世界复合医学2024,Vol.10Issue(3) :15-19.DOI:10.11966/j.issn.2095-994X.2024.10.03.04

盆底肌训练结合低频产后治疗仪治疗对产后压力性尿失禁患者盆底肌肌力的影响与治疗效果

Effects of Pelvic Floor Muscle Training Combined with Low-frequency Postpartum Therapy De-vice Treatment on Pelvic Floor Muscle Strength and Effects in Patients with Postpartum Stress Uri-nary Incontinence

张呈艳
世界复合医学2024,Vol.10Issue(3) :15-19.DOI:10.11966/j.issn.2095-994X.2024.10.03.04

盆底肌训练结合低频产后治疗仪治疗对产后压力性尿失禁患者盆底肌肌力的影响与治疗效果

Effects of Pelvic Floor Muscle Training Combined with Low-frequency Postpartum Therapy De-vice Treatment on Pelvic Floor Muscle Strength and Effects in Patients with Postpartum Stress Uri-nary Incontinence

张呈艳1
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作者信息

  • 1. 济南市第七人民医院产科,山东济南 250101
  • 折叠

摘要

目的 探讨盆底肌训练结合低频产后治疗仪治疗对产后压力性尿失禁患者盆底肌肌力的影响及治疗效果.方法 方便选取2022年1月—2023年4月济南市第七人民医院产科收治的62例产后压力性尿失禁患者为研究对象,以便利抽样法分为对照组(31例)与观察组(31例).对照组单纯实施盆底肌训练治疗,观察组在对照组基础上加用低频产后治疗仪治疗.比较两组盆底肌力恢复情况、Valsalva状态下盆底超声指标、1 h尿垫重量结果、生活质量、疗效.结果 治疗3个月后,观察组盆底肌力[(4.25±0.23)分]明显高于对照组[(3.26±0.22)分],差异有统计学意义(t=17.318,P<0.05).治疗3个月后观察组Valsalva状态膀胱下颈位置、尿道倾斜角、肛提肌裂孔面积、膀胱尿道后角改善水平明显优于对照组,差异有统计学意义(P均<0.05).治疗3个月后,观察组1 h尿垫重量为(0.63±0.18)g,明显低于对照组的(1.25±0.52)g,差异有统计学意义(t=6.273,P<0.05).治疗3个月后,观察组心理影响、社会障碍、行为限制评分明显高于对照组,差异有统计学意义(P均<0.05).观察组治疗总有效率为93.55%,明显高于对照组的74.19%,差异有统计学意义(χ2=4.292,P<0.05).结论 盆底肌训练结合低频产后治疗仪治疗对产后压力性尿失禁患者有改善盆底肌力、尿失禁与盆底结构的积极影响,可减轻病情对患者生活造成的负面影响,疗效显著.

Abstract

Objective To discuss pelvic floor muscle training combined with low-frequency postpartum therapy device treatment on pelvic floor muscle strength and effects in patients with postpartum stress urinary incontinence and treatment effect.Methods A total of 62 patients with postpartum stress urinary incontinence mainly received diagnosis and treatment at the Department of Obstetrics of Jinan Seventh People's Hospital from January 2022 to April 2023 were conveniently selected as the study objects,and were divided into control group(31 cases)and observation group(31 cases)using convenience sampling method.The control group was simply treated with pelvic floor muscle training,while the observation group was treated with a low-frequency postpartum therapy device on the basis of the control group.The pelvic floor muscle strength recovery,pelvic floor ultrasound indicators in Valsalva state,1-hour urine pad weight results,quality of life,and efficacy be-tween two groups were compared.Results After 3 months of treatment,the pelvic floor muscle strength score of the observation group[(4.25±0.23)points]was significantly higher than that of the control group[(3.26±0.22)points],and the difference was statistically significant(t=17.318,P<0.05).After 3 months of treatment,the im-provement levels of the Valsalva state bladder neck position,urethral inclination angle,levator ani hiatus area,and vesicourethral posterior horn in the observation group were significantly better than those in the control group,and the differences were statistically significant(all P<0.05).After 3 months of treatment,the 1-hour urine pad weight of the observation group(0.63±0.18)g was significantly lower than that of the control group(1.25±0.52)g,and the difference was statistically significant(t=6.273,P<0.05).After 3 months of treatment,the scores of psychological impact,social barriers,and behavioral restriction in the observation group were signifi-cantly higher than that in the control group,and the differences were statistically significant(all P<0.05).The to-tal effective rate of the observation group was 93.55%,which was significantly higher than 74.19%of the control group,and the difference was statistically significant(χ2=4.292,P<0.05).Conclusion Pelvic floor muscle train-ing combined with low-frequency postpartum therapy device treatment has a positive impact on improving pel-vic floor muscle strength,urinary incontinence and pelvic floor structure in patients with postpartum stress uri-nary incontinence,which can reduce the negative impact of the disease on life and has significant curative ef-fect.

关键词

产后压力性尿失禁/盆底肌训练/低频产后治疗仪

Key words

Postpartum stress urinary incontinence/Pelvic floor muscle training/Low-frequency post-partum treatment device

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出版年

2024
世界复合医学

世界复合医学

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