肌电刺激联合盆底肌训练治疗产后压力性尿失禁

Myoelectrical stimulation combined training of pelvic floor muscle for postpartum stress urinary incontinence

目的探讨肌电刺激联合盆底肌训练治疗产后压力性尿失禁的效果。方法本院2009年9月～2013年2月在产后康复患者中,共有156例产后尿失禁,采用法国PHENIX神经肌肉刺激治疗仪进行盆底功能康复训练治疗,4周为1个疗程,每次30min,每周2次。结果 156例患者中有129例在第1～4次治疗结束后漏尿次数明显减少,8次治疗结束后漏尿完全消失。25例在第5～6次治疗后明显减少,第10～12次治疗后完全消失。156例患者均无任何不适主诉。随访6个月,有5例患者复发。结论肌电刺激联合盆底肌训练治疗女性产后压力性尿失禁安全、有效。

Objective To investigate the clinical effectiveness of myoelectrical stimulation combined with training of pelvic floor muscle in the treatment of postpartum stress urinary incontinence.Methods Among patients of postpartum rehabilitation in our hospital from September 2009 to February 2013,a total of 156 cases of postpartum urinary incontinence patients were treated by PHENIX neuromuscular stimulation therapeutic apparatus for functional rehabilitation of pelvic floor.The therapy lasted for 4 weeks as a course of treatment with 30 min each time and 2 times weekly.Results In all the 156 patients,the urinary leakage frequency of 129 cases were significantly reduced after 1-4 times of treatment and completely disappeared after 8 times of treatment;25 cases significantly reduced after 5-6 times of treatment and disappeared after 10-12 times of treatment.All the 156 patients had no discomfort complaint and were followed up for 6 months with 5 cases of recurrence.Conclusion Myoelectrical stimulation combined with training of pelvic floor muscle is a good method of safely and effectively treating women ′s postpartum stress urinary incontinence.