盆底肌康复训练+电刺激生物反馈治疗产后压力性尿失禁的临床效果
Clinical effect of pelvic floor muscle rehabilitation training+electrical stimulation biofeedback in the treatment of postpartum stress urinary incontinence
崔玉梅1
作者信息
- 1. 山东省淄博市市立医院产科,山东淄博 255400
- 折叠
摘要
目的 探讨盆底肌康复训练+电刺激生物反馈治疗产后压力性尿失禁的临床效果.方法 选取2021年 6 月至 2023 年 5 月在淄博市市立医院就诊的 80 例产后压力性尿失禁患者作为研究对象,依据随机数字表法将其分为两组,各 40 例.对照组接受盆底肌康复训练,研究组在对照组基础上联用电刺激生物反馈治疗,比较两组治疗前后尿失禁次数、盆底表面肌电值、盆底肌力评分、盆底脱垂评分.结果 治疗后,两组尿失禁次数较治疗前减少,研究组尿失禁次数少于对照组(P<0.05);治疗后,两组盆底表面肌电值较治疗前升高,而研究组盆底表面肌电值较对照组更高(P<0.05);治疗后,两组盆底肌力评分、盆底脱垂评分均较治疗前改善,而研究组盆底肌力评分较对照组更高,盆底脱垂评分较对照组更低(P<0.05).结论 盆底肌康复训练联合电刺激生物反馈治疗压力性尿失禁患者,可有效改善盆底肌功能,减轻盆底脱垂情况,减少尿失禁次数.
Abstract
Objective To investigate the clinical effect of pelvic floor muscle rehabilitation training+electrical stimulation biofeedback in the treatment of postpartum stress urinary incontinence.Methods A total of 80 patients with postpartum stress urinary incontinence who were treated in Zibo Municipal Hospital from June 2021 to May 2023 were selected as the research objects.According to the random number table method,they were divided into two groups,with 40 cases in each group.The control group received pelvic floor muscle rehabilitation training,and the study group received electrical stimulation biofeedback therapy on the basis of the control group.The number of urinary incontinence,pelvic floor surface electromyography values,pelvic floor muscle strength score,and pelvic floor prolapse score were compared between the two groups before and after treatment.Results After treatment,the number of urinary incontinence in the two groups was fewer than that before treatment,and the number of urinary incontinence in the study group was fewer than that in the control group(P<0.05).After treatment,the pelvic floor surface electromyography values of the two groups were higher than those before treatment,and the pelvic floor surface electromyography values of the study group were higher than those of the control group(P<0.05).After treatment,the pelvic floor muscle strength score and pelvic floor prolapse score of the two groups were improved compared with those before treatment,while the pelvic floor muscle strength score of the study group was higher than that of the control group,and the pelvic floor prolapse score of the study group was lower than that of the control group(P<0.05).Conclusion Pelvic floor muscle rehabilitation training combined with electrical stimulation biofeedback in the treatment of stress urinary incontinence can effectively improve pelvic floor muscle function,reduce pelvic floor prolapse,and reduce the frequency of urinary incontinence.
关键词
盆底肌康复训练/电刺激生物反馈/产后压力性尿失禁/盆底肌功能Key words
Pelvic floor muscle rehabilitation training/Electrical stimulation biofeedback/Postpartum stress urinary incontinence/Pelvic floor muscle function引用本文复制引用
出版年
2024