经阴道电刺激联合髋部肌锻炼治疗女性压力性尿失禁及其对尿动力学及盆底肌力的影响  

Transvaginal electrical stimulation combined with hip muscle exercise in the treatment of stress incontinence in women and its effect on urodynamics and pelvic floor muscle strength

作　　者：张波[1] 胡小琦[1] 张萌[1] 姜兴金[1] 万刚[1] ZHANG Bo;HU Xiao-qi;ZHANG Meng;JIANG Xing-jin;WAN Gang(Department of Urology,Dalian Friendship Hospital,Liaoning Peovince,Dalian 116001,China)

机构地区：[1]大连市友谊医院泌尿外科,辽宁大连116001

出　　处：《中国当代医药》2021年第25期117-120,共4页China Modern Medicine

摘　　要：目的探讨经阴道电刺激联合髋部肌锻炼治疗女性压力性尿失禁及其对尿动力学及盆底肌力的影响。方法选取2019年6月—2020年12月大连市友谊医院收治的压力性尿失禁女性患者110例作为研究对象,按照随机数字表法分为试验组(n=55)与对照组(n=55)。对照组予以髋部肌锻炼,试验组予以髋部肌锻炼+经阴道电刺激。比较两组尿动力学指标、盆底肌肉张力、尿失禁程度、性生活质量。结果试验组患者治疗后的最大逼尿肌压力(Pdet_(max))、最大尿道闭合压力(MUCP)、腹压漏尿点压(ALPP)、最大尿流率(Q_(max))均高于对照组,差异有统计学意义(P<0.05);试验组患者治疗后的阴道收缩压、阴道静息压均高于对照组,阴道收缩持续时间长于对照组,差异有统计学意义(P<0.05);试验组患者治疗后的国际尿失禁问卷简表(ICIQ-SF)评分低于对照组,盆腔器官脱垂-尿失禁性生活问卷(PISQ-31)评分高于对照组(P<0.05),差异有统计学意义(P<0.05)。结论经阴道电刺激联合髋部肌锻炼治疗可有效提高女性压力性尿失禁患者的盆底肌肉收缩力,改善其尿动力学,减轻尿失禁症状,提高患者的性生活质量。Objective To investigate the effect of transvaginal electrical stimulation combined with hip muscle exercise on stress incontinence in women and its effect on urodynamics and pelvic floor muscle strength.Methods A total of 110 female patients with stress urinary incontinence admitted to Dalian Friendship Hospital from June 2019 to December 2020 were selected as the research objects,and they were divided into the experimental group(n=55)and the control group(n=55)according to the random number table method.The control group was given hip muscle exercise,and the experimental group was given hip muscle exercise+transvaginal electrical stimulation.The urodynamics,pelvic floor muscle tension,degree of urinary incontinence,quality of sexual life were compared in the two groups.Results The maximum detrusor pressure(Pdet_(max)),maximum urethral closure pressure(MUCP),abdominal pressure leak point pressure(ALPP)and maximum urinary flow rate(Q_(max))of the experimental group after treatment were higher than those of the control group,the differences were statistically significant(P<0.05).The vaginal systolic pressure and vaginal resting pressure of the experimental group after treatment were higher than those of the control group,and the duration of vaginal contraction was longer than that of the control group,the differences were statistically significant(P<0.05).After treatment,the score of the international consultation on incontinence questionnaire short-form(ICIQ-SF)in the experimental group was lower than that in the control group,and the score of pelvic organ prolapse-urlnary incontinence sexual life questionnaire-13(PISQ-31)in the experimental group was higher than that in the control group,the differences were statistically significant(P<0.05).Conclusion The treatment of transvaginal electrical stimulation combined with hip muscle exercise can effectively improve the contractility of pelvic floor muscles,improve the urodynamics,alleviate the symptoms of incontinence and improve the quality of sexual life of women

关 键 词：女性压力性尿失禁 经阴道电刺激 髋部肌锻炼 尿动力学 盆底肌力 

分 类 号：R695.1[医药卫生—泌尿科学]