督导式盆底康复训练联合神经电刺激对产后压力性尿失禁患者尿动力学的影响

doi:10.3969/j.issn.1671-7171.2023.12.029

摘要
图/表
参考文献
相关文章 (15)

全文: PDF (1242 KB) HTML (1 KB)
输出: BibTeX | EndNote (RIS)

摘要【目的】探讨督导式盆底康复训练联合神经电刺激对产后压力性尿失禁(SUI)患者尿动力学的影响。【方法】将在两院就诊的260例产后SUI患者随机分为观察组和对照组,每组130例,对照组患者实行督导式盆底康复训练治疗,观察组患者实行督导式盆底康复训练联合神经电刺激治疗。比较两组治疗效果、并发症发生情况及治疗前后功能尿道长度(LES)、尿道最大闭合压力(PMUC)、尿道最大测量压(PMU)、孕酮(P)、黄体生成素(LH)、雌二醇(E₂)水平、尿失禁生活质量问卷(I-QOL)评分、女性性功能指数量表(FSFI)评分。【结果】观察组总有效率为90.77%(118/130),显著高于对照组的78.46%(102/130);两组治疗后LES、PMUC、PMU、P、LH、E₂水平以及I-QOL评分、FSFI评分均高于治疗前(P<0.05),且观察组治疗后上述各项指标均高于对照组(P<0.05);观察组并发症总发生率为10.77%(14/130),显著低于对照组的20.00%(26/130)(P<0.05)。【结论】督导式盆底康复训练联合神经电刺激可有效改善产后SUI患者的尿动力学指标,治疗效果较好。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	张忍萍
	李晓红

关键词 ：尿失禁,压力性, 产褥期疾病, 骨盆底, 尿动力学

Abstract：【Objective】To investigate the effect of supervised pelvic floor rehabilitation training combined with neuromuscular electrical stimulation on urinary dynamics in postpartum stress urinary incontinence (SUI) patients. 【Methods】A total of 260 postpartum SUI patients from two hospitals were randomly divided into two groups, with 130 patients in each group. The patients in the control group received supervised pelvic floor rehabilitation training, while patients in the observation group received supervised pelvic floor rehabilitation training combined with neuromuscular electrical stimulation. The treatment outcomes, incidence of complications, changes in functional urethral length (LES), maximum urethral closure pressure (PMUC), maximum urethral measurement pressure (PMU), progesterone (P), luteinizing hormone (LH), estradiol (E₂), as well as the scores of the Incontinence Quality of Life Questionnaire (I-QOL) and Female Sexual Function Index (FSFI) were compared between the two groups. 【Results】The total effective rate in the observation group was 90.77%(118/130), which was significantly higher than 78.46%(102/130) in the control group. After treatment, the levels of LES, PMUC, PMU, P, LH, E₂, I-QOL scores, and FSFI scores in both groups were significantly higher than those before treatment(P<0.05). Furthermore, the observation group after treatment showed higher levels of the above parameters than those in the control group after treatment (P<0.05). The incidence of complications in the observation group was 10.77%(14/130), which was significantly lower than the 20.00%(26/130) in the control group (P<0.05). 【Conclusion】Supervised pelvic floor rehabilitation training combined with neuromuscular electrical stimulation can more effectively improve urinary dynamic indicators in postpartum SUI patients to result in better treatment outcomes.

Key words： Urinary Incontinence, Stress Puerperal Disorders Pelvic Floor Urodynamics

收稿日期: 2022-09-22

中图分类号:

R694.54

通讯作者: *E-mail:2802969352@qq.com

引用本文:

张忍萍, 李晓红. 督导式盆底康复训练联合神经电刺激对产后压力性尿失禁患者尿动力学的影响[J]. 医学临床研究, 2023, 40(12): 1922-1925.
ZHANG Renping,LI Xiaohong. Effect of Supervised Pelvic Floor Rehabilitation Training Combined with Neuromuscular Electrical Stimulation on Urinary Dynamics in Postpartum Stress Urinary Incontinence Patients. JOURNAL OF CLINICAL RESEARCH, 2023, 40(12): 1922-1925.

链接本文:

http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2023.12.029 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2023/V40/I12/1922