摘要
目的观察电刺激盆底肌治疗女性真性压力性尿失禁(GSI)效果及尿动力学变化。方法35例GSI女性患者,使用神经肌肉电刺激治疗仪行盆底肌电刺激治疗。每周3次,疗程12周。治疗前、后分别记录排尿日记,填写国际尿失禁咨询委员会问卷简表(ICI-Q-SF),并进行尿动力学测定。结果18例(51%)白天尿失禁症状消失,12例(35%)明显改善,5例(14%)无改善。治疗后总排尿次数、总漏尿事件次数和ICI-Q-SF评分显著低于治疗前,功能性膀胱容量显著高于治疗前(P<0.05);尿动力学检查显示治疗后valsalva漏尿点压、最大尿道压和最大尿道闭合压显著高于治疗前(P<0.05)。结论神经肌肉电刺激治疗仪可用于治疗女性真性压力性尿失禁,尿动力学检查是评估其疗效的重要方法。
Aim： To observe the short term effects of pelvic floor electrical stimulation and uredynamic changes in the women with genuine stress incontinence（GSI）. Methods： Pelvic floor electrical stimulation was performed on 35 women with GSI three times a week for three months using the NeuroTrac^TM ETS and skin surface electrodes. Urinary diary, the score of international continence inquiring committee＇s questionnaire （ICI-Q-SF） and uredynamics evaluation before and after treatment were recorded. Results： The daytime incontinence disappeared in 18 cases （51%）, improved in 12 cases （35%）, and 5 cases （ 14% ）did not improved after treatment. In the improved group, functional capacity, Valsalva leak point pressure, maximum urethral pressure and maximum urethral closure pressure were significantly higher than those before treatment （P 〈 0.05） ;total frequency of voiding （72 h）, leakage （72 h） and the scores of ICI-Q-SF signiificantly lower than those before treatment （ P 〈 0. 05 ）. Conclusion ： Pelvic floor electrical stimulation is a useful therapy to treat women with GSI.
出处
《郑州大学学报（医学版）》
CAS
北大核心
2006年第2期204-206,共3页
Journal of Zhengzhou University(Medical Sciences)
基金
国家自然科学基金资助项目30571931
河南省杰出青年科学基金02120001100
河南省高校杰出科研人才创新工程项目2001KYCX004
河南省高等学校创新人才培养工程2002-2007
关键词
尿失禁
治疗
盆底肌电刺激
女性
urinary incontinence
treatment
pelvic floor electrical stimulation
female
