摘要
目的探讨盆底肌康复训练联合电刺激生物反馈对产后压力性尿失禁(SUI)的干预效果。方法选取82例产后SUI患者,将其以随机数字表法分成对照组及观察组,各41例。对照组实施盆底肌康复训练,观察组在盆底肌康复训练的基础上增加电刺激生物反馈干预。比较两组尿失禁频率、尿失禁评分[国际尿失禁咨询委员会尿失禁问卷(ICIQ-UI)评分]、尿流动力学指标[最大尿流率(Qmax)、最大尿道闭合压力(MUCP)、腹压漏尿点压(AL-PP)]、盆底肌力、生活质量评分[尿失禁生活质量量表(I-QOL)评分]。结果干预后,观察组尿失禁频率(0.83±0.29)次/周、ICIQ-UI评分(3.62±0.72)分低于对照组的(1.38±0.34)次/周、(5.68±1.26)分(P<0.05)。干预后,观察组Qmax(29.34±2.68)ml/s、MUCP(61.28±5.33)cm H_(2)O(1 cm H_(2)O=0.098 kPa)、AL-PP(103.65±7.71)cm H_(2)O均大于对照组的(26.44±2.77)ml/s、(57.66±5.42)cm H_(2)O、(96.83±7.85)cm H_(2)O(P<0.05)。干预后,观察组阴道收缩肌电值(42.27±4.31)μV、阴道动态压力(103.65±5.56)cm H_(2)O高于对照组的(38.31±4.50)μV、(98.48±5.67)cm H_(2)O,阴道收缩持续时间(7.34±1.32)s长于对照组的(5.86±1.40)s(P<0.05)。干预后,观察组I-QOL评分(94.53±2.95)分高于对照组的(86.73±4.41)分(P<0.05)。结论盆底肌康复训练联合电刺激生物反馈可缓解产后SUI症状,改善尿流动力学、尿道肌力,使患者的日常生活受限得以解除。
Objective To explore the intervention effect of pelvic floor muscle rehabilitation training combined with electrical stimulation biofeedback on postpartum stress urinary incontinence(SUI).Methods 82 postpartum SUI patients were selected and divided into the control group and the observation group using a random number table,each with 41 cases.The control group received pelvic floor muscle rehabilitation training,while the observation group received additional electrical stimulation biofeedback therapy.Comparison of frequency of urinary incontinence and the score of urinary incontinence[International Consultation on Incontinence Questionnaire-Urinary Incontinence(ICIQ-UI)score],urodynamic indicators[maximum urinary flow rate(Qmax),maximum urethral closure pressure(MUCP),abdominal leak point pressure(AL-PP)],pelvic floor muscle strength,quality of life score[Incontinence-Quality of Life Questionnaire(I-QOL)score]between the two groups.Results After the intervention,the frequency of urinary incontinence in the observation group was(0.83±0.29)times/week and the ICIQ-UI score was(3.62±0.72)points,which were lower than those in the control group[(1.38±0.34)times/week and(5.68±1.26)points](P<0.05).After the intervention,the observation group had Qmax of(29.34±2.68)ml/s,MUCP of(61.28±5.33)cm H_(2)O(1 cm H_(2)O=0.098 kPa),and AL-PP of(103.65±7.71)cm H_(2)O,which were greater than those in the control group[(26.44±2.77)ml/s,(57.66±5.42)cm H_(2)O,and(96.83±7.85)cm H_(2)O](P<0.05).After the intervention,the vaginal contraction electromyography values in the observation group was(42.27±4.31)μV and the vaginal dynamic pressure was(103.65±5.56)cm H_(2)O,which were higher than those in the control group[(38.31±4.50)μV and(98.48±5.67)cm H_(2)O];the vaginal contraction duration(7.34±1.32)s was longer than the control group's(5.86±1.40)s(P<0.05).After the intervention,the observation group had a significantly higher I-QOL score of(94.53±2.95)points than the control group's(86.73±4.41)points(P<0.05).Conclusion Pelvic floor muscle rehabilitation training combined with electrical stimulation biofeedback can alleviate SUI symptoms,improve urodynamics and vaginal muscle strength,and relieve daily life restrictions in patients.
作者
陈丽容
陈舒婷
CHEN Li-rong;CHEN Shu-ting(Obstetrics and Gynecology Department,Huian County Hospital,Quanzhou 362100,China)
出处
《中国现代药物应用》
2026年第1期160-163,共4页
Chinese Journal of Modern Drug Application
关键词
压力性尿失禁
产后
盆底肌康复训练
电刺激
生物反馈
Stress urinary incontinence
Postpartum
Pelvic floor muscle rehabilitation training
Electrical stimulation
Biofeedback
