生物反馈治疗产后压力性尿失禁患者的疗效观察

doi:10.3969/j.issn.1671-7171.2018.02.004

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Abstract 【Objective】To investigate the clinical efficacy of biofeedback treatment on patients with postpartum stress urinary incontinence, and to analyze the significance of the changes of electrical signals on the surface of pelvic floor muscles.【Methods】A retrospective analysis of 200 patients with postpartum stress urinary incontinence in our hospital from January 2016 to January 2017 was performed. According to the different treatment methods, patients were divided into an observation group and control group, with 100 cases in each. Patients in the observation group were treated with pelvic floor rehabilitation biofeedback therapy while patients in the control group received conventional pelvic floor muscle training. Pelvic floor surface electrical signal changes were measured and analyzed in the two groups.【Results】The efficacy rate in the observation group was 93.0%, which was significantly higher than that in the control group 82%; the difference was significant (P<0.05). The average values of type Ⅰ fiber and type Ⅱ myofiber potential in the observation group after treatment were higher than those in the control group (P<0.05). After treatment, the total urinary volume in the observation group was 4698.2 ± 297.5 mL, the total number of urination was 31.8 ± 6.7 times, and the total number of urinary leakage was 11.8 ± 2.7 times, which were all better than those in the control group. The differences were statistically significant (P<0.05). The Cullen index before treatment in the observation group had no significant difference compared with the control group (P>0.05). After treatment, the Cullen index degree 0 in the observation group was significantly higher than that in the control group, and the Cullen index degree Ⅳ was significantly lower than that in the control group. The difference between the two groups was statistically significant (P<0.05).【Conclusion】Patients with postpartum stress urinary incontinence can improve significantly after using biofeedback treatment; the curative effect is superior to the conventional pelvic floor muscle training. This treatment can effectively restore pelvic floor tissue injury caused by childbirth.

Key words： Urinary Incontinence, Stress/TH Biofeedback (Psychology) Puerperal Disorders/TH Treatment Outcome

Received: 25 September 2017

PACS:

R694.54

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http://www.jcr.net.cn/EN/10.3969/j.issn.1671-7171.2018.02.004 OR http://www.jcr.net.cn/EN/Y2018/V35/I2/219

[1] 陈玉清,裴慧慧,陈蓓,等.盆底康复训练对改善产后盆底肌功能的作用[J].中国康复医学杂志,2013,28(3):234-237.
[2] 李环,吴瑞芳,光晓燕,等.产后盆底康复时间选择对尿失禁及盆底肌的影响研究[J].中国全科医学,2013,16(31):3699-3704.
[3] 张珂,王澜静,焦玲洁,等.产后盆底功能障碍性疾病与盆底肌收缩力及其相关因素分析[J].实用妇产科杂志,2014,30(10):757-759.[4] 蔡舒,任旭,宋均仿,等.生物反馈电刺激联合盆底肌训练对产后压力性尿失禁的临床疗效[J].广东药学院学报,2014,32(4):517-520.
[5] 袁苗,刘广丽,姜卫国,等.产后早期电刺激与生物反馈治疗对盆底功能的影响[J].山东医药,2015,55(45):29-31.
[6] 沈丽琼,金晓燕,王攀峰等.尿失禁症状评估工具的研究进展[J].护理学杂志,2017,32(1):107-110.
[7] 贾俊华,夏志军.不同生物反馈电刺激方案治疗女性压力性尿失禁的疗效[J].中国医科大学学报,2015,44(8):717-720.
[8] 曾金华,汪桂艳,林斯华,等.产后42 d女性压力性尿失禁的流行病学调查[J].中国妇幼保健,2017,32(20):5103-5106.
[9] 刘月美,金海英,李智卿,等.盆底生物反馈结合针灸会阳穴对产后尿失禁患者肌电位及生活质量的影响[J].中国妇幼保健,2016,31(14):2799-2801.
[10] 王磊.盆底肌肉生物反馈治疗良性前列腺增生症术后尿失禁的研究[J].现代预防医学,2014,41(24):4506-4508.
[11] 王宏,薛紫怡,李梦梦,等.产后压力性尿失禁病人生物反馈治疗后盆底肌表面电信号变化观察[J].首都医科大学学报,2017,38(2):320-324.
[12] 陈玉芬,李环,丁小容,等.盆底肌电刺激联合生物反馈改善产妇尿失禁的效果观察[J].护理学报,2013,20(11):52-53.
[13] 林蓓蓓,祖月娥,范幸,等.盆底肌锻炼联合电刺激及生物反馈治疗产后盆底肌力下降的疗效分析[J].中华生物医学工程杂志,2015,21(6):545-548.
[14] 王秀芳,赵国华,郭玲,等.生物反馈治疗对压力性尿失禁患者盆底肌力及尿动力学的影响研究[J].中国性科学,2015,17(6):37-40.
[15] 李欣,刘植华,兰纯娜,等.电刺激-生物反馈联合盆底肌训练对产后压力性尿失禁的康复效果[J].医学临床研究,2015,25(10):2052-2053.