摘要
目的 通过生物反馈盆底肌肉训练治疗女性压力性尿失禁 6例分析 ,探讨生物反馈盆底肌肉训练治疗女性压力性尿失禁的效果 ,以期寻找女性压力性尿失禁较好的非手术治疗方法。方法 我院 2 0 0 3年 9月～ 2 0 0 4年 1月共有 6例女性尿失禁患者接受了生物反馈盆底肌肉训练 ,平均年龄 4 4岁 (31～ 6 1岁 ) ,治疗前通过病史问卷、查体诊断尿失禁 ,其中 5例压力性尿失禁 ,1例压力性尿失禁与急迫性尿失禁合并存在。压力性尿失禁的分度 2例中度 ,4例为轻度。治疗采用Femiscan生物反馈治疗仪 ,可反馈测量患者盆底肌肉肌电 ,治疗疗程 8～ 1 2周 ,每周 2次 ,4例患者结束治疗疗程 ,2例正在治疗疗程之中。通过盆底肌肉肌电测量值及病史问卷评价其效果。结果 4例已完成治疗的患者盆底肌电测量值 ,治疗前平均肌电值为 9 7μV (3 33～ 1 5 4 8μV) ,治疗后 4 2 9μV (2 5 0～ 72 6 μV) ,平均提高 4 4 2倍 ,3例患者的症状改善 ,均为小于 4 0岁患者 ,症状改善在治疗的第 4～ 6周出现 ,1例 6 1岁患者效果不明显。正在进行治疗的 2例患者治疗 4周 ,目前症状未见改善。治疗未见副作用。结论 生物反馈盆底肌肉训练是一种安全、有效治疗女性压力性尿失禁的方法 ,尤其是对于年轻。
Objective To analyze the effect of biofeedback pelvic floor training on female stress urinary incontinence. Methods Six patients with stress urinary incontinence underwent biofeedback pelvic floor training from September,2003 to Janurary,2004. The mean age was 44(31～61) years. Five cases were diagnosed with stress urinary incontinence only and the other one with mixed urinary incontinence, according to medical history and physical examination. The pelvic muscle electromyography was measured with Femiscan Biofeedback Clinical Set. The treatment course was 8 to 12 weeks and twice per week. Four patients completed the treatment, and 2 are still underway. The effect was evaluated by pelvic muscle electromyography and symptoms release. Results Among 4 patients with completed treatment, the pelvic muscle electromyography increased 4 44 times (from 9 7μV to 42 9μV). Three patients who were younger than 40 years released symptoms after 4 to 6 week training. A 61 years old patient did not obtain improvement yet. No side-effect was observed during the treatment. Conclusions Biofeedback pelvic floor training for female stress urinary incontinence is a safe and effective treatment, especially for young patients.
出处
《中国妇产科临床杂志》
2004年第1期12-14,共3页
Chinese Journal of Clinical Obstetrics and Gynecology
