医学临床研究
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医学临床研究  2021, Vol. 38 Issue (2): 206-208    DOI: 10.3969/j.issn.1671-7171.2021.02.013
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电刺激生物反馈联合综合运动疗法治疗中老年轻、中度压力性尿失禁患者的临床疗效
吴菲, 罗军**, 龙婷, 刘莉
湖南省妇幼保健院,湖南 长沙 410008
Effect of Electrical Stimulation Biofeedback Combined with Comprehensive Exercise Therapy on Stress Urinary Incontinence in Middle-aged and Elderly Women
WU Fei, LUO Jun, LONG Ting, et al
Maternal and Child Health Hospital of Hunan Province,Changsha Hunan 410008
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摘要 【目的】 探讨电刺激生物反馈联合综合运动疗法治疗中老年轻、中度压力性尿失禁(SUI)患者的临床疗效。【方法】 选取2018年6月至2020年6月在本院诊治的中老年轻、中度SUI患者80例为研究对象,按照随机数表法分为观察组和对照组,每组40例。观察组给予电刺激生物反馈联合综合运动疗法[腹式呼吸+桥式运动+凯格尔运动(Kegel)]治疗1个疗程(2个月),对照组给予电刺激生物反馈联合Kegel治疗1个疗程(2个月)。比较两组患者尿失禁生活质量问卷(I-QOL)评分、总有效率、盆底Ⅰ类肌纤维及Ⅱ类肌纤维肌力、肌电位值。【结果】 观察组患者总有效率为90%(36/40),显著高于对照组的72.5%(29/40),其差异有统计学意义(χ2=4.021,P=0.045)。治疗后,两组患者尿失禁生活质量问卷(I-QOL)评分均较治疗前均明显改善,且观察组改善更为明显(P<0.05)。两组患者治疗前Ⅰ类肌纤维和Ⅱ类肌纤维肌力分布比较差异无统计学意义(P>0.05);治疗后,两组患者肌力均明显提高,且观察组优于对照组,其差异均有统计学意义(P<0.05)。两组患者治疗前盆底肌电位值比较差异无统计学意义 (P> 0.05);治疗后,观察组、对照组盆底肌电位值均显著高于治疗前,且观察组高于对照组,其差异均有统计学意义 (P<0.05)。【结论】 电刺激生物反馈联合综合运动疗法治疗中老年女性轻、中度SUI,可有效改善症状,改善生活质量,提高盆底肌力,值得临床推广应用。
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作者相关文章
吴菲
罗军
龙婷
刘莉
关键词 电刺激疗法/方法生物反馈,心理学运动疗法/方法尿失禁,压力性/治疗治疗结果    
Abstract【Objective】 To explore the effect of electrical stimulate biofeedback combined with exercise therapy on stress urinary incontinence (SUI) in middle-aged and elderly women. 【Methods】 From June 2018 to June 2020, 80 cases of women who were diagnosed as "stress urinary incontinence" were selected as the subjects. Patients were randomly divided into the observation group (n=40 cases) and the control group (n=40 cases). Electrical stimulation biofeedback therapy combined with comprehensive exercise therapy (abdominal breathing, bridge exercise and Kegel exercise) in the observation group and electrical stimulation biofeedback therapy combined with Kegel exercise in the control group were applied for a course of treatment (2 months).The scores of urinary incontinence quality of life questionnaire (I-QOL), total effective rate, muscle strength of pelvic floor type Ⅰ and type Ⅱ muscle fibers and myoelectric potential were compared between the two groups. 【Results】 The total effective rate of patients in the observation group was 90% (36/40), which was significantly higher than 72.5% (29/40) in the control group, and the difference was statistically significant (χ 2=4.021,P=0.045). After one course of treatment, the scores of urinary Incontinencequality of life questionnaire (I-QOL) were improved in both groups. Compared to the control group, the improvement was more significant in the observation group (P<0.05). Before treatment, there was no significant difference in muscle strength distribution between the two groups of patients with type Ⅰ and type Ⅱ muscle fibers (P>0.05). After treatment, the pelvic floor Ⅰ and Ⅱ muscle fiber muscle strength were improved in both groups. However, the observation group was better than the control group, and the difference was statistical significance (P<0.05). There was no significant difference in pelvic floor myoelectric potential between the two groups before treatment (P>0.05); after treatment, the pelvic floor myoelectric potential of the observation group and the control group were significantly higher than before treatment, and the observation group was higher than the control group. The differences were statistically significant (P<0.05).【Conclusion】 Electric stimulation biofeedback combined with comprehensive exercise therapy (abdominal breathing, bridge exercise and Kegel exercise) can effectively improve the symptoms of stress urinary incontinence in middle-aged and elderly women and enhance pelvic floor muscle strength, which has more significant effect than electric stimulation feedback therapy combined with Kegel exercise.
Key wordsElectric Stimulation Therapy/MT    Biofeedback, Psychology    Exercise Therapy/MT    Urinary Incontinence, Stress    Treatment Outcome
收稿日期: 2020-11-18     
中图分类号:  R694.54  
基金资助:湖南省卫生健康委员会项目(编号:W2017-3)
通讯作者: **E-mail:943038975@qq.com   
引用本文:   
吴菲, 罗军, 龙婷, 刘莉. 电刺激生物反馈联合综合运动疗法治疗中老年轻、中度压力性尿失禁患者的临床疗效[J]. 医学临床研究, 2021, 38(2): 206-208.
WU Fei, LUO Jun, LONG Ting, et al. Effect of Electrical Stimulation Biofeedback Combined with Comprehensive Exercise Therapy on Stress Urinary Incontinence in Middle-aged and Elderly Women. JOURNAL OF CLINICAL RESEARCH, 2021, 38(2): 206-208.
链接本文:  
http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2021.02.013     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2021/V38/I2/206
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