摘要
目的 探究神经肌肉电刺激(NMES)治疗产后压力性尿失禁(SUI)的疗效及其影响因素。方法 选取产后6~8周随访发现的84例SUI患者为研究对象,均进行NMES治疗。观察患者的疗效,并根据疗效情况分为有效组(治愈和有效的患者,63例)和无效组(无效患者,21例);比较患者治疗前后漏尿量;分析NMES治疗SUI疗效的影响因素。结果 84例患者中治愈50例(59.52%),有效13例(15.48%),无效21例(25.00%),治疗总有效率为75.00%(63/84)。NMES治疗后,患者漏尿量为(3.28±1.10)g,少于治疗前的(8.27±2.76)g(t=15.393,P<0.05)。无效组患者孕期体重增加量≥17.5 kg占比71.43%、重度SUI占比57.14%、阴道分娩占比71.43%均明显高于有效组的30.16%、14.29%、42.86%(P<0.05);两组年龄、孕前体质量指数、膀胱颈移动度、孕周、胎儿体重比较无明显差异(P>0.05)。Logistic回归分析结果 显示,孕期体重增加量≥17.5 kg、重度SUI是NMES治疗SUI疗效的独立危险因素(P<0.05)。结论 NMES对SUI患者有较好的治疗效果,其可减少患者的漏尿量,但孕期体重增加≥17.5 kg、重度SUI会影响NMES治疗SUI的疗效,及时确定产妇孕期体重增加量、SUI严重程度,将有助于临床确定NMES的治疗效果。
Objective To explore the efficacy of neuromuscular electrical stimulation(NMES)in treating postpartum stress urinary incontinence(SUI)and the influencing factors.Methods A total of 84 patients with SUI identified during follow-up at 6-8 weeks postpartum were enrolled in this study and all underwent NMES therapy.The therapeutic efficacy of the patients was observed,and they were divided into the effective group(63 cases of cured and effective patients)and the ineffective group(21 cases of ineffective patients)based on the therapeutic effects.Comparison of urinary leakage volume before and after treatment;analysis of factors influencing the efficacy of NMES therapy for SUI.Results Among the 84 patients,50 cases(59.52%)were cured,13 cases(15.48%)were effective,21 cases(25.00%)were ineffective,and the total effective rate of treatment was 75.00%(63/84).After NMES treatment,the urine leakage volume of the patients was(3.28±1.10)g,which was less than that before treatment[(8.27±2.76)g](t=15.393,P<0.05).In the ineffective group,the proportion of gestational weight gain≥17.5 kg was 71.43%,the proportion of severe SUI was 57.14%,and the proportion of vaginal delivery was 71.43%,which were significantly higher than those in the effective group(30.16%,14.29%,and 42.86%;P<0.05).There were no significant differences in age,pre-pregnancy body mass index,bladder neck movement,gestational week,and fetal weight between the two groups(P>0.05).Logistic regression analysis revealed that gestational weight gain≥17.5 kg and severe SUI were independent risk factors for the efficacy of NMES therapy for SUI(P<0.05).Conclusion NMES has a good therapeutic effect on patients with SUI,and it can reduce the urine leakage volume in patients with SUI.Gestational weight gain≥17.5 kg and severe SUI can affect the efficacy of NMES therapy for SUI.Timely determination of maternal weight gain and SUI severity during pregnancy will help to determine the clinical effect of NMES treatment.
作者
刘晓泮
戴慧秀
LIU Xiao-pan;DAI Hui-xiu(Yuncheng County People's Hospital,Heze 274700,China)
出处
《中国实用医药》
2025年第24期25-28,共4页
China Practical Medicine
关键词
神经肌肉电刺激
压力性尿失禁
疗效
影响因素
Neuromuscular electrical stimulation
Stress urinary incontinence
Efficacy
Influencing factors
