首页|盆底肌肉康复器配合Kegel运动训练对产后压力性尿失禁患者盆底肌力、尿动力学指标的影响

盆底肌肉康复器配合Kegel运动训练对产后压力性尿失禁患者盆底肌力、尿动力学指标的影响

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目的 探讨盆底肌肉康复器配合Kegel运动训练对产后压力性尿失禁(SUI)患者的影响.方法 选择青岛市黄岛区中医医院 2023 年 4-8 月收治的 80 例产后SUI患者为研究对象,以随机数字表法将其分为对照组和观察组,各40 例.对照组采取常规盆底肌训练,观察组在对照组基础上采取盆底肌肉康复器配合Kegel运动训练.对比两组的盆底肌力、尿动力学指标、生活质量.结果 治疗后,两组阴道收缩持续时间均长于治疗前,且观察组长于对照组,两组阴道收缩肌电值、阴道动态压力均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05);治疗后,两组最大尿道压、最大尿流率时逼尿肌压力、功能性尿道长度、膀胱顺应性水平均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05);治疗后,两组尿失禁生活质量量表各维度评分及总分均高于治疗前,且观察组高与对照组,差异有统计学意义(P<0.05).结论 盆底肌肉康复器配合Kegel运动训练对产后SUI患者的治疗效果更佳,在促进盆底肌力、尿动力学指标及改善生活质量方面效果显著.
Effect of Pelvic Floor Muscle Rehabilitation Device Combined With Kegel Exercise Training on Pelvic Floor Muscle Strength and Urodynamic Indicators in Postpartum Stress Urinary Incontinence Patients
Objective Exploring the effect of pelvic floor muscle rehabilitation device combined with Kegel exercise training on postpartum stress urinary incontinence(SUI)patients.Methods Selecting 80 postpartum SUI patients admitted to Huangdao District Traditional Chinese Medicine Hospital in Qingdao from April to August 2023 as the research subjects,divide them into a control group and an observation group using a random number table method,with 40 cases in each group.The control group received routine pelvic floor muscle training,while the observation group received pelvic floor muscle rehabilitation device combined with Kegel exercise training on the basis of the control group.Compare the pelvic floor muscle strength,urodynamic indicators,and quality of life between the two groups.Results After treatment,the duration of vaginal contractions in both groups was longer than before treatment,and the observation group was longer than that of the control group.The vaginal contractile electromyography values and dynamic vaginal pressure in both groups were higher than before treatment,and the observation group was higher than that of the control group,the differences was statistically significant(P<0.05);After treatment,the levels of maximum urethral pressure,detrusor muscle pressure at maximum urine flow rate,functional urethral length,and bladder compliance in both groups were higher than before treatment,and the observation group was higher than that of the control group,the differences was statistically significant(P<0.05);After treatment,the scores and total scores of each dimension of Incontinence Quality of Life Instrument in both groups were higher than before treatment,and the observation group was higher than that of the control group,the differences was statistically significant(P<0.05).Conclusion The combination of pelvic floor muscle rehabilitation device and Kegel exercise training has a better therapeutic effect on postpartum SUI patients,significantly promoting pelvic floor muscle strength,urodynamic indicators,and improving quality of life.

Postpartum stress urinary incontinencePelvic floor muscle rehabilitation deviceKegel exercisePelvic floor muscle strengthUrodynamic

李彦俐

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青岛市黄岛区中医医院产科,山东青岛 266500

产后压力性尿失禁 盆底肌肉康复器 Kegel运动 盆底肌力 尿动力学

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)