早期综合康复对产后尿失禁患者盆底功能及症状改善  

Improvement of Pelvic Floor Function and Symptoms in Patients With Postpartum Urinary Incontinence by Early Comprehensive Rehabilitation Program

作　　者：赵蓓运[1] ZHAO Beiyun(Department of Obstetrics,The Changzhou Hospital of Traditional Chinese Medicine,Changzhou Jiangsu 213000,China)

机构地区：[1]常州市中医医院产科

出　　处：《中国继续医学教育》2019年第36期160-163,共4页China Continuing Medical Education

摘　　要：目的探究早期康复联合生物反馈并电刺激对产后尿失禁(postpartum urinary incontinence,PPUI)患者关于盆底肌超声参数及相关临床症状改善的相互关系。方法选取2016年1月-2019年1月间符合PPUI诊断标准的82位患者,采用随机数字表法将其分为实验组和对照组。实验组接受早期康复联合生物反馈并电刺激治疗;对照组仅接受早期康复治疗。于治疗前后采用超声、盆底肌力及尿动力检查等方式对患者进行检测,并采用尿失禁生活质量问卷(incontinence quality of life scale,I-QOL)评价临床症状。结果与对照组相比较,实验组在年龄、孕次、产次、分娩前身体质量指数、孕周、新生儿身体质量等一般情况差异均无统计学意义(P> 0.05);两组患者在治疗前各项指标差异均无统计学意义(P> 0.05);实验组的超声参数、最大尿道闭合压力(maximum urethral closure pressure,MUCP)及I-QOL评分相较于治疗前,差异均有统计学意义(P <0.05),且相较于治疗后对照组,除MLT外,其余差异均有统计学意义(P <0.05)。结论早期康复联合生物反馈并电刺激可通过盆底肌超声相关参数评估其临床症状,且可显著改善PPUI患者盆底肌肌力。Objective To explore the relationship between early rehabilitation combined with biofeedback and electrical stimulation on the improvement of ultrasound parameters and related clinical symptoms of pelvic floor muscles in patients with postpartum urinary incontinence(PPUI). Methods From January 2016 to January 2019, 82 patients who met the diagnostic criteria of PPUI were randomly divided into experimental group and control group. The experimental group received early rehabilitation combined with biofeedback and electrical stimulation;the control group only received early rehabilitation. Before and after treatment, ultrasound, pelvic floor muscle strength and urodynamic examination were used to detect the patients, and the incontinence quality of life scale(I-QOL) was used to evaluate the clinical symptoms. Results Compared with the control group, there was no significant difference in age, gestational times, birth times, body mass index before delivery, gestational weeks, neonatal weight and other general conditions in the experimental group(P > 0.05);there was no significant difference in each index between the two groups before treatment(P > 0.05);In the experimental group, the ultrasonic parameters, the scores of Maximum urethral closure pressure(MUCP) and I-QOL were higher, the differences were statistically significant(P < 0.05), and compared with the control group after treatment, except MLT, the other differences were statistically significant(P < 0.05). Conclution Early rehabilitation combined with biofeedback and electrical stimulation can evaluate the clinical symptoms of PPUI by ultrasound parameters, and can significantly improve the muscle strength of PPUI patients.

关 键 词：早期康复 生物反馈 电刺激 产后尿失禁 超声参数 盆底功能 

分 类 号：R493[医药卫生—康复医学]