摘要
目的探究本体感觉训练联合生物反馈电刺激治疗对产后压力性尿失禁患者盆底肌肌力、尿流动力学和生活质量的影响。方法选取2021年4月至2023年3月山东省青岛市胶州中心医院收治的160例产后压力性尿失禁患者作为研究对象,随机分为对照组(n=80)和观察组(n=80)。对照组实施单一生物反馈电刺激治疗,观察组实施本体感觉训练联合生物反馈电刺激治疗。两组均治疗4周,比较两组盆底肌肌力[改良牛津肌力分级法(MOS)]、尿流动力学指标[最大膀胱压测定容量(MCC)、腹压漏尿点压(ALPP)、正常尿意膀胱压测定容量(NDCC)及尿道最大闭合压(MCP)]、临床疗效及生活质量[尿失禁生活质量问卷(I-QOL)]。结果相比对照组,观察组治疗后MOS评分、MCC、ALPP、NDCC及MCP均更高(P<0.05)。观察组总有效率为95.00%,高于对照组的80.00%(P<0.05)。治疗后,相比对照组,观察组I-QOL评分更高(P<0.05)。结论对产后压力性尿失禁患者实施本体感觉训练联合生物反馈电刺激治疗可显著恢复患者盆底肌肌力,提高临床疗效。
Objective To explore the effect of proprioception training combined with biofeedback electrical stimulation on pelvic floor muscle strength,urodynamics and quality of life in patients with postpartum stress urinary incontinence.Methods A total of 160 patients with postpartum stress urinary incontinence admitted to Jiaozhou Center Hospital,Qingdao,Shandong from April 2021 to March 2023 were selected as study subjects and randomly divided into control group(n=80)and observation group(n=80).The control group received single biofeedback electrical stimulation,and the observation group received proprioception training combined with biofeedback electrical stimulation.Both groups were treated for 4 weeks.The pelvic floor muscle tension[modified Oxford muscle strength grading method(MOS)],urodynamic indexes[maximum bladder pressure measurement capacity(MCC),abdominal pressure leak point(ALPP),normal urinary bladder pressure measurement capacity(NDCC)and maximum urethral closure pressure(MCP)],clinical efficacy and quality of life[urinary incontinence quality of life questionnaire(I-QOL)]were compared between the two groups.Results After treatment,the MOS score,MCC,ALPP,NDCC and MCP of the observation group were higher compared with the control group(P<0.05).The total effective rate of the observation group was 95.00%,which was higher than 80.00%of control group(P<0.05).After treatment,the I-QOL score of the observation group was higher comparing with the control group(P<0.05).Conclusions Proprioception training combined with biofeedback electrical stimulation can significantly restore pelvic floor muscle strength and improve the clinical curative effect in patients with postpartum stress urinary incontinence.
作者
彭显秀
PENG Xianxiu(Department of Obstetrics,Jiaozhou Center Hospital,Qingdao,Shandong,Qingdao 266300,Shandong,China)
出处
《中国性科学》
2024年第2期89-92,共4页
Chinese Journal of Human Sexuality
基金
2022—2024年青岛市市级临床重点专科妇产专科资助。
关键词
产后压力性尿失禁
本体感觉训练
生物反馈电刺激
盆底肌肌力
尿流动力
Postpartum stress urinary incontinence
Proprioception training
Biofeedback electrical stimulation
Pelvic floor muscle strength
Urodynamics
