老年女性尿失禁盆底康复治疗的临床分析  

Clinical Analysis of Pelvic Floor Rehabilitation for Elderly Women with Urinary Incontinence

作　　者：曾芳梅 ZENG Fangmei(Department of Gynecology,Hengyang Maternal and Child Health Hospital,Hengyang,Hunan Province,421000 China)

机构地区：[1]衡阳市妇幼保健院妇科,湖南衡阳421000

出　　处：《中外医疗》2022年第6期54-57,共4页China & Foreign Medical Treatment

摘　　要：目的探讨老年女性尿失禁盆底康复治疗的有效措施。方法随机选取2019年1月—2020年3月衡阳市妇幼保健院妇科收治的老年女性尿失禁患者80例,以随机数表法分为对照组与观察组,各40例。对照组接受单纯盆底肌肉锻炼法治疗,观察组在对照组基础上加用生物反馈电刺激治疗,两组均治疗3个月,比较两组治疗效果。结果对照组与观察组治疗后快速收缩[(22.86±2.26)μV vs(35.16±3.54)μV]、耐受测试[(12.20±1.65)μV vs(26.35±3.58)μV]、持续性收缩[(15.02±1.69)μV vs(30.30±2.54)μV]比较,观察组治疗后肌力水平高于对照组,差异有统计学意义(t=18.522、22.703、31.676,P<0.05);对照组与观察组尿失禁简版问卷评分治疗后[(9.52±1.02)分vs(4.58±0.80)分]、随访6个月[(8.85±1.06)分vs(5.11±0.72)分]、随访12个月[(8.10±0.92)分与(5.03±0.70)分]比较,差异有统计学意义(t=24.102、18.459、16.796,P<0.05);对照组与观察组生活质量问卷评分治疗后[(67.47±4.68)分vs(83.23±5.80)分]、随访6个月[(69.33±5.62)分vs(78.50±7.86)分]、随访12个月[(71.62±4.80)分vs(79.82±3.60)分]比较,差异有统计学意义(t=13.374、6.002、8.644,P<0.05)。结论盆底肌肉锻炼联合生物反馈电刺激治疗老年女性尿失禁的疗效确切,可使患者尿失禁症状缓解,提高其生活质量。Objective To explore effective measures for pelvic floor rehabilitation of elderly women with urinary incontinence.Methods From January 2019 to March 2020,80 elderly female patients with urinary incontinence admitted to the Department of Gynecology of Hengyang Maternal and Child Health Hospital were randomly selected and divided into a control group and an observation group with 40 cases in each group by random number table method,the control group received pure pelvic floor muscle exercise therapy,and the observation group was treated with biofeedback electrical stimulation on the basis of the control group.Both groups were treated for 3 months,the treatment effects of the two groups were compared.Results The control group and the observation group contracted rapidly after treatment[(22.86±2.26)μV vs(35.16±3.54)μV],tolerance test[(12.20±1.65)μV vs(26.35±3.58)μV],sustained contraction[(15.02±1.69)μV vs(30.30±2.54)μV],after treatment,the muscle strength level of the observation group was higher than that of the control group,the difference was statistically significant(t=18.522,22.703,31.676,P<0.05);the control group and the observation group had urinary incontinence short-form questionnaire scores after treatment[(9.52±1.02)points vs(4.58±0.80)points],follow-up 6 months[(8.85±1.06)points vs(5.11±0.72)points],12 months follow-up[(8.10±0.92)points vs(5.03±0.70)points],the difference was statistically significant(t=24.102,18.459,16.796,P<0.05);the control group and observation group quality of life questionnaire scores after treatment[(67.47±4.68)points vs(83.23±5.80)points],follow-up for 6 months[(69.33±5.62)points vs(78.50±7.86)points],follow-up for 12 months[(71.62±4.80)points vs(79.82±3.60)points],the difference was statistically significant(t=13.374,6.002,8.644,P<0.05).Conclusion Pelvic floor muscle exercise combined with biofeedback electrical stimulation is effective in treating elderly women with urinary incontinence,which can relieve the symptoms of urinary incontinence and improve t

关 键 词：老年人 女性 尿失禁 盆底肌肉锻炼 生物反馈电刺激 生活质量 

分 类 号：R4[医药卫生—临床医学]