盆底肌肉生物反馈治疗良性前列腺增生症术后尿失禁的研究  

The effect of biofeedback pelvic floor training on urinary incontinence for benign prostatic hyperplasia patients after operation

作　　者：王磊[1] 乔庆东[1] 马玲[2] 胡新生[2] 

机构地区：[1]新乡市中心医院泌尿外一科,河南新乡453000 [2]新乡市中心医院泌尿外二科,河南新乡453000

出　　处：《现代预防医学》2014年第24期4506-4508,共3页Modern Preventive Medicine

基　　金：新乡市科技发展计划项目<尿控动力学在泌尿外科的应用>(09S013)(该项目已获新乡市科学技术进步奖二等奖)

摘　　要：目的探讨盆底肌肉生物反馈治疗良性前列腺增生症术后尿失禁的疗效。方法某院2009年12月至2013年5月共92例经尿道前列腺电切或耻骨上经膀胱前列腺切除术后尿失禁的良性前列腺增生症患者,平均年龄69.4岁,随机分为治疗组及对照组;治疗组(46例)采用荷兰MMS solar盆底肌肉生物反馈系统,对照组(46例)给予单纯盆底肌肉锻炼,疗程8周,每周3次,每次30 min。通过尿垫试验,尿流动力学检查参数及盆底肌肉肌电测量评价治疗效果。结果 92例患者均完成研究:治疗组及对照组中研究指标包括尿垫试验、盆底肌肉肌电测量值及尿流动力学检查参数较各组别治疗前指标均有改善,治疗组中研究指标较对照组中研究指标改善更为明显。结论盆底肌肉生物反馈对于治疗前列腺术后尿失禁比传统盆底肌肉锻炼有效,是安全、有效的非手术治疗方法,值得推广。Objective The aim of this study was to analyze the effect of biofeedback pelvic floor training on urinary incontinence for benign prostatic hyperplasia patients after operation,and find a better non-operational treatment.Methods From October 2009 to May 2013,92 benign prostatic hyperplasia patients with urinary incontinence after operation were subjected to non-operational treatment.The average age of patients was 69.4.The patients were randomly divided into training group（46 cases） and editorial control group（46 cases）.The training group was treated by the MMS solar biofeedback instrument,and the control group was treated by the simple pelvic floor muscle training.The overall duration was eight weeks,with three times of treatment per week and 30 minutes of treatment each time.The curative effect was evaluated by the urine test evaluation,the pelvic electromyography and urodynamic analysis.Results All of the 92 patients completed the treatment.Both of training and editorial control groups were improved in urine test evaluation,the pelvic electromyography and urodynamic analysis.Compare to the control group,the training group has more improvement.Conclusion Biofeedback pelvic floor training with urodynamic analysis is a safe and effective treatment,and it is better than the simple pelvic floor muscle training in the treatment towards urinary incontinence for benign prostatic hyperplasia after operation,suggesting it is worth of clinical practice.

关 键 词：良性前列腺增生症 尿失禁 生物反馈 

分 类 号：R697.3[医药卫生—泌尿科学]