摘要
目的:观察盆底肌肉锻炼联合生物反馈电刺激治疗压力性尿失禁(SUI)患者的效果。方法:选取96例SUI患者为研究对象,按照随机数字表法分为对照组与观察组各48例,对照组行阴道哑铃练习,观察组在对照组基础上行盆底肌肉锻炼联合生物反馈电刺激治疗。比较两组临床疗效、盆底肌力评分、尿动力学指标水平和漏尿量。结果:观察组治疗总有效率为91.67%,高于对照组的70.83%,差异有统计学意义(P<0.05)。治疗后,两组盆底肌力评分、最大尿流率、逼尿肌压力和膀胱最大容积均高于治疗前,且观察组高于对照组;两组漏尿量均少于治疗前,且观察组少于对照组,差异有统计学意义(P<0.05)。结论:在阴道哑铃练习基础上行盆底肌肉锻炼联合生物反馈电刺激治疗SUI患者可提高治疗总有效率、盆底肌力评分和尿动力学指标水平,减少漏尿量,优于单纯阴道哑铃练习效果。
Objective:To analyze effects of pelvic floor muscle exercises combined with biofeedback electric stimulation in treatment of patients with stress urinary incontinence(SUI).Methods:96 SUI patients were selected as the research objects,and were divided into control group and observation group according to the random number table method,48 cases in each.The control group performed vagina dumbbell exercises,while the observation group performed pelvic floor muscle exercises combined with biofeedback electrical stimulation on the basis of that of the control group.The clinical efficacy,the pelvic floor muscle strength score,the urodynamic indicator levels and the urine leakage volume were compared between the two groups.Results:The total effective rate of treatment in the observation group was 91.67%,which was higher than 70.83%in the control group,and the difference was statistically significant(P<0.05).After the treatment,the scores of pelvic floor muscle strength,the maximum urine flow rates,the maximum detrusor pressure and the maximum bladder volume in the two groups were higher than those before the treatment;those of the observation group were higher than those of the control group;and the differences were statistically significant(P<0.05).The urine leakage volumes in the two groups was less than those before the treatment;that of the observation group was less than that of the control group;and the differences were statistically significant(P<0.05).Conclusions:On the basis of the vagina dumbbell exercises,the pelvic floor muscle exercises combined with biofeedback electrical stimulation in the treatment of the SUI patients can improve the total effective rate of treatment,the pelvic floor muscle strength score and the levels of urodynamic indicators,and reduce the urine leakage volume.Moreover,it is superior to single vagina dumbbell exercises.
作者
武广平
WU Guangping(Department of Obstetrics and Gynecology of Nanyang Second General Hospital,Nanyang 473000 Henan,China)
出处
《中国民康医学》
2021年第10期56-58,共3页
Medical Journal of Chinese People’s Health
关键词
压力性尿失禁
生物反馈技术
盆底肌肉锻炼
尿动力学指标
漏尿量
Stress urinary incontinence
Biofeedback technology
Pelvic floor muscle exercise
Urodynamic indicator
Urine leakage volume
