微点阵二氧化碳激光联合盆底肌肉锻炼法治疗女性压力性尿失禁的效果  

Effect of Microarray Carbon Dioxide Laser Combined with Pelvic Floor Muscle Exercise in the Treatment of Female Stress Urinary Incontinence

作　　者：陈凤随 CHEN Fengsui(Department of Obstetrics and Gynecology,Dongguan Integrated Traditional Chinese and Western Medicine Hospital,Dongguan 523820,Guangdong,China)

机构地区：[1]东莞市中西医结合医院妇产科,广东东莞523820

出　　处：《世界复合医学(中英文)》2024年第10期173-176,共4页World Journal of Complex Medicine

摘　　要：目的 研究微点阵二氧化碳激光联合盆底肌肉锻炼法治疗女性压力性尿失禁的效果。方法选取2020年8月—2022年4月东莞市中西医结合医院接诊的75例女性压力性尿失禁患者,按不同治疗方法分为对照组(n=37)、观察组(n=38)。对照组采用常规盆底肌肉锻炼法,观察组在对照组基础上加入微点阵二氧化碳激光进行治疗。对比两组治疗前后漏尿量、盆底表面肌电位变化情况及临床疗效。结果 治疗前,两组漏尿量比较,差异无统计学意义(P>0.05);治疗后,两组漏尿量均较治疗前减少,且观察组少于对照组,差异有统计学意义(P<0.05)。治疗前,两组盆底表面肌电位比较,差异无统计学意义(P均>0.05);治疗后,两组盆底表面肌电位快速收缩、持续性收缩及耐受水平均升高,且观察组均高于对照组,差异有统计学意义(P均<0.05)。观察组治疗总有效率为92.11%(35/38),高于对照组的72.97%(27/37),差异有统计学意义(χ^(2)=4.789,P<0.05)。结论 微点阵二氧化碳激光联合盆底肌肉锻炼法治疗女性压力性尿失禁的效果良好,可提升女性压力性尿失禁的治愈率。Objective To study the effect of microarry carbon dioxide laser combined with pelvic floor muscle exercise in the treatment of female stress urinary incontinence.Methods A total of 75 female patients with stress urinary incontinence admitted to Dongguan Integrated Traditional Chinese and Western Medicine Hospital from August 2020 to April 2022 were selected and divided into control group(n=37) and observation group(n=38) according to different treatment methods.The control group was treated with conventional pelvic floor muscle exercise,and the observation group was treated with microarry carbon dioxide laser on the basis of the control group.The urine leakage,pelvic floor surface electromyography and clinical efficacy were compared between the two groups electromyography.Results Before treatment,there was no significant difference in urine leakage between the two groups(P>0.05).After treatment,urine leakage in both groups was less than before treatment,and the observation group was less than the control group,the difference was statistically significant(P<0.05).Before treatment,there was no significant difference in pelvic floor surface electromyography between the two groups(all P>0.05).After treatment,the rapid contraction,sustained contraction and tolerance levels of pelvic floor surface electromyography increased in both groups,and the observation group was higher than the control group,the differences were statistically significant(all P<0.05).The total effective rate of the observation group was 92.11%(35/38),which higher than 72.97%(27/37) in the control group,and the difference was statistically significant(χ~2=4.789,P<0.05).Conclusion The combination of microarray carbon dioxide laser and pelvic floor muscle exercise has a good effect on the treatment of female stress urinary incontinence,can improve the cure rate of female stress urinary incontinence.

关 键 词：压力性尿失禁 微点阵二氧化碳激光 盆底肌肉锻炼法 疗效 

分 类 号：R711.59[医药卫生—妇产科学]