盆底肌磁联合电刺激治疗女性压力性尿失禁的疗效及对盆底肌张力的影响  

Clinical effect of pelvic floor myomagnetism combined with electrical stimulation on female stress urinary incontinence and its influence on pelvic floor muscle tension

作　　者：曹辉[1] 杨华[1] 范莉 于晓红[1] Cao Hui;Yang Hua;Fan Li;Yu Xiaohong(Department of Gynecology,Jiangyou People′s Hospital,Mianyang 621700,China)

机构地区：[1]江油市人民医院妇科,绵阳621700

出　　处：《国际泌尿系统杂志》2024年第2期268-272,共5页International Journal of Urology and Nephrology

基　　金：四川省卫生和计划生育委员会科研项目(150178)。

摘　　要：目的探讨盆底肌磁联合电刺激治疗女性压力性尿失禁的临床疗效及对女性盆底肌张力的影响。方法前瞻性研究2021年1月至2023年1月在本院收治的100例女性压力性尿失禁患者的临床资料,根据随机数字法分为观察组和对照组,每组各50例。观察组采用联合盆底肌磁、电刺激治疗,对照组采用单用电刺激治疗。比较两组患者的临床疗效、国际尿失禁咨询委员会尿失禁问卷简表(ICI-Q-SF)评分、生活质量、各阶段的盆腔表面肌电值以及治疗安全性。结果观察组的临床治疗总有效率高于对照组,差异有统计学意义[40例(80%)vs.48例(96%),P=0.014]。两组治疗后的ICI-Q-SF评分低于治疗前,而日常生活、心理状态、社会交往、总分及五个不同阶段的盆腔表面肌电值高于治疗前,差异均有统计学意义(均P<0.05);观察组治疗后的ICI-Q-SF评分低于对照组,而日常生活、心理状态、社会交往、总分及五个不同阶段的盆腔表面肌电值高于对照组,差异均有统计学意义(均P<0.05)。结论采用盆底肌磁联合电刺激治疗女性压力性尿失禁的疗效显著,可有效提高患者的生活质量、ICI-Q-SF评分,促进盆底功能恢复,安全性高。Objective To investigate the clinical efficacy of pelvic floor muscle magnetic combined with electrical stimulation in the treatment of female stress urinary incontinence and the effect on female pelvic floor muscle tension.Methods A prospective study was conducted on the clinical data of 100 female stress urinary incontinence patients admitted to our hospital from January 2021 to January 2023,who were divided into observation group and control group according to random number method,with 50 cases in each group.The observation group was treated with magnetic and electric stimulation of pelvic floor muscle,and the control group was treated with electric stimulation alone.The clinical efficacy,ICI-Q-SF score,quality of life,pelvic surface EMG value at each stage and treatment safety were compared between the two groups.Results The total clinical response rate of the observation group was higher than the control group,with statistically significant[40(80%)vs.48(96%),P=0.014].The ICI-Q-SF scores of the two groups were lower than those before treatment,while the pelvic surface EMG values in daily life,psychological status,social interaction and five different stages were higher than those before treatment(all P<0.05).The ICI-Q-SF score was lower than the control group,while the daily life,psychological status,social interaction,total score and five different stages were higher than the control group(all P<0.05).Conclusions In the treatment of female stress urinary incontinence,pelvic floor muscle magnetic combined with electrical stimulation is effective,which can effectively improve patients′quality of life,ICI-Q-SF score,effectively promote pelvic floor function recovery,and has high safety.

关 键 词：尿失禁 压力性 女性 盆底肌磁 电刺激 肌张力 

分 类 号：R711.59[医药卫生—妇产科学]