摘要
目的研究联合生物反馈电刺激疗法和盆底肌肉锻炼法对老年女性轻中度压力性尿失禁患者生活质量的影响。方法收集老年女性轻中度压力性尿失禁患者60例,随机分为2组,每组30例,治疗12周并随访。试验组采用联合生物反馈电刺激加盆底肌肉锻炼法治疗,对照组采用单独的盆底肌肉锻炼法治疗。2组患者在治疗前后及随访3个月后分别进行1 h尿垫试验及尿失禁生活质量问卷评分。比较2组患者在治疗后及随访3个月后的疗效及生活质量评分的变化。结果治疗后和随访3个月后试验组尿失禁的治愈率分别为90.00%(27/30)和76.67%(23/30);治疗后和随访3个月后对照组尿失禁的治愈率分别为40.00%(12/30)和30.00%(9/30)。试验组治疗后及随访3个月后尿失禁的治愈率均显著高于对照组(P<0.05)。试验组治疗前、治疗后和随访3个月后的生活质量评分分别为63.5±11.3、89.6±6.1、86.4±5.7;对照组治疗前、治疗后和随访3个月后的生活质量评分分别为64.1±10.7、71.2±3.4、70.3±8.3。试验组的生活质量评分较对照组和治疗前均有显著增高(P<0.05)。结论生物反馈电刺激法能较大程度地减轻老年女性轻中度压力性尿失禁患者的症状,同时有效提高老年女性的生活质量,促进老年女性身心健康。
Objective To investigate the influence of biofeedback and electronic stimulation of pelvic floor combining pelvic floor muscle training on quality of life of elderly women with light or moderate stress urinary incontinence. Methods Sixty elderly female patients suffering from light or moderate stress urinary incontinence were randomly divided into two groups（ n = 30） and received twelve-week therapy. The test group received biofeedback and electrical stimulation combining pelvic floor muscle training, while the control group received pelvic floor muscle training. They were followed up for three months after the therapy. All the patients received one-hour pad test and the Urinary Incontinence Quality of Life Scale（I-QOL） before and after the therapy and after the foflow-up. All the data were statistically analyzed by square-test and T-test. The curative and I-QOL score were compared between the two groups. Results The cure rate of the test group after the therapy and after the follow-up were individually 90.00% （27/30） and 76.67% （23/30） ;the cure rate of the control group after the therapy and after the follow-up were individually 40.00% （12/30） and 30.00% （9/30）. The cure rate of the test group after the therapy and after the follow-up were statistically higher than those of the control group（P 〈 0.05）. The mean I-QOL score of the test group before the therapy, after the therapy and after the follow-up were 63.5, 89.6 and 86.4,respectively ;the mean I-QOL score of the control group before the therapy,after the therapy and after the follow-up were 64.1,71.2 and 70.3 ,respectively. The mean I-QOL score of the test group after therapy and after the follow-up were significantly higher than that before therapy and those of the control group （ P 〈 0.05 ）. Conclusion The biofeedback and electronic stimulation therapy of pelvic floor can evidently alleviate the symptoms of urinary incontinence in elderly women, improve their QOL, and promote their physical and mental health.
出处
《中华全科医学》
2017年第7期1144-1146,共3页
Chinese Journal of General Practice
基金
北京市属医院科研培育计划项目(PX2016049)
关键词
尿失禁
生物反馈
电刺激
生活质量
Urinary incontinence
Biofeedback
Electronic stimulation
Quality of life
