生物反馈治疗产后压力性尿失禁患者的疗效观察  

Biofeedback in the Treatment of Postpartum Stress Urinary Incontinence

作　　者：黎佩莹[1] 殷婉萍[1] 陈艳芳[1] 何洁芳[1] 黄巧如 谢谨[1] 

机构地区：[1]东莞市人民医院妇产科,广东东莞523059

出　　处：《医学临床研究》2018年第2期219-221,225,共4页Journal of Clinical Research

基　　金：东莞市社会科技发展（一般）项目（编号：201750715001293）

摘　　要：【目的】探讨生物反馈治疗产后压力性尿失禁的疗效观察。【方法】回顾性分析2016年1月至2017年1月本院诊治的产后压力性尿失禁患者200例，按照治疗方法的不同分为观察组和对照组，每组100例，观察组患者采用盆底康复治疗仪进行生物反馈治疗，对照组患者采用常规盆底肌肉训练治疗，比较两组患者治疗效果及患者盆底肌表面电信号变化情况。【结果】观察组患者治疗的有效率为93．0％，明显高于对照组患者的82．0％，其差并具有统计学意义（P〈0．05）；且观察组患者治疗后I类肌纤维电位、Ⅱ类肌纤维电位均高于对照纽，其差异具有统计学意义（P〈O．05）。观察组患者在经过治疗后，总排尿量为（4698．2±297．5）mL，总排尿次数为（31．8±6．7）次，总漏尿次数为（11．8±2．7）次，均优于对照组（P〈0．05）；观察组患者治疗前Cullen分度与对照组比较差异无统计学意义（P〉O．05），治疗后，观察组患者Cullen0度的比例明显多于对照组，CullenⅣ度的比例明显少于对照组，其差异均有统计学意义（P〈O．05）。【结论】采用生物反馈治疗产后压力性尿失禁患者，治疗效果优于常规盆底肌肉训练，可有效恢复患者由于分娩造成的盆底组织损伤。[Objective]To investigate the clinical efficacy of biofeedback treatment on patients with postpartum stress urinary incontinence, and to analyze the significance of the changes of electrical signals on the surface of pel- vic floor muscles. [Methods]A retrospective analysis of 200 patients with postpartum stress urinary incontinence in our hospital from January 2016 to January 2017 was performed. According to the different treatment methods, patients were divided into an observation group and control group, with 100 cases in each. Patients in the observa- tion group were treated with pelvic floor rehabilitation biofeedback therapy while patients in the control group re- ceived conventional pelvic floor muscle training. Pelvic floor surface electrical signal changes were measured and analyzed in the two groups.[Results]The efficacy rate in the observation group was 93.00/oo, which was significant- ly higher than that in the control group 82~ ; the difference was significant （ P 〈0.05）. The average values of type l fiber and type 1I myofiber potential in the observation group after treatment were higher than those in the control group （ P 〈0.05）. After treatment, the total urinary volume in the observation group was 4698.2 ± 297.5 mL, the total number of urination was 31.8 ± 6.7 times, and the total number of urinary leakage was 11.8 ±2.7 times, which were all better than those in the control group. The differences were statistically significant （ P 〈2 0.05）. The Cullen index before treatment in the observation group had no significant difference compared with the control group （ P 〉0.05）. After treatment, the Cullen index degree 0 in the observation group was significantly higher than that in the control group, and the Cullen index degree IV was significantly lower than that in the con- trol group. The difference between the two groups was statistically significant （ P 〈0.05）. [Conclusion]Patients with postpartum stress urinary incontinence can improve significantly after using bio

关 键 词：尿失禁 压力性/治疗 生物反馈(心理学) 产褥期疾病/治疗 治疗结果 

分 类 号：R694.54[医药卫生—泌尿科学]