盆底康复训练联合生物反馈电刺激预防产妇产后压力性尿失禁的效果  

Effects of pelvic floor rehabilitation training combined with biofeedback electric stimulation in prevention of postpartum stress urinary incontinence

作　　者：于玲玲[1] YU Lingling(Obstetric Clinic of the Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450000 Henan,China)

机构地区：[1]郑州大学第二附属医院产科门诊,河南郑州450000

出　　处：《中国民康医学》2022年第12期91-94,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察盆底康复训练联合生物反馈电刺激预防产妇产后压力性尿失禁的效果。方法:选取400例产妇为研究对象,按照随机数字表法分为对照组和观察组各200例。对照组给予生物反馈电刺激,观察组在对照组基础上进行盆底康复训练,比较两组产后压力性尿失禁发生率,干预前后盆底肌肌力评分、尿流动力学指标[腹压漏尿点压(ALPP)、最大尿道闭合压(MUCP)、最大逼尿肌压力(MDP)]水平、膀胱颈与子宫颈外口移动度,以及性生活质量。结果:观察组产后压力性尿失禁发生率为1.50%(3/200),低于对照组的9.00%(18/200),差异有统计学意义(P<0.05);干预后,两组盆底肌肌力评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05);干预后,两组ALPP、MDP和MUCP水平均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05);干预后,观察组性欲、性唤起、性高潮、性生活满意度、阴道润滑度评分均高于对照组,性交痛评分低于对照组,差异有统计学意义(P<0.05);干预后,两组膀胱颈与子宫颈外口移动度均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论:盆底康复训练联合生物反馈电刺激可降低产后压力性尿失禁发生率,改善盆底肌肌力、尿流动力学指标水平和性生活质量,降低膀胱颈与子宫颈外口移动度,效果优于单用生物反馈电刺激。Objective:To observe effects of pelvic floor rehabilitation training combined with biofeedback electric stimulation in prevention of postpartum stress urinary incontinence.Methods:400 puerperae were selected as the research objects and were divided into control group and observation group according to the random number table method,200 cases in each.The control group was given the biofeedback electric stimulation,while the observation group used the pelvic floor rehabilitation training on the basis of that of the control group.The incidence of postpartum stress urinary incontinence,the pelvic floor muscle strength score,the urodynamic index levels[abdominal leakage point pressure(ALPP),maximum urethral closure pressure(MUCP),and maximum detrusor pressure(MDP)],the mobility of the bladder neck and external os of the cervix,and the quality of sexual life were compared between the two groups before and after the intervention.Results:The incidence of postpartum stress urinary incontinence in the observation group was 1.50%(3/200),which was lower than 9.00%(18/200)in the control group,and the difference was statistically significant(P<0.05).After the intervention,the pelvic floor muscle strength scores of the two groups were higher than those before the intervention,that of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).After the intervention,the ALPP,MDP and MUCP of the two groups were higher than those before the intervention,those of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).After the intervention,the scores of sexual desire,sexual arousal,orgasm,sexual life satisfaction,and vaginal lubrication in the observation group were higher than those in the control group,the score for dyspareunia was lower than that in the control group,and the differences were statistically significant(P<0.05).Further,after the intervention,the mobility levels of the bladder neck and t

关 键 词：产后 压力性尿失禁 盆底康复训练 生物反馈电刺激 尿流动力学 性生活质量 盆底肌肌力 

分 类 号：R473.71[医药卫生—护理学]