核心肌群运动联合电刺激生物反馈治疗中老年女性压力性尿失禁患者的临床疗效

doi:10.3969/j.issn.1671-7171.2022.10.003

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摘要【目的】探讨核心肌群运动联合电刺激生物反馈治疗中老年女性压力性尿失禁(SUI)患者的临床疗效。【方法】选取2020年1月至2021年12月在本院盆底诊治中心治疗的120例中老年女性SUI患者,按照随机数字表法分为观察组和对照组,每组60例。两组均接受电刺激生物反馈、Kegel训练治疗,观察组同时给予核心肌群训练。比较两组治疗前后总有效率、尿失禁生活质量问卷(I-QOL)、盆底肌电位值、盆底肌肉收缩力度。【结果】观察组治疗总有效率为90.00%,显著高于对照组的75.00%,差异有统计学意义(P<0.05);两组 Ⅰ类、Ⅱ类肌纤维肌力较治疗前均明显改善,且观察组改善更为明显(P<0.05);两组治疗后I-QOL评分、盆底肌电位值均显著高于治疗前 (P<0.05),且观察组高于对照组(P<0.05)。【结论】核心肌群运动联合电刺激生物反馈可有效提高中老年女性SUI的临床疗效,且该运动方法简单、实用、安全,易于临床推广。

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	吴菲
	罗军
	刘莉
	龙婷

关键词 ：尿失禁, 压力性/治疗, 电刺激疗法/方法, 生物反馈, 心理学, 运动疗法/方法, 治疗结果

Abstract：【Objective】To explore the clinical efficacy of core muscle group exercise combined with electrical stimulation biofeedback and Kegel training on stress urinary incontinence (SUI) in middle-aged and elderly women. 【Methods】A total of 120 middle-aged and elderly SUI patients treated in the pelvic floor diagnosis and treatment center of Hunan Maternal and Child Health Hospital from January 2020 to December 2021 were selected in the study and randomly divided into the observation group (60 cases) and the control group (60 cases). Patients in both groups received electrical stimulation biofeedback treatment and Kegel training,while patients in the observation group were also given the core muscle group training simultaneously. The treatment efficiency,urinary incontinence quality of life questionnaire (I-QOL),pelvic floor muscle potential value,and pelvic floor muscle contraction strength were compared in the two groups before and after the treatment. 【Results】The treatment effective rate was 90.00% in the observation group and 75.00% in the control group; and the comparative efficacy differences of the two groups were significant (P<0.05). The muscle strength of class Ⅰ and class Ⅱ muscle fibers in the two groups were significantly improved compared to those before treatment. The I-QOL score was higher after treatment compared with that before treatment,and the value of the observed group was higher than that of the control group (P<0.05). The intensity of pelvic floor muscle contraction in the two group was increased compared to that before treatment,and the observed group was increased higher than that of the control group (P<0.05). 【Conclusion】Core muscle group exercise combined with electrical stimulation biofeedback and Kegel training can effectively improve the clinical efficacy of SUI in middle-aged and elderly women,and the exercise program is simple,practical and easy to promote clinically.

Key words： Urinary Incontinence, Stress/TH Electric Stimulation Therapy/MT Biofeedback, Psychology Exercise Therapy/MT Treatment Outcome

收稿日期: 2022-07-14

中图分类号:

R694.54

基金资助:湖南省科技厅项目(编号:2020SK50601)

通讯作者: **E-mail:943038975@qq.com

引用本文:

吴菲, 罗军, 刘莉, 龙婷. 核心肌群运动联合电刺激生物反馈治疗中老年女性压力性尿失禁患者的临床疗效[J]. 医学临床研究, 2022, 39(10): 1449-1451.
WU Fei, LUO Jun, LIU Li, et al. Clinical Efficacy of Core Muscle Group Exercise Combined with Electrical Stimulation Biofeedback for Treating Stress Urinary Incontinence in Middle-aged and Elderly Women. JOURNAL OF CLINICAL RESEARCH, 2022, 39(10): 1449-1451.

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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2022.10.003 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2022/V39/I10/1449

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