跳绳训练指导，干预6个月后，分别统计不同时段（干预前、干预3个月及6个月）受试者主观症状报告（漏尿发作频率、严重程度分级）及采用生活质量量表评估干预效果，同时记录训练相关不良事件。结果 60例受试者中58例完成全程干预。干预3个月时，约90%受试者报告咳嗽、跳跃等腹压增高场景下漏尿症状明显减轻；干预6个月时，75%受试者症状基本消失或显著改善，仅在极剧烈运动时偶发漏尿。训练依从性达96.7%，仅5例受试者初期出现相关不良反应，短暂休息后缓解。结论 规律、渐进的跳绳训练对改善部分中年经产妇轻中度SUI症状具有积极效果，与传统静态盆底肌锻炼机制存在差异。该结果需通过严谨随机对照试验结合盆底肌电活动、膀胱颈超声等客观指标进一步验证。

Abstract

Objective To analyze the effect of rope skipping training on the improvement of stress urinary incontinence (SUI) symptoms in middle-aged multiparous women.
Methods Sixty middle-aged multiparous women with mild to moderate SUI were selected as the research subjects. All subjects received standardized rope skipping training guidance. After 6 months of intervention, the subjective symptom reports (frequency of urinary leakage episodes, severity grading) of the subjects at different time points (before intervention, 3 months after intervention, and 6 months after intervention) and the assessment of intervention effect using the quality of life scale were statistically analyzed. At the same time, the related adverse events during training were recorded.
Results Among the 60 subjects, 58 completed the entire intervention. At 3 months of intervention, approximately 90% of the subjects reported a significant reduction in urinary leakage symptoms during scenarios of increased abdominal pressure such as coughing and jumping; at 6 months of intervention, 75% of the subjects had their symptoms basically disappear or significantly improved, with only occasional urinary leakage during extremely intense exercise. The training compliance rate reached 96.7%, and only 5 subjects experienced related adverse reactions initially, which were relieved after a short rest.
Conclusion   Regular and progressive rope skipping training has a positive effect on improving the mild to moderate SUI symptoms of some middle-aged multiparous women. There is a difference from the traditional static pelvic floor muscle exercise mechanism. This result needs to be further verified through rigorous randomized controlled trials combined with objective indicators such as pelvic floor electromyography and bladder neck ultrasound.