生物反馈电刺激联合早期康复训练治疗产后压力性尿失禁患者的效果  

Effects of early rehabilitation training combined with biofeedback electrical stimulation on patients with postpartum stress urinary incontinence

作　　者：王艳玲 何卫华 WANG Yanling;HE Weihua(Department of Postpartum Health Care of Puyang Maternal and Child Health Hospital,Puyang 457000 Henan,China)

机构地区：[1]濮阳市妇幼保健院产后保健科,河南濮阳457000

出　　处：《中国民康医学》2024年第5期86-88,92,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察生物反馈电刺激联合早期康复训练治疗产后压力性尿失禁患者的效果。方法:回顾性分析2021年2月至2022年4月该院收治的116例产后压力性尿失禁患者的临床资料,按照治疗方法不同将其分为观察组和对照组各58例。对照组采用早期康复训练治疗,观察组在对照组基础上联合生物反馈电刺激治疗,两组均连续治疗3个月。比较两组临床疗效,治疗前后盆底肌肌力水平、尿动力学参数[最大尿流率、膀胱顺应性(BC)、功能尿道长度(FUL)、腹部漏尿点压(ALPP)]水平、氧化应激指标[丙二醛(MDA)、谷胱甘肽(GSH)、超氧化物歧化酶(SOD)]水平,以及不良反应发生率。结果:观察组治疗总有效率为93.10%(54/58),高于对照组的75.86%(44/58),差异有统计学意义(P<0.05);治疗后,观察组Ⅰ、Ⅱ类肌纤维肌力水平均高于对照组,差异有统计学意义(P<0.05);治疗后,观察组最大尿流率、BC、ALPP水平均高于对照组,FUL长于对照组,差异有统计学意义(P<0.05);治疗后,观察组MDA水平低于对照组,GSH、SOD水平均高于对照组,差异有统计学意义(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:生物反馈电刺激联合早期康复训练治疗产后压力性尿失禁患者可提高治疗总有效率、盆底肌肌力水平,改善尿动力学参数和氧化应激指标水平,效果优于单纯早期康复训练治疗。Objective:To observe effects of early rehabilitation training combined with biofeedback electrical stimulation on patients with postpartum stress urinary incontinence.Methods:The clinical data of 116 patients with postpartum stress urinary incontinence admitted to this hospital from February 2021 to April 2022 were retrospectively analyzed.According to different treatment methods,they were divided into observation group and control group,58 cases in each group.The control group was treated with early rehabilitation training,while the observation group was treated with biofeedback electrical stimulation on the basis of that of the control group.Both groups were treated continuously for 3 months.The clinical efficacy,the pelvic floor muscle strength level,the urodynamic parameters[maximum urinary flow rate,bladder compliance(BC),functional urethral length(FUL),abdominal leak point pressure(ALPP)]levels,the oxidative stress index[malondialdehyde(MDA),glutathione(GSH),superoxide dismutase(SOD)]levels,and the incidence of adverse reactions were compared between the two groups.Results:The total effective rate of the observation group was 93.10%(54/58),which was higher than 75.86%(44/58)of the control group,and the difference was statistically significant(P<0.05).After the treatment,the muscle strength levels of type I and type II muscle fibers in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the treatment,the maximum urinary flow rate,BC and ALPP levels in the observation group were higher than those in the control group,the FUL was longer than that in the control group,and the differences were statistically significant(P<0.05).After the treatment,the level of MDA in the observation group was lower than that in the control group,the levels of GSH and SOD were higher than those in the control group,and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of adverse reactions

关 键 词：早期康复训练 生物反馈电刺激 产后 压力性尿失禁 盆底肌力 尿动力学 氧化应激 

分 类 号：R714.6[医药卫生—妇产科学]