生物反馈联合电刺激治疗女性压力性尿失禁的疗效观察  

Observation on the curative effect of biofeedback combined with electrical stimulation in treatment of female stress urinary incontinence

作　　者：蔡月红[1] 赵霞[2] 王英红[2] 郑丽琴[1] 刘静[1] 

机构地区：[1]石河子大学医学院,新疆石河子832000 [2]石河子大学医学院第一附属医院妇产科

出　　处：《中国妇幼保健》2014年第28期4661-4664,共4页Maternal and Child Health Care of China

摘　　要：目的：探讨生物反馈联合电刺激治疗女性压力性尿失禁（SUI）的疗效。方法：2011年12月~2012年9月就诊的56例轻、中度女性SUI患者,按治疗意愿随机分为观察组（32例）和对照组（24例）。观察组采用UROSTYM生物电反馈刺激仪进行治疗,以后自行盆底肌肉训练（Kegel）,对照组自行在家做Kegel锻炼盆底肌肉。随访观察治疗效果。结果：治疗后观察组盆底肌肉静息状态肌电值、ICI-Q-SF评分、PFIQ-7评分及1 h尿垫实验明显下降,差异有统计学意义（P〈0.05或P〈0.01）,PISQ-12评分、最大尿流率、盆底肌肉最大收缩力、持续收缩力、协调性均明显升高,差异有统计学意义（P〈0.05或P〈0.01）,较对照组都有了明显的改善。结论：盆底生物反馈联合电刺激治疗女性轻、中度SUI疗效优于单纯的Kegel锻炼盆底肌肉。并且安全有效、治愈率高,并发症少,治疗后如能继续坚持做Kegel锻炼盆底肌肉则有助于预防尿失禁的复发。Objective： To explore the curative effect of biofeedback combined with electrical stimulation in treatment of female stress urinary incontinence （SUI） . Methods： Fifty - six female patients with mild and moderate SUI from December 2011 to September 2012 were selected and divided into observation group （32 patterns） and control group （24 patients） according to their willingness. The pa- tients in observation group were treated with UROSTYM electronic biofeedback stimulator and Kegel training; while the patients in control group were treated with Kegel training at home. The curative effects in the two groups were followed up and observed. Results： In observa- tion group, myoeleetricity value in pelvic floor muscle resting state, ICI - Q - SF score, PFIQ - 7 score and 1 - hour urine pad experiment after treatment decreased significantly （P 〈 0. 05 or P 〈0. 01 ） , PISQ -12 score, maximum urinary flow rate, pelvic floor muscle maximum contraction force, continuous contraction force and coordination increased significantly （P 〈 0.05 or P 〈 0. 01 ）, compared with control group, these indexes were improved significantly. Conclusion： The curative effect of pelvic floor biofeedback combined with electrical stim- ulation is better than that of simple Kegel training in treatment of female patients with mild and moderate SUI ; pelvic floor biofeedback com- bined with electrical stimulation has the advantages of safety, effectiveness, high cure rate and few complications, Kegel training after treat- ment is helpful to prevent recurrence.

关 键 词：生物反馈 电刺激 尿失禁 盆底肌肉训练 女性 

分 类 号：R694.54[医药卫生—泌尿科学]