低频电刺激联合盆底康复训练治疗中老年女性压力性尿失禁的疗效  

Curative effect of low-frequency electrical stimulation combined with pelvic floor rehabilitation training on stress urinary incontinence in middle-aged and elderly women

作　　者：林兰秀 LIN Lan-xiu(Department of Gynecology,Shanghang County Hospital,Longyan 364200,China)

机构地区：[1]福建省上杭县医院妇科,364200

出　　处：《中国现代药物应用》2025年第7期146-149,共4页Chinese Journal of Modern Drug Application

摘　　要：目的探讨低频电刺激联合盆底康复训练治疗中老年女性压力性尿失禁(SUI)的临床效果。方法选取80例中老年女性轻、中度SUI患者,随机分为参照组和实验组,每组40例。参照组接受常规盆底康复训练,实验组患者在常规盆底康复训练基础上增加低频电刺激治疗。比较两组患者国际尿失禁咨询委员会尿失禁问卷简表(ICI-Q-SF)评分、盆底肌力和肌电位情况、生活质量综合评定问卷-74(GQOL-74)评分、临床疗效。结果实验组患者漏尿量、漏尿频率、疾病对生活的影响评分分别为(1.81±0.83)、(2.09±1.94)、(3.19±1.83)分,均低于参照组的(3.05±0.84)、(3.24±1.20)、(5.05±1.73)分(P<0.05)。实验组患者Ⅰ类纤维、Ⅱ类纤维盆底肌力分级分别为(4.85±0.95)、(3.67±0.73)级,肌电位为(18.03±3.45)μV,均高于参照组的(3.01±0.94)级、(2.88±0.58)级、(14.34±3.92)μV(P<0.05)。实验组的躯体功能、心理功能、社会功能、物质生活状态评分分别为(76.08±5.94)、(75.86±4.91)、(73.78±4.21)、(80.52±6.13)分,高于参照组的(69.19±4.87)、(67.54±3.87)、(66.28±4.09)、(70.36±5.56)分(P<0.05)。实验组治疗总有效率95.0%高于参照组的80.0%(P<0.05)。结论低频电刺激与盆底康复训练相结合对中老年女性SUI患者展现出卓越的疗效,显著减轻了患者的尿失禁症状,有效强化了盆底肌肉的力量,并全面提升了患者的生活质量,值得临床推广应用。Objective To explore the clinical effect of low-frequency electrical stimulation combined with pelvic floor rehabilitation training on stress urinary incontinence(SUI)in middle-aged and elderly women.Methods 80 middle-aged and elderly women with mild to moderate SUI were selected and randomly divided into the reference group and the experimental group,with 40 cases in each group.The reference group received routine pelvic floor rehabilitation training,and the experimental group added low-frequency electrical stimulation treatment on the basis of routine pelvic floor rehabilitation training.Comparison of International Consultation Committee on Incontinence Questionnaire-Short Form(ICI-Q-SF)score,pelvic floor muscle strength and muscle potential,generic quality of life inventory-74(GQOL-74)score and clinical efficacy between the two groups.Results The scores of urine leakage volume,urine leakage frequency and disease impact on life of the experimental group were(1.81±0.83),(2.09±1.94)and(3.19±1.83)points,which were lower than(3.05±0.84),(3.24±1.20)and(5.05±1.73)points of the control group(P<0.05).In the experimental group,the pelvic floor muscle strength grading of typeⅠandⅡmuscle fibers were(4.85±0.95)and(3.67±0.73)grades,and the muscle potential was(18.03±3.45)μV,which were higher than(3.01±0.94)grades,(2.88±0.58)grades and(14.34±3.92)μV in the control group(P<0.05).The scores of physical function,psychological function,social function and material life status of the experimental group were(76.08±5.94),(75.86±4.91),(73.78±4.21)and(80.52±6.13)points,which were higher than(69.19±4.87),(67.54±3.87),(66.28±4.09)and(70.36±5.56)points in the control group(P<0.05).The total effective rate of 95.0%in the experimental group was higher than 80.0%in the reference group(P<0.05).Conclusion The combination of low-frequency electrical stimulation and pelvic floor rehabilitation training has shown excellent efficacy for middle-aged and elderly female SUI patients,and can significantly reduce the symptom

关 键 词：低频电刺激 盆底康复训练 中老年 女性 压力性尿失禁 疗效 

分 类 号：R711.5[医药卫生—妇产科学]