仿生物电刺激+CBT+营养治疗在SUI患者中的应用研究  

Application research of biomimetic electrical stimulation+CBT+nutrition therapy in patients with SUI

作　　者：刘坤[1] 王赏[1] 邸鹏冲 张晓伟 于娜娜 李淼[1] Liu Kun;Wang Shang;Di Pengchong;Zhang Xiaowei;Yu Nana;Li Miao(Department of Gynecology,the First Hospital of Hebei Medical University,Shijiazhuang Hebei O5000,P.R.China;School of Art and Media,Hebei Institute of Technology,Shijiazhuang Hebei 050091,P.R.China)

机构地区：[1]河北医科大学第一医院妇科,河北石家庄050000 [2]河北工程技术学院艺术与传媒学院,河北石家庄050091

出　　处：《中国计划生育和妇产科》2022年第9期17-21,共5页Chinese Journal of Family Planning & Gynecotokology

基　　金：河北省医学科学重点科技研究计划(项目编号:20190493)。

摘　　要：目的 探讨PHENIX-8PLUS仿生物电刺激+认知行为疗法(cognitive-behavioral therapy, CBT)+营养治疗在压力性尿失禁(stress urinary incontinence, SUI)患者中的应用效果。方法 选取2018年4月至2020年3月河北医科大学第一医院SUI患者160例,按随机数字表法分为观察组(n=80)、对照组(n=80)。对照组采用PHENIX USB4单纯盆底治疗,观察组在对照组基础上采用PHENIX-8PLUS仿生物电刺激+CBT+营养治疗。比较两组治疗前后盆底超声指标(膀胱尿道后角、膀胱颈移动度)、盆底肌电值、尿失禁问卷简表(international consultation on incontinence questionnaire-short form, ICI-Q-SF)评分、心理状态[焦虑自评量表(self-rating anxiety scale, SAS)、抑郁自评量表(self-rating depression scale, SDS)评分]、人体成分指标(脂肪率、去脂体质量指数、体内水分量)。结果 治疗4周、8周两组膀胱尿道后角、膀胱颈移动度低于治疗前,且观察组低于对照组(P<0.05);两组治疗4周、8周静息阶段盆底肌电值低于治疗前(P<0.05),但组间比较差异无统计学意义(P>0.05);两组治疗4周、8周快速收缩阶段、持续收缩阶段、耐力收缩阶段肌电值高于治疗前,且观察组高于对照组(P<0.05);治疗4周、8周两组ICI-Q-SF评分低于治疗前,且观察组低于对照组(P<0.05);治疗4周、8周两组SAS、SDS评分低于治疗前,且观察组低于对照组(P<0.05);治疗8周观察组脂肪率低于治疗前,且低于对照组,去脂体质量指数高于治疗前,且高于对照组(P<0.05)。结论 PHENIX-8PLUS仿生物电刺激+CBT+营养治疗的综合干预在改善SUI患者盆底结构、盆底肌功能、症状严重程度、心理状态、人体成分等方面均有显著效果。Objective To investigate the application effect of PHENIX-8 PLUS biomimetic electrical stimulation+cognitive-behavioral therapy(CBT)+nutritional therapy in patients with stress urinary incontinence(SUI).Methods A total of 160 patients with SUI in the First Hospital of Hebei Medical University from April 2018 to March 2020 were selected and divided into an observation group(n=80) and a control group(n=80) according to the random number table method.The control group received PHENIX USB4 pelvic floor therapy alone, and the observation group received PHENIX-8 PLUS biomimetic electrical stimulation+CBT+nutrition therapy on the basis of the control group.The pelvic floor ultrasound indexes(vesical posterior angle, bladder neck mobility),pelvic floor electromyography, urinary incontinence questionnaire-short form(ICI-Q-SF) scores and mental state [self-rating anxiety scale(SAS),self-rating depression scale(SDS) score],body composition indicators(fat percentage, lean body mass index, body water quantity) were compared between the two groups before and after treatment.Results After 4 weeks and 8 weeks of treatment, the posterior horn of bladder and urethra and the mobility of bladder neck in the two groups were lower than those before treatment, and the observation group was lower than that in the control group(P<0.05).The EMG values were lower than those before treatment(P<0.05),but there was no significant difference between the two groups(P>0.05);the EMG values of the two groups were higher in the fast contraction stage, the continuous contraction stage and the endurance contraction stage for 4 weeks and 8 weeks after treatment than those before treatment, the observation group was higher than the control group(P<0.05);the ICI-Q-SF scores of the two groups at 4 and 8 weeks of treatment were lower than those before treatment, and the observation group was lower than the control group(P<0.05).After 4 weeks and 8 weeks of treatment, the ICI-Q-SF scores of the two groups were lower than those before treatment, and the obs

关 键 词：PHENIX-8PLUS仿生物电刺激 认知行为疗法 营养治疗 压力性尿失禁 盆底电生理 

分 类 号：R694.54[医药卫生—泌尿科学]