盆底磁刺激联合中医理疗对压力性尿失禁患者漏尿量及盆底肌张力的影响  

Effect of Pelvic Floor Magnetic Stimulation Combined with Traditional Chinese Medicine Physiotherapy on Urine Leakage and Pelvic Floor Muscle Tension in Patients with Stress Urinary Incontinence

作　　者：刘奋琴 尚惠 徐红英 LIU Fen-qin;SHANG Hui;XU Hong-ying(The Third Ward of Obstetrics and Gynecology,Yan'an People's Hospital,Yan'an Shaanxi 716000)

机构地区：[1]延安市人民医院妇产科三病区,陕西延安716000 [2]雁塔区中医医院妇产科,陕西西安710061

出　　处：《医学临床研究》2023年第1期57-60,共4页Journal of Clinical Research

摘　　要：[目的]探讨盆底磁刺激联合中医理疗对压力性尿失禁(Stress Urinary Incontinence,SUI)患者漏尿量及盆底肌张力的影响.[方法]选取延安市人民医院收治的86例SUI患者,按照随机数字表法分为观察组和对照组,每组43例.对照组采用盆底肌磁刺激治疗,观察组在对照组的基础上加用中医温针灸理疗.比较两组患者临床疗效、漏尿情况(1h尿垫试验漏尿量、3d漏尿次数)、复发情况及治疗前后盆底肌力、生活质量评分、尿动力参数(最大漏尿点压力、初始排尿欲膀胱容量).[结果]治疗后,观察组总有效率为88.37%,显著高于对照组的69.77%,差异有统计学意义(P<0.05);观察组手测盆底肌力、盆底Ⅰ类肌纤维肌电压、盆底Ⅱ类肌纤维肌电压、QOL评分均显著高于对照组(P<0.05);盆底Ⅰ类肌纤维的疲劳度、盆底Ⅱ类肌纤维的疲劳度、1h尿垫试验漏尿量、3d漏尿次数、最大漏尿点压力、初始排尿欲膀胱容量等尿动力参数显著低于对照组(P<0.05);与对照组相比,观察组第3个月、第6个月复发率均明显降低(P<0.05).[结论]盆底磁刺激联合中医温针灸治疗SUI疗效显著,可明显增强患者盆底肌力,提高尿动力参数,改善漏尿情况和生活质量,降低复发率.【Objective】To investigate the effect of pelvic floor magnetic stimulation combined with traditional Chinese medicine physical therapy on urine leakage and pelvic floor muscle tension in patients with stress urinary incontinence(SUI).【Methods】A total of 86 SUI patients admitted to Yan'an People's Hospital were randomly divided into observation group and control group with 43 patients in each group.The control group was treated with pelvic floor muscle magnetic stimulation,and the observation group was treated with traditional Chinese medicine warm acupuncture on the basis of the control group.The clinical efficacy,urine leakage(urine leakage volume in 1 hour urine pad test,urine leakage frequency in 3 days),recurrence,pelvic floor muscle strength,quality of life score,and urodynamic parameters(maximum urine leakage point pressure,initial urinary bladder capacity)were compared between the two groups.【Results】After treatment,the total effective rate of the observation group was 88.37%,which was significantly higher than that of the control group(69.77%,P<0.05);The pelvic floor muscle strength,pelvic floor classⅠmuscle voltage,pelvic floor classⅡmuscle voltage and QOL score measured by hand in the observation group were significantly higher than those in the control group(P<0.05);The fatigue degree of typeⅠmuscle fiber and typeⅡmuscle fiber in the pelvic floor,urine leakage volume in one hour urine pad test,urine leakage frequency in three days,maximum urine leakage point pressure,initial urine desire bladder capacity and other urodynamic parameters were significantly lower than those in the control group(P<0.05);Compared with the control group,the recurrence rate of the observation group in the third and sixth months was significantly lower(P<0.05).【Conclusion】Pelvic floor magnetic stimulation combined with warm acupuncture and moxibustion has a significant effect on SUI,which can significantly enhance the pelvic floor muscle strength,improve the urodynamic parameters,improve urine leakage an

关 键 词：尿失禁 压力性/治疗 磁场疗法 骨盆底 

分 类 号：R694.54[医药卫生—泌尿科学]