生物反馈电刺激联合阴道哑铃训练及Kegel运动对产后压力性尿失禁患者的疗效  

Effects of Biofeedback Electrical Stimulation Combined with Vaginal Dumbbell Training and Kegel Exercise in Patients with Postpartum Stress Urinary Incontinence

作　　者：任运红 李艳[2] 阎臻[3] REN Yunhong;LI Yan;YAN Zhen(Department of Obstetrics and Gynecology,the Second People’s Hospital of Neihuang County,Anyang 456300,China;Department of Obstetrics and Gynecology,No.990 Hospital of the Joint Logistics Support Force of the Chinese People’s Liberation Army,Zhumadian 463000,China;Department of Obstetrics and Gynecology,Zhengzhou Maternal and Child Health Hospital,Zhengzhou 450000,China)

机构地区：[1]内黄县第二人民医院妇产科,河南安阳456300 [2]中国人民解放军联勤保障部队第990医院妇产科,河南驻马店463000 [3]郑州市妇幼保健院妇产科,河南郑州450000

出　　处：《河南医学研究》2022年第18期3385-3388,共4页Henan Medical Research

摘　　要：目的探讨生物反馈电刺激联合阴道哑铃训练及Kegel运动对产后压力性尿失禁(SUI)的临床疗效。方法选取内黄县第二人民医院2018年1月至2020年5月收治的137例产后SUI患者作为研究对象。按照康复治疗方法将患者分为生物反馈电刺激组(69例)和常规康复组(68例)。常规康复组接受Kegel运动及阴道哑铃训练,生物反馈电刺激组在常规康复组基础上接受生物反馈电刺激进行康复治疗。比较两组康复总有效率、康复治疗前后SUI症状严重程度(ICI-Q-SF评分)、漏尿量、盆底肌力强度分级情况。结果生物反馈电刺激组总有效率(95.65%)高于常规康复组(79.41%)(P<0.05)。康复治疗后,生物反馈电刺激组的ICI-Q-SF评分、漏尿量均低于常规康复组(P<0.05),盆底肌力强度分级情况优于常规康复组(P<0.05)。结论生物反馈电刺激联合阴道哑铃训练和Kegel运动在产后SUI患者中的应用效果显著,可有效提高患者的盆底肌力强度,缓解患者的漏尿症状。Objective To explore the effects of biofeedback electrical stimulation combined with vaginal dumbbell training and Kegel exercise in patients with postpartum stress urinary incontinence(SUI).Methods All 137 postpartum SUI patients in the Second People’s Hospital of Neihuang County from January 2018 to May 2020 were selected and divided into biofeedback electrical stimulation group(69 cases)and routine rehabilitation group(68 cases)according to rehabilitation treatment methods.Patients in routine rehabilitation group was received Kegel exercise and vagina dumbbell training,and patients in biofeedback electrical stimulation group was received biofeedback electrical stimulation on the basis of routine rehabilitation group.The total effective rate of rehabilitation,the severity of SUI symptoms(ICI-Q-SF score),the volume of urine leakage,and the grading of pelvic floor muscle strength before and after rehabilitation were compared between biofeedback electrical stimulation group and routine rehabilitation group.Results The total effective rate of biofeedback electrical stimulation group(95.65%)was higher than that of routine rehabilitation group(79.41%)(P<0.05).After the rehabilitation,ICI-Q-SF score and urine leakage in biofeedback electrical stimulation group were lower than those in routine rehabilitation group(P<0.05),and the pelvic floor muscle strength classification in biofeedback electrical stimulation group was better than that in routine rehabilitation group(P<0.05).Conclusion The effect of biofeedback electrical stimulation combined with Kegel exercise and vagina dumbbell training is significant in postpartum SUI patients,which can effectively improve the strength of pelvic floor muscles and relieve the symptoms of urine leakage in patients.

关 键 词：压力性尿失禁 生物反馈电刺激 Kegel运动 阴道哑铃训练 盆底肌力 

分 类 号：R714.46[医药卫生—妇产科学]