盆底肌康复训练联合电刺激生物反馈治疗产后压力性尿失禁的临床观察  

Clinical Observation of Pelvic Floor Muscle Rehabilitation Training Combined with Electrical Stimulation Biofeedback for Postpartum Stress Urinary Incontinence

作　　者：熊莹 XIONG Ying(Department of Obstetrics and Gynecology,Fuzhou Linchuan District Second People's Hospital,Fuzhou 344000,Jiangxi Province,China)

机构地区：[1]抚州市临川区第二人民医院妇产科,江西抚州344000

出　　处：《罕少疾病杂志》2025年第3期153-155,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的 探讨盆底肌肉康复训练结合电刺激生物反馈对产后压力性尿失禁的临床疗效。方法 选择本院2022年2月至2023年4月收入的98例产后压力性尿失禁患者,按随机数字表法分成两组,各49例。对照组予以盆底肌康复训练,观察组给予盆底肌康复训练+电刺激生物反馈治疗,比较两组临床疗效、盆底肌肌力、尿失禁情况、漏尿情况、尿流动力学。结果 观察组治疗总有效率97.96%,高于对照组85.71%(P<0.05);治疗后观察组Ⅰ类和Ⅱ类肌纤维的肌力均高于对照组,疲劳度均低于对照组(P<0.05);治疗后观察组尿失禁问卷表简表(ICI-Q-SF)评分低于对照组(P<0.05);治疗后观察组漏尿量少于对照组(P<0.05);治疗后观察组最大尿道闭合压(MUCP)、腹部漏尿点压(ALPP)、最大尿流率(Qmax)、膀胱顺应性(BC)值均高于对照组(P<0.05)。结论盆底肌康复训练结合电刺激生物反馈技术,对于改善产后压力性尿失禁,效果明显,能提高盆底肌肌力,改善尿失禁和漏尿情况,调节尿流动力学状态。Objective To discuss the clinical effect of pelvic floor muscle rehabilitation training combined with electrical stimulation biofeedback for postpartum stress urinary incontinence.Methods A total of 98 patients with postpartum stress urinary incontinence who received income from February 2022 to April 2023 were divided into two groups with 49 cases each.The control group received pelvic floor muscle rehabilitation training,and the observation group gave biostimulation biofeedback treatment on the basis of the control group to compare the clinical efficacy,pelvic floor muscle strength,urinary incontinence,urine leakage and urodynamics between the two groups.Results The total response rate was 97.96%,higher than 85.71%(P<0.05);higher muscle strength than fatigue(P<0.05);lower(ICI-Q-SF)score(P<0.05);less leakage than control group(P<0.05);maximum urinary closure pressure(MUCP),abdominal leakage point pressure(ALPP),maximum turnover(Qmax),Bladder compliance(BC)values were higher than the control group(P<0.05).Conclusion Pelvic floor muscle rehabilitation training combined with electrical stimulation biofeedback treatment of postpartum stress urinary incontinence is effective,which can improve pelvic floor muscle strength,improve urinary incontinence and urine leakage,and regulate the urodynamic state.

关 键 词：压力性尿失禁 盆底肌康复训练 产后 电刺激生物反馈 

分 类 号：R694.54[医药卫生—泌尿科学]