首页|生物反馈电刺激联合本体感觉及盆底肌康复训练对产后压力性尿失禁患者盆底肌力及尿流动力学的影响

生物反馈电刺激联合本体感觉及盆底肌康复训练对产后压力性尿失禁患者盆底肌力及尿流动力学的影响

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目的 探讨生物反馈电刺激、本体感觉、盆底肌康复训练联用对产后压力性尿失禁(SUI)患者的影响.方法 选取高唐县妇幼保健院 2022 年 8 月—2023 年8月收治的 74 例产后SUI患者为研究对象,按随机数字表法将其分为对照组和观察组,每组 37 例.对照组采取本体感觉和盆底肌康复训练,观察组在对照组基础上联合生物反馈电刺激疗法.对比两组的盆底肌力、尿流动力学、生活质量.结果 干预后,观察组阴道收缩持续时间长于对照组,阴道收缩肌电值和阴道动态压力均高于对照组,组间差异有统计学意义(P<0.05);干预后,观察组最大尿道闭合压力、最大尿流率、腹压漏尿点压、尿失禁生活质量量表各维度评分及总分均高于对照组,组间差异有统计学意义(P<0.05).结论 生物反馈电刺激、本体感觉、盆底肌康复训练联用有利于改善产后压力性尿失禁情况,可加强产后SUI患者的盆底肌力,提升尿流动力学指标及生活质量.
Effect of Biofeedback Electrical Stimulation Combined with Proprioception and Pelvic Floor Muscle Rehabilitation Training on Pelvic Floor Muscle Strength and Urodynamics in Postpartum Stress Urinary Incontinence Patients
Objective To explore the effects of a combination of biofeedback electrical stimulation,proprioception,and pelvic floor muscle rehabilitation training on postpartum stress urinary incontinence(SUI)patients.Methods A total of 74 postpartum SUI patients admitted to Gaotang Maternal and Child Health Hospital from August 2022 to August 2023 were selected as the research subjects,divided into a control group and an observation group using a random number table method,with 37 cases in each group.The control group received proprioception and pelvic floor muscle rehabilitation training,while the observation group combined with biofeedback electrical stimulation therapy on the basis of the control group.Compare pelvic floor muscle strength,urodynamics,and quality of life between two groups.Results After intervention,the duration of vaginal contractions in the observation group was longer than that in the control group,vaginal contractile electromyography and dynamic vaginal pressure were higher than those in the control group,the differences between groups were statistically significant(P<0.05);after intervention,the maximum urethral closure pressure,maximum urinary flow rate,abdominal pressure leak point pressure,and urinary Incontinence Quality of Life Scale scores of all dimensions and total scores in the observation group were all higher than those in the control group,the differences between groups were statistically significant(P<0.05).Conclusion The combination of biofeedback electrical stimulation,proprioception,and pelvic floor muscle rehabilitation training is beneficial for improving postpartum stress urinary incontinence,strengthening pelvic floor muscle strength in postpartum SUI patients,and improving urodynamic indicators and quality of life.

Postpartum stress urinary incontinenceBiofeedback electrical stimulationProprioceptionPelvic floor muscle strengthUrodynamics

王玲

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高唐县妇幼保健院孕产保健科,山东聊城 252800

产后压力性尿失禁 生物反馈电刺激 本体感觉 盆底肌力 尿流动力学

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(8)