目的:探讨不同频率电刺激联合阴道哑铃治疗产后尿失禁的临床疗效,分析其对临床症状、排尿状况、盆底肌力的影响.方法:选取 2019 年 8 月至 2022 年 8 月于本院产科门诊就诊的 83 例产后尿失禁患者作为研究对象,依据随机数字表法分为对照组(n=41)和观察组(n=42).对照组采用20 Hz电刺激与阴道哑铃治疗,观察组采用50 Hz电刺激与阴道哑铃治疗.对比两组临床疗效、治疗前后两组临床症状评分、排尿状况、盆底肌力、尿流动力学、氧化应激.比较两组治疗后尿失禁程度、性生活质量.结果:观察组总有效率明显高于对照组(P<0.05).治疗后,观察组临床症状评分、排尿状况、丙二醛(Malondialdehyde,MDA)水平、尿失禁问卷简表(Incontinence questionnaire-short form,ICI-Q-SF)评分明显低于对照组,Ⅰ类肌纤维、Ⅱ类肌纤维肌力、最大尿道闭合压(Maximum urethral closure pressure,MUCP)、腹部漏尿点压(Abdominal leak point pressure,ALPP)、膀胱顺应性(Bladder compliance,BC)、超氧化物歧化酶(Superoxide dismutase,SOD)、谷胱甘肽(Glutathione,GSH)水平、盆腔器官脱垂-尿失禁性生活问卷(Pelvic organ prolapse-urinary incontinence life questionnaire,PISQ-31)评分明显高于对照组(P<0.05).结论:50 Hz电刺激联合阴道哑铃治疗产后尿失禁的疗效确切,可改善其临床症状,增强盆底肌力,减缓病情发展进程,提高性生活质量.
A randomized controlled trial of different frequencies of electrical stimulation combined with vaginal dumbbells for the prevention of postpartum urinary incontinence
Objective:To investigate the clinical efficacy of different frequencies of electrical stimulation combined with vaginal dumbbell in the treatment of postpartum urinary incontinence,and to analyze its effects on clinical symptoms,urinary status and pelvic floor muscle strength.Methods:Eighty-three patients with postpartum urinary incontinence who attended our obstetrics clinic from August 2019 to August 2022 were selected as study subjects and were divided into control group(n=41)and observation group(n=42)based on random number table method.The control group was treated with 20 Hz electrical stimulation and vaginal dumbbell,and the observation group was treated with 50 Hz electrical stimulation and vaginal dumbbell.The clinical efficacy,clinical symptom scores,voiding status,pelvic floor muscle strength,urodynamics,and oxidative stress of the two groups were compared before and after treatment.To compare the degree of urinary incontinence and sexual quality of life between the two groups after treatment.Results:The total effective rate of the observation group was significantly higher than that of the control group(P<0.05).After treatment,the clinical symptom scores,voiding status,malondialdehyde(MDA)level,Incontinence questionnaire-short form(ICI-Q-SF)scores were significantly lower in the observation group than in the control group,and the muscle strength of class Ⅰ and class Ⅱ muscle fibers,maximum urethral closure pressure(MUCP),abdominal leak point pressure(ALPP),bladder compliance(BC),superoxide dismutase(SOD),and bladder compliance(BC)were significantly lower than in the control group.(MUCP),abdominal leak point pressure(ALPP),bladder compliance(BC),superoxide dismutase(SOD),glutathione(GSH)levels,and Pelvic organ prolapse-urinary incontinence life questionnaire(PISQ-31)scores were significantly higher than those of the control group(P<0.05).Conclusion:The efficacy of 50 Hz electrical stimulation combined with vaginal dumbbells in the treatment of postpartum urinary incontinence is definite,which can improve the clinical symptoms,enhance the pelvic floor muscle strength,slow down the progression of the disease and improve the quality of sexual life.
万方数据
维普
