磁刺激联合生物反馈技术在压力性尿失禁中的临床应用价值  

Clinical Application Value of Magnetic Stimulation Combined with Biofeedback Technology in Female Stress Urinary Incontinence

作　　者：何雨欣 杨闪闪 江美 江华[2] HE Yuxin;YANG Shanshan;JIANG Mei(Pelvic Floor Rehabilitation Center,Women′s Hospital of Nanjing Medical University,Nanjing Women and Children's Healthcare Hospital,Nanjing Jiangsu 210000,China;Department of Gynecology and Obstetrics,Women′s Hospital of Nanjing Medical University,Nanjing Women and Children's Healthcare Hospital,Nanjing Jiangsu 210000,China)

机构地区：[1]南京医科大学附属妇产医院南京市妇幼保健院盆底康复中心,江苏南京210000 [2]南京医科大学附属妇产医院南京市妇幼保健院妇女保健科,江苏南京210000

出　　处：《实用妇产科杂志》2024年第9期762-765,共4页Journal of Practical Obstetrics and Gynecology

基　　金：江苏省妇幼保健科研项目(编号:F202326)。

摘　　要：目的:探讨磁刺激联合生物反馈技术在压力性尿失禁(SUI)治疗中的临床应用价值。方法:收集2021年7~12月于南京市妇幼保健院盆底康复中心行康复治疗的轻、中度SUI患者60例,随机分成两组,每组各30例。观察组采用磁刺激+生物反馈治疗方案(磁联合组),对照组采用电刺激+生物反馈治疗方案(电联合组),均治疗1疗程(12次)。评估两组治疗前后Sandvik(尿失禁)严重程度指数、1h漏尿量、盆底肌力、盆底肌电生理指标、尿失禁影响程度(ⅡQ-7评分)、治疗有效率,并进行比较分析。结果:与治疗前比较,治疗后磁联合组和电联合组的Sandvik严重程度指数、1 h漏尿量、ⅡQ-7评分均降低,而Ⅰ类肌肌力、Ⅱ类肌肌力、快肌最大值和慢肌平均值均明显提高,差异均有统计学意义(P<0.05);治疗后磁联合组与电联合组比较,以上各项指标间差异均无统计学意义(P>0.05)。电联合组的治疗有效率(93.33%)与磁联合组(96.67%)比较,差异无统计学意义(P>0.05)。结论:磁刺激联合生物反馈治疗方案对SUI的治疗有效率较高,是一种可以选择的治疗SUI的康复技术。Objective:To explore the clinical application value of magnetic stimulation combined with biofeedback technology in female stress urinary incontinence(SUI).Methods:Sixty mild or moderate female SUI patients who underwent rehabilitation treatment at the Pelvic Floor Rehabilitation Center of Nanjing Women and Children′s Healthcare Hospital from July to December 2021 were collected and randomly divided into two groups,with 30 patients in each group.The observation group received a treatment protocol of electrical stimulation+biofeedback therapy(electric combined group)and the other group received a treatment protocol of magnetic stimulation+biofeedback therapy(magnetic combined group).The treatment course for both groups consisted of 12 sessions.The Sandvik severity Index(urinary incontinence),the amount of u 1-hoururine leakage,pelvic floor muscle strength,pelvic floor muscle electrophysiological indices,the degree of urinary incontinence impact(ⅡQ-7 score)and the treatment efficacy were assessed and compared before and after the treatment in the two groups.Results:Compared with the pre-treatment,the Sandvik Severity Index,the 1-hour urine leakage,and theⅡQ-7 score decreased in the magnetic combined group and the electric combined group after treatment,while the muscle strength of typeⅠ,typeⅡ,maximum of fast muscle,and mean value of slow muscle increased significantly,and the differences were statistically significant(P<0.05).The difference between the above indexes was not statistically significant when comparing the magnetic combined group and the electric combined group after treatment(P>0.05),and the treatment efficiency of the electric combined group was 93.33%and that of the magnet-ic combined group was 96.67%,and there was no statistical significance when comparing the efficiency of the two groups(P>0.05).Conclusions:Magnetic stimulation combined with biofeedback technology has high therapeutic efficiency for mild or moderate SUI,and is an optional rehabilitation technique for women with SUI.

关 键 词：磁刺激 生物反馈 电刺激 压力性尿失禁 

分 类 号：R711.59[医药卫生—妇产科学]