电刺激－生物反馈联合Kegel训练对产后压力性尿失禁的影响  

Electrical stimulation -combined effects of biofeedback training on Kegel postpartum stress urinary incontinence

作　　者：王胜蓝[1] 孙健[2] 瓮占平[1] 张红[1] 高涛[1] 

机构地区：[1]青岛市市立医院产科,山东青岛266011 [2]青岛市市立医院肾内科,山东青岛266011

出　　处：《中西医结合心血管病电子杂志》2014年第7期28-28,32,共2页Cardiovascular Disease Electronic Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的：观察并探讨电刺激－生物反馈联合Kegel训练对产后压力性尿失禁（PSUI）盆底电生理指标的影响及其康复效果。方法选择既往无尿失禁病史但孕期和产后出现SUI的顺产妇80例，产后8～10周组和产后1年组各40例，对其进行电刺激－生物反馈联合 Kegel 训练。结果产后8～10周组盆底评估的阴道动态压、疲劳度、最大肌电位值恢复明显优于康复前与产后1年组，差异有显著性（P＜0．05）。尿失禁程度评分两组比较差异显著（P＜0．01）。1 h尿垫试验评价两组差异有统计学意义（P＜0．05）。结论电刺激－生物反馈联合Kegel训练对产后8～10周PSUI的康复效果优于产后1年者。Objective To observe and explore the electrical stimulation -and its rehabilitation biofeedback training on joint Kegel postpartum stress u-rinary incontinence （PSUI）pelvic floor electrical physiological indices. Methods but no previous history of urinary incontinence during pregnancy and postpar-tum SUI cis women 80 cases,eight weeks postpartum and postnatal groups to 1 0 groups each of 40 cases a year,its electrical stimulation -a joint Kegel biofeed-back training. Results 8 to 1 0 weeks postpartum vaginal pelvic floor assessment group dynamic pressure,fatigue,maximum EMG median recovery was signifi-cantly better than the former one-year rehabilitation and post-natal group,the difference was significant （P〈0. 05 ）. Incontinence severity score difference was significant （P〈0. 01 ）. 1 h pad test evaluated the difference was statistically significant （P〈0. 05 ）. Conclusion Electrical stimulation -biofeedback training combined with Kegel 8 to 1 0 weeks postpartum rehabilitation PSUI is better than 1 year postpartum.

关 键 词：盆底 产后 压力性尿失禁 

分 类 号：R493[医药卫生—康复医学]