Kegel运动联合神经肌肉刺激对产后压力性尿失禁患者康复效果的影响  

Effect of Kegel Exercise Combined with Neuromuscular Stimulation on Rehabilitation of Postpartum Patients with Stress Urinary Incontinence

作　　者：肖玉 于文静 XIAO Yu;YU Wenjing(Department of Obstetrics and Gynecology,Yantai Seaport Hospital,Yantai 264000,China)

机构地区：[1]烟台海港医院妇产科,山东烟台264000

出　　处：《反射疗法与康复医学》2024年第18期71-73,77,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的探讨Kegel运动联合神经肌肉刺激对产后压力性尿失禁(SUI)患者康复效果的影响。方法选择该院2021年12月—2023年9月收治的96例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48例。对照组采用Kegel运动干预,观察组在对照组基础上联合神经肌肉刺激干预。比较两组的尿失禁程度、盆底肌力、盆腔功能、性生活质量。结果干预后,观察组尿失禁程度评分低于对照组,差异有统计学意义(P<0.05)。观察组盆底肌力评分高于对照组,差异有统计学意义(P<0.05)。观察组最大收缩力、持续收缩力及协调力均大于对照组,组间差异有统计学意义(P<0.05)。观察组尿失禁性功能评分高于对照组,差异有统计学意义(P<0.05)。结论Kegel运动联合神经肌肉刺激在SUI患者中的应用效果显著,能有效减轻产妇的尿失禁程度,改善盆底肌肌力和盆腔功能,提高其性生活质量。Objective To explore the effect of Kegel exercise combined with neuromuscular stimulation on rehabilitation of postpartum patients with stress urinary incontinence.Methods A total of 96 patients with SUI admitted to our hospital from December 2021 to September 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 48 cases in each group.The control group received Kegel exercise intervention,and the observation group was combined with neuromuscular stimulation intervention based on the control group.The degree of urinary incontinence,pelvic floor muscle strength,pelvic function and sexual life quality were compared between the two groups.Results After the intervention,the degree of urinary incontinence score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).The pelvic floor muscle strength score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The maximum contractile force,sustained contractile force and coordination force in the observation group were grrater than those in the control group,and the differences between groups were statistically significant(P<0.05).The urinary incontinence function score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The application of Kegel exercise combined with neuromuscular stimulation in patients with SUI is significant,which can effectively reduce the degree of urinary incontinence,improve pelvic floor muscle strength and pelvic function,and improve the quality of their sexual life..

关 键 词：产后压力性尿失禁 Kegel运动 神经肌肉刺激 

分 类 号：R711[医药卫生—妇产科学]