电刺激联合场景生物反馈训练治疗产后压力性尿失禁疗效及对盆底肌功能的影响  

Clinical efficacy of electrical stimulation combined with scene biofeedback training for treating patients with postpartum stress urinary incontinence and its influence on the pelvic floor muscle function

作　　者：黄靖 HUANG Jing(Mianyang Hospital Affiliated to School of Medicine,University of Electronic Science and Technology of China,Mianyang Central Hospital,Mianyang,Sichuan Province,621000)

机构地区：[1]电子科技大学医学院附属绵阳医院/绵阳市中心医院,621000

出　　处：《中国计划生育学杂志》2022年第11期2509-2512,共4页Chinese Journal of Family Planning

摘　　要：目的:探讨电刺激联合场景生物反馈训练治疗产后压力性尿失禁(PSUI)临床疗效及对症状评分、盆底肌功能的影响。方法:选择本院2019年3月-2021年12月收治的PSUI患者126例,按不同治疗方法分为单一组(n=62,场景生物反馈训练)与联合组(n=64,电刺激联合场景生物反馈训练),比较两组治疗后临床疗效、症状评分、漏尿情况、盆底肌功能及盆底肌肌力。结果:治疗后,联合组总有效率(93.8%)高于单一组(82.3%),两组尿失禁程度评分、1h尿垫试纸溢尿量及漏尿均较治疗前降低,快速收缩阶段、持续收缩阶段、耐力收缩阶段盆底表面肌电较治疗前增高,且联合组上述指标变化程度均优于单一组,两组盆底肌力均较治疗前好转,且联合组改善程度优于单一组(均P<0.05)。结论:电刺激联合场景生物反馈训练治疗PSUI疗效提高,更有助于改善患者临床症状、盆底肌功能,提高盆底肌肌力。Objective:To investigate the clinical efficacy of electrical stimulation combined with scene biofeedback training for treating patients with postpartum stress urinary incontinence(PSUI),and to study its influence on the symptom scores and the pelvic floor muscle function of the patient.Methods:126 patients with PSUI were selected and were divided into group A(62 patients given scene biofeedback training)and group B(64 patients given electrical stimulation combined with scene biofeedback training)according to different treatment methods from March 2019 to December 2021.The clinical efficacy,the symptom score,the situation of urine leakage,the pelvic floor muscle function,and the pelvic floor muscle strength of the patients were compared between the two groups.Results:The total effective rate(93.8%)of the patients in group B was significantly higher than that(82.3%)of the patients in group A.The score of urinary incontinence degree,1 hour urine volume by pad paper test,and the urine leakage rate of the patients in the two groups had decreased significantly after treatment,and the values of pelvic floor surface electromyography in the rapid contraction stage,the continuous contraction stage,and the endurance contraction stage of the patients in the two groups had increased significantly after treatment,and the changes of which of the patients in group B were significantly better than those of the patients in group A.The pelvic floor muscle strength of the patients in the two groups had improved significantly after treatment,and the improvement degree of which of the patients in group B were significantly better than those of the patients in group A(all P<0.05).Conclusion:Electric stimulation combined with scene biofeedback training for treating the patients with PSUI can increase the clinical efficacy,which is more helpful to improve the clinical symptoms,and the function and strength of the pelvic floor muscle of the patients.

关 键 词：产后压力性尿失禁 场景生物反馈训练 电刺激 盆底肌功能 临床症状 

分 类 号：R711.59[医药卫生—妇产科学] R714.6[医药卫生—临床医学]