生物反馈电刺激结合凯格尔训练对更年期女性压力性尿失禁患者排尿日记指标、盆底肌力的效果观察  

Observation of the Effects of Biofeedback Electrical Stimulation Combined with Kegel Training on Urinary Diary Indicators and Pelvic Floor Muscle Strength in Menopausal Women with Stress Urinary Incontinence

作　　者：王丹 WANG Dan(Department of Women's Health,Qufu People's Hospital,Qufu 273100,China)

机构地区：[1]曲阜市人民医院妇女保健科,山东曲阜273100

出　　处：《反射疗法与康复医学》2024年第17期68-70,74,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的探讨生物反馈电刺激结合凯格尔(Kegel)训练对更年期女性压力性尿失禁(SUI)患者的具体影响。方法选择2020年6月—2023年10月曲阜市人民医院收治的70例更年期女性SUI患者为研究对象,按随机数字表法将其分为对照组与观察组,各35例。对照组采用Kegel训练,观察组在对照组基础上采用生物反馈电刺激,两组均连续治疗8周。对比两组患者的排尿日记指标、盆底肌力、尿失禁程度及尿动力学指标。结果治疗后,观察组总排尿次数为(26.38±6.02)次/3 d,总漏尿次数为(11.20±4.61)次/3 d,均少于对照组,最大排尿量为(224.39±47.32)mL,均多于对照组,组间差异有统计学意义(P<0.05);观察组Ⅰ类肌纤维肌力为(4.81±1.29)级,Ⅱ类肌纤维肌力为(3.60±1.07)级,均高于对照组,组间差异有统计学意义(P<0.05);观察组国际尿失禁咨询委员会尿失禁问卷表简表评分为(5.74±1.02)分,低于对照组,差异有统计学意义(P<0.05)。结论在更年期女性SUI患者中使用生物反馈电刺激结合Kegel训练,能够有效增强患者的盆底肌力,减少排尿、漏尿的次数,有助于缓解尿失禁,加快疾病恢复。Objective To explore the specific effects of biofeedback electrical stimulation combined with Kegel training on menopausal women with stress urinary incontinence(SUI).Methods A total of 70 menopausal female SUI patients admitted to Qufu People's Hospital from June 2020 to October 2023 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 35 cases in each group.The control group received Kegel training,and the observation group received biofeedback electrical stimulation on the basis of the control group.Both groups received continuous treatment for 8 weeks.Urinary diary index,pelvic floor muscle strength,urinary incontinence degree and urinary dynamics index were compared between the two groups.Results After treatment,the total number of urination in the observation group was(26.38±6.02)times/3 d,and the total number of urine leakage was(11.20±4.61)times/3 d,both lower than that in the control group,and the maximum urine output was(224.39±47.32)mL,both higher than that in the control group,with statistical significance(P<0.05);the muscle strength of classⅠmuscle fibers in observation group was(4.81±1.29)grade and classⅡmuscle fibers was(3.60±1.07)grade,both of which were higher than those of control group,and the differences between groups were statistically significant(P<0.05);the score of the incontinence questionnaire of the International Urinary Incontinence Advisory Committee in the observation group was(5.74±1.02)points,which was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The use of biofeedback electrical stimulation combined with Kegel training in menopausal female SUI patients can effectively enhance pelvic floor muscle strength,reduce the frequency of urination and leakage,help alleviate urinary incontinence,and accelerate disease recovery.

关 键 词：压力性尿失禁 更年期女性 生物反馈电刺激 凯格尔训练 排尿日记指标 盆底肌力 

分 类 号：R711.59[医药卫生—妇产科学]