首页|温控射频技术联合盆底肌肉电刺激治疗压力性尿失禁对女性盆腹动力学的影响

温控射频技术联合盆底肌肉电刺激治疗压力性尿失禁对女性盆腹动力学的影响

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目的:探讨温控射频技术联合盆底肌肉电刺激治疗压力性尿失禁(SUI)对女性盆腹动力学的影响.方法:选取2021年1月-2023年12月本院诊治的SUI患者102例,随机数表法分为对照组(51例,盆底肌肉电刺激治疗)和联合组(51例,温控射频技术联合盆底肌肉电刺激治疗),比较两组1h尿垫试验、排尿日记、国际尿失禁咨询委员会尿失禁问卷简表(ICI-Q-SF)和盆底肌力.结果:与治疗前比较,两组治疗后3个月、6个月、12个月1h尿垫重量均降低,且联合组(1.6±0.5g、1.5±0.5g、2.3±0.6g)低于对照组(2.4±0.6g、2.5±0.5g、4.2±1.1g),两组治疗后 12 个月最大排尿量升高,总漏尿次数、总排尿次数降低,且联合组(225.51±48.38 ml、11.33±3.85次/3d、26.51±6.21次/3d)改善效果优于对照组(194.37±48.11 ml、15.2±4.01次/3d、33.41±5.79次/3d),两组治疗后3个月、6个月、12个月ICI-Q-SF评分均降低且联合组(5.86±1.66分、6.88±2.31分、8.04±2.16分)低于对照组(7.65±2.36分、9.82±2.92分、10.14±3.16分),两组治疗后12个月盆底肌力良好率均升高且联合组(98.0%)高于对照组(80.4%)(均P<0.05)o结论:温控射频技术联合盆底肌肉电刺激治疗SUI患者,可减轻尿失禁程度,提高盆底肌力.
Effects of the temperaturecontrolled radiofrequency technology combined with pelvic floor muscle electrical stimulation for treating women with stress urinary incontinence on their pelvic abdominal dynamics
Objective:To exploring the effects of the temperaturecontrolled radiofrequency technology combined with pelvic floor muscle electrical stimulation for treating women with stress urinary incontinence(SUI)on their pelvic ab-dominal dynamics.Methods:From January 2021 to December 2023,102 women with SUI were selected and were di-vided into control group(51 cases with the treatment of pelvic floor muscle electrical stimulation)and study group(51 cases with the treatment of temperaturecontrolled radio frequency technology combined with pelvic floor muscle electri-cal stimulation)by the random number table method.The two groups were compared in terms of the results of 1-hour urine cushion test and the urination diary,the international urinary incontinence questionnaire summary table(ICI-Q-SF)score and the pelvic floor muscle strength of the women were compared between the two groups.Results:The weight of urine pad of the women in the two groups in 3 months,6 months or 12 months after treatment had decreased significantly,and which(1.6±0.5g,1.5±0.5g or 2.3±0.6g)of the women the study group was significantly lower than that(2.4±0.6g,2.5±0.5g or 4.2±1.1g)of the women in the control group.The maximum urine volume of the women in the two groups in 12 months after treatment had increased significantly,and the total number of leakage and total micturition frequency of the women in the two groups in 12 months after treatment had decreased significantly,and the improvements(225.51±48.38 ml,11.33±3.85 times/3d and 26.51±6.21 times/3d)of which of the women in the study group were significantly better than those(194.37±48.11 ml,15.2±4.01 times/3d and 33.41±5.79 times/3d)of the women in the control group.The ICI-Q-SF score of the women in the two groups in 3 months,6 months or 12 months after treatment had decreased significantly,and which(5.86±1.66 points,6.88±2.31 points or 8.04±2.16 points)of the women in the study group were significantly lower than those(7.65±2.36 points,9.82±2.92 points or 10.14±3.16 points)of the women in the control group.The good rate of pelvic floor muscle strength of the women in the two groups in the 12th month after treatment had increased significantly,and which(98.0%)of the women in the study group was significantly higher than that(80.4%)of the women in the control group(all P<0.05).Conclusion:The temperaturecontrolled radiofrequency technology combined with the pelvic floor muscle electrical stimulation for treating the women with SUI can alleviate their degree of urinary incontinence and improve their pelvic floor muscle strength.

Stress urinary incontinenceTemperature controlled RF technologyPelvic floor muscle electrical stimula-tionPelvic floor muscle strength

洪卫萍、郑小燕、王美燕、王慧兰、朱秀秀

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浙江省临海市妇幼保健院(317099)

浙江省台州医院

压力性尿失禁 温控射频技术 盆底肌肉电刺激 盆底肌力

2023年台州市科技计划

23ywb126

2024

中国计划生育学杂志
国家人口计生委科学技术研究所

中国计划生育学杂志

CSTPCD
影响因子:1.759
ISSN:1004-8189
年,卷(期):2024.32(10)